Abstract
Problem
In the Netherlands there are no valid measurement tools available to measure respectful
maternity care and women’s autonomy.
Background
Respectful maternity care including women’s autonomy during childbirth are key components
of high quality care.
Aim
This study aims to evaluate the applicability of the Canadian measures; the Mothers
Autonomy in Decision Making (MADM) scale and the Mothers on Respect index (MORi) measures
among pregnant women in the Netherlands.
Methods
We translated the measures MORi and MADM according to the WHO guidelines, adapted
them to the Dutch health care system, evaluated their psychometric properties, and
pilot tested before administration through an online cross-sectional survey. We assessed
feasibility by calculating descriptive statistics on scores, and reliability by calculating
Cronbach’s alpha. The construct validity was measured by hypotheses on differences
between subgroups based on maternal characteristics, pregnancy characteristics and
healthcare provision.
Findings
Of 557 women included in the study, 83% experienced high respect and 62% experienced
high autonomy. Both the MORi and MADM showed feasibility, internal consistency, and
with respect to construct validity, both measures discriminated between type of care
provision. Compared to women with pregnancy complications, those with a healthy pregnancy
reported statistically higher MORi-scores. No differences were observed on MADM-scores.
Discussion
Both instruments can be used as quality of care measures aiming to improve care and
thus experiences of women.
Conclusion
The results of this study support the feasibility, reliability, and to a certain extent
known group validity of the Dutch MORi and MADM measures in pregnant women.
Keywords
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Article info
Publication history
Published online: November 30, 2019
Accepted:
October 28,
2019
Received in revised form:
October 28,
2019
Received:
June 18,
2019
Identification
Copyright
© 2019 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
