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Background <p>Mistreatment during childbirth remains a barrier to maternal health in low-resource settings.</p> Objective <p>To assess the prevalence of mistreatment during childbirth and its associated factors among women in public health facilities of Ilubabor Zone, Southwest Ethiopia, 2025.</p> Methods <p>A facility-based cross-sectional study was conducted from August to October 2025 among 470 women using multistage sampling and interviewer-administered questionnaires. Data were analyzed with descriptive statistics and multivariable logistic regression.</p> Results <p>Mistreatment during childbirth was reported by 68.1% (95% CI: 63.9–72.3%) of women. Verbal insults, denial of mobility during labor, refusal of pain relief, and lack of consent for procedures were the most common forms. Significant factors included low maternal education (AOR = 7.10, 95% CI: 3.71–13.58), observed provider burnout (AOR = 3.30, 95% CI: 2.14–5.10), and high provider workload (AOR = 2.70, 95% CI: 1.80–4.06).</p> Conclusion <p>High prevalence of mistreatment was observed, driven by low maternal education and multiple provider- and system-level factors. Enhanced training, staffing, and community education are urgently needed.</p>

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Mistreatment during childbirth and its associated factors during facility-based childbirth in public health facilities of Ilubabor Zone, Southwest Ethiopia

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月6日

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  • Endale Tamiru Burayu,
  • Tamiru Endalu Terfa,
  • Abdi Kejela Seboka,
  • Alemnesh Fekede Terefe

摘要

Background

Mistreatment during childbirth remains a barrier to maternal health in low-resource settings.

Objective

To assess the prevalence of mistreatment during childbirth and its associated factors among women in public health facilities of Ilubabor Zone, Southwest Ethiopia, 2025.

Methods

A facility-based cross-sectional study was conducted from August to October 2025 among 470 women using multistage sampling and interviewer-administered questionnaires. Data were analyzed with descriptive statistics and multivariable logistic regression.

Results

Mistreatment during childbirth was reported by 68.1% (95% CI: 63.9–72.3%) of women. Verbal insults, denial of mobility during labor, refusal of pain relief, and lack of consent for procedures were the most common forms. Significant factors included low maternal education (AOR = 7.10, 95% CI: 3.71–13.58), observed provider burnout (AOR = 3.30, 95% CI: 2.14–5.10), and high provider workload (AOR = 2.70, 95% CI: 1.80–4.06).

Conclusion

High prevalence of mistreatment was observed, driven by low maternal education and multiple provider- and system-level factors. Enhanced training, staffing, and community education are urgently needed.