What question did this study set out to answer?

This study aims to assess the prevalence of disrespect and abuse during childbirth and its impact on maternal satisfaction in rural Bangladesh.

June 17, 2026Open Access

Disrespect, Abuse, and Satisfaction With Facility‐Based Childbirth in Rural Bangladesh

Key Points

This study aims to assess the prevalence of disrespect and abuse during childbirth and its impact on maternal satisfaction in rural Bangladesh.
Facility-based cross-sectional study conducted at four community clinics in rural Rajshahi, Bangladesh.
Included 400 women who gave birth in designated healthcare facilities.
Defined disrespect and abuse using six categories, examined maternal satisfaction outcomes.
25.8% of women experienced disrespect and abuse during childbirth.
Mothers giving birth at night without companions and those with fewer antenatal visits were more likely to report abuse.
Women without D&A experiences were significantly more likely to report satisfaction (AOR: 3.35; 95% CI: 2.81 to 5.81).

Abstract

ABSTRACT Background and Aims In rural Bangladesh, despite efforts to improve maternal healthcare, women still face mistreatment during childbirth, which can affect their satisfaction with care. This study aims to investigate the prevalence of disrespect and abuse (D 95% CI: 2.81 to 5.81) and of recommending the facility to others (AOR: 2.74; 95% CI: 1.95 to 4.23) among women who reported not having D&A experiences. Conclusions D&A care is highly prevalent in primary healthcare settings in rural Bangladesh. The significant contributing factors identified in this study should be addressed to reduce the occurrence of D&A care.

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