Women’s experiences of giving birth in healthcare facilities in India - a systematic literature review

Abstract

Background: Although nearly 80 % of pregnant women in India give birth in healthcare facilities in India, the maternal mortality rate remains unacceptably high. A positive and safe birth experience is very important for pregnant women and an important factor for choosing to give birth in healthcare facilities. Aim: The aim of the study is to describe women’s experiences of giving birth in healthcare facilities in India. Methods: A qualitative systematic literature review was performed in November 2021, using the databases Pubmed, Cinahl and Scopus. An inductive content analysis was used. Results: The search identified 15 articles, with main findings sorted according to three topics: Lack of dignity and respect, Improper care during childbirth and Limited healthcare facilities and environment. Frequent findings were that many women experienced mistreatment at the healthcare facilities, lack of respect and poor information from providers. In addition, companions during birth are often not allowed, infrastructure and hygiene is often lacking, and many women need to pay for medicines or treatment even though this should be provided for free. Conclusions: According to the results of this review, there is an urgent need to take measures in order to avoid mistreatment, improve information and hygiene and to ensure that the healthcare services are free of charge. As most of the factors related to women's bad experience were related to work ethics and lack of respect from the care providers, there is a great need to emphasize respectful maternity care in midwifery education in India.