Influential Factors of Respectful Maternity Care and Its Relationship with Women’s Future Fertility Decisions

Background: The childbirth experience encompasses a complex interplay of physical, emotional, and psychological factors, shaping a woman’s overall well-being and potentially influencing her future reproductive plans. The current study aimed to evaluate the influential factors of respectful maternity...

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Main Authors: Samaneh Youseflu, Maryam Moradi, Zahra Toghyani, Farzaneh Saadatmand, Maryam Gharib, Zohreh Haghighat-dana, Masoumeh Jalili, Shahnaz Kohan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Iranian Journal of Nursing and Midwifery Research
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Online Access:https://journals.lww.com/10.4103/ijnmr.ijnmr_314_23
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author Samaneh Youseflu
Maryam Moradi
Zahra Toghyani
Farzaneh Saadatmand
Maryam Gharib
Zohreh Haghighat-dana
Masoumeh Jalili
Shahnaz Kohan
author_facet Samaneh Youseflu
Maryam Moradi
Zahra Toghyani
Farzaneh Saadatmand
Maryam Gharib
Zohreh Haghighat-dana
Masoumeh Jalili
Shahnaz Kohan
author_sort Samaneh Youseflu
collection DOAJ
description Background: The childbirth experience encompasses a complex interplay of physical, emotional, and psychological factors, shaping a woman’s overall well-being and potentially influencing her future reproductive plans. The current study aimed to evaluate the influential factors of respectful maternity care and its relationship with women’s future fertility decisions. Materials and Methods: This cross-sectional study was conducted on 308 postpartum women hospitalized in the postpartum wards of educational hospitals affiliated with Isfahan University of Medical Sciences between April and September 2021. Data were collected using convenience sampling method by a sociodemographic and obstetric checklist and a standard Respectful Maternity Care (RMC) questionnaire and analyzed with descriptive statistics and the linear regression model (95% confidence level). Results: Our findings show that 50.65% of participants would like to have another child, and only 26.62% of them reach the desired number of children. The mean score of RMC was 66.55 (7.13), and variables such as duration of hospital stay, oxytocin induction, episiotomy, birth preparation classes, and level of education were the main predictors of RMC (p-value < 0.05). In addition, a positive correlation was found between the total score of RMC, the next intended fertility (r = 0.24), and ideal fertility in the best socioeconomic condition (r = 0.22). Conclusions: This study demonstrates a strong association between hospital stay duration, oxytocin induction, episiotomy, birth class attendance, education level, and RMC. Addressing these factors can enhance maternity care quality, childbirth experiences, and ultimately contribute to optimal fertility outcomes.
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spelling doaj-art-6d868871de8f4795aeb4a94012a3fd6f2025-08-20T03:07:31ZengWolters Kluwer Medknow PublicationsIranian Journal of Nursing and Midwifery Research1735-90662228-55042025-05-0130338439010.4103/ijnmr.ijnmr_314_23Influential Factors of Respectful Maternity Care and Its Relationship with Women’s Future Fertility DecisionsSamaneh YousefluMaryam MoradiZahra ToghyaniFarzaneh SaadatmandMaryam GharibZohreh Haghighat-danaMasoumeh JaliliShahnaz KohanBackground: The childbirth experience encompasses a complex interplay of physical, emotional, and psychological factors, shaping a woman’s overall well-being and potentially influencing her future reproductive plans. The current study aimed to evaluate the influential factors of respectful maternity care and its relationship with women’s future fertility decisions. Materials and Methods: This cross-sectional study was conducted on 308 postpartum women hospitalized in the postpartum wards of educational hospitals affiliated with Isfahan University of Medical Sciences between April and September 2021. Data were collected using convenience sampling method by a sociodemographic and obstetric checklist and a standard Respectful Maternity Care (RMC) questionnaire and analyzed with descriptive statistics and the linear regression model (95% confidence level). Results: Our findings show that 50.65% of participants would like to have another child, and only 26.62% of them reach the desired number of children. The mean score of RMC was 66.55 (7.13), and variables such as duration of hospital stay, oxytocin induction, episiotomy, birth preparation classes, and level of education were the main predictors of RMC (p-value < 0.05). In addition, a positive correlation was found between the total score of RMC, the next intended fertility (r = 0.24), and ideal fertility in the best socioeconomic condition (r = 0.22). Conclusions: This study demonstrates a strong association between hospital stay duration, oxytocin induction, episiotomy, birth class attendance, education level, and RMC. Addressing these factors can enhance maternity care quality, childbirth experiences, and ultimately contribute to optimal fertility outcomes.https://journals.lww.com/10.4103/ijnmr.ijnmr_314_23maternal child nursingparturitionpopulation dynamicsrespect
spellingShingle Samaneh Youseflu
Maryam Moradi
Zahra Toghyani
Farzaneh Saadatmand
Maryam Gharib
Zohreh Haghighat-dana
Masoumeh Jalili
Shahnaz Kohan
Influential Factors of Respectful Maternity Care and Its Relationship with Women’s Future Fertility Decisions
Iranian Journal of Nursing and Midwifery Research
maternal child nursing
parturition
population dynamics
respect
title Influential Factors of Respectful Maternity Care and Its Relationship with Women’s Future Fertility Decisions
title_full Influential Factors of Respectful Maternity Care and Its Relationship with Women’s Future Fertility Decisions
title_fullStr Influential Factors of Respectful Maternity Care and Its Relationship with Women’s Future Fertility Decisions
title_full_unstemmed Influential Factors of Respectful Maternity Care and Its Relationship with Women’s Future Fertility Decisions
title_short Influential Factors of Respectful Maternity Care and Its Relationship with Women’s Future Fertility Decisions
title_sort influential factors of respectful maternity care and its relationship with women s future fertility decisions
topic maternal child nursing
parturition
population dynamics
respect
url https://journals.lww.com/10.4103/ijnmr.ijnmr_314_23
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AT farzanehsaadatmand influentialfactorsofrespectfulmaternitycareanditsrelationshipwithwomensfuturefertilitydecisions
AT maryamgharib influentialfactorsofrespectfulmaternitycareanditsrelationshipwithwomensfuturefertilitydecisions
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