Sağlık Bilimleri Dergisi 1018-3655 3108-6667 Erciyes University 10.34108/eujhs.1770882 Models of Care and Place of Birth Clinical Midwifery Midwifery (Other) Obstetrics and Gynocology Nursing Bakım Modelleri ve Doğum Yeri Klinik Ebelik Ebelik (Diğer) Doğum ve Kadın Hastalıkları Hemşireliği Kadınların Doğumda Karar Alma Sürecindeki Özerkliği, Saygılı Annelik Bakımı Algısı ve Etkileyen Faktörler Women’s Decision-Making Autonomy in Childbirth, Respectful Maternity Care and Associated Factors https://orcid.org/0000-0002-9951-4073 Özkan Şat Sultan BITLIS EREN UNIVERSITY https://orcid.org/0009-0000-5514-8270 Duman Derya BITLIS EREN UNIVERSITY https://orcid.org/0009-0009-7888-4911 Demir Medine BITLIS EREN UNIVERSITY 04 16 2026 35 1 158 167 08 23 2025 03 24 2026 Copyright © 1993, Journal of Health Sciences 1993 Journal of Health Sciences

Bu çalışmanın amacı, postnatal dönemdeki kadınların doğum eyleminde karar alma sürecindeki özerkliği, saygılı annelik bakımı algısı ve etkileyen faktörlerin belirlenmesidir. İlişki arayıcı nitelikte tanımlayıcı olan bu araştırmanın örneklemi doğum sonu ilk 48-72 saat içerisinde olan 271 kadından oluşmaktadır. Araştırma verilerinin toplanmasında Tanıtıcı Bilgi Formu, Kadınların Saygılı Annelik Bakımı Algısı Ölçeği ve Karar Vermede Anne Otonomisi Ölçeği kullanılmıştır. Verilerin analizinde basit doğrusal regresyon t-testi ve tek yönlü varyans analizi kullanılmıştır. Karar Vermede Anne Otonomisi Ölçeği puanı; Kadınların Saygılı Annelik Bakımı Algısı Ölçeği toplam puan ve alt boyutlarının anlamlı bir yordayıcısıdır (p0.05). Karar Vermede Anne Otonomisi Ölçeği puanı yalnızca çalışma durumuna göre anlamlı farklılık göstermiştir (p

Aim of this study is to determine the autonomy of women in the postnatal period regarding decision-making during labor, their perceptions of respectful maternity care, and the influencing factors. This descriptive-correlational study included a sample of 271 women within the first 48-72 hours postpartum. Data were collected using the Descriptive Information Form, the Women’s Perception of Respectful Maternity Care Scale-Turkish Version, and the Mothers' Autonomy in Decision Making Scale. Data analysis included simple linear regression, t-tests, and one-way analysis of variance. The Mothers' Autonomy in Decision Making Scale scores were significant predictors of the total the Women’s Perception of Respectful Maternity Care Scale-Turkish Version score as well as its subdimensions (p

 Doğum eylemi ebelik hasta merkezli bakım hemşirelik kişisel özerklik Labor-obstetric midwifery patient-centered care nursing personal autonomy TÜBİTAK 1919B012424728 (TÜBİTAK-2209/A) World Health Organization. Recommendations: Intrapartum Care for a Positive Childbirth Experience. Geneva: WHO; 2018. https://www.who.int/publications/i/item/9789241550215 Erişim tarihi: 22.01.2026 Puthussery S, Bayih WA, Brown H, Aborigo RA. Promoting a global culture of respectful maternity care. BMC Pregnancy Childbirth. 2023;23:798. doi:10.1186/s12884-023-06118-y Halfdansdottir B, Wilson ME, Hildingsson I, Olafsdottir OA, Smarason AK, Sveinsdottir H. Autonomy in place of birth: a concept analysis. Med Health Care Philos. 2015;18(4):591-600. doi:10.1007/s11019-015-9624-y Vedam S, Stoll K, McRae DN, et al. Patient-led decision making: measuring autonomy and respect in Canadian maternity care. Patient Educ Couns. 2019;102(3):586-594. doi:10.1016/j.pec.2018.10.023 Loiola AMR de, Alves VH, Vieira BDG, Rodrigues DP, Souza KV, Marchiori GRS. Delivery plan as a care technology: experience of women in the postpartum period in a birth center. Cogitare Enferm. 2020;25:e66039. doi:10.5380/ce.v25i0.66039 Uludağ E, Çamlıbel M. Doğumda verilen destekleyici bakımın kadınların saygılı annelik bakımı algısını yordama durumunun incelenmesi. Etkili Hemşirelik Dergisi. 2024;17(3):351-361. doi:10.46483/jnef.1516044 Alruwaili TA, Crawford K, Fooladi E. Shared decision-making in maternity care in Saudi Arabia: a cross-sectional study. Midwifery. 2024;138:104147. doi:10.1016/j.midw.2024.104147 Hameed S, Mureed S, Chaudhri R, Khan SA, Khan MS. Postnatal women’s perception on person-centered maternity care in twin cities of Rawalpindi and Islamabad: a descriptive study. BMC Pregnancy Childbirth. 2023;23(1):52. doi:10.1186/s12884-023-05362-6. Palgi-Hacker H, Sacks E, Landry M. Respectful maternity care in Israel during the COVID-19 pandemic: a cross-sectional study of associations between childbirth care practices and women’s perceptions of care. BMC Pregnancy Childbirth. 2024;24(1):50. doi:10.1186/s12884-023-06030-5 Bohren MA, Vogel JP, Hunter EC, et al. The mistreatment of women during childbirth in health facilities globally: a mixed-methods systematic review. PLoS Med. 2015;12(6):e1001847. doi:10.1371/journal.pmed.1001847 Minckas N, Gram L, Smith C, Mannell J. Disrespect and abuse as a predictor of postnatal care utilisation and maternal-newborn well-being: a mixed-methods systematic review. BMJ Glob Health. 2021;6(4):e004698. doi:10.1136/bmjgh-2020-004698 Leite TH, Pereira A, Leal M, da Silva A. Disrespect and abuse towards women during childbirth and postpartum depression: findings from Birth in Brazil study. J Affect Disord. 2020;273:391-401. doi:10.1016/j.jad.2020.04.052 Bante A, Teji K, Seyoum B, Mersha A. Respectful maternity care and associated factors among women who delivered at Harar hospitals, eastern Ethiopia: a cross-sectional study. BMC Pregnancy Childbirth. 2020;20(1):86. doi:10.1186/s12884-020-2757-x Bulto GA, Demissie DB, Tulu AS. Respectful maternity care during labor and childbirth and associated factors among women who gave birth at health institutions in the West Shewa zone, Oromia region, Central Ethiopia. BMC Pregnancy Childbirth. 2020;20(1):443. doi:10.1186/s12884-020-03135-z Hughes CS, Kamanga M, Jenny A, et al. Perceptions and predictors of respectful maternity care in Malawi: a quantitative cross-sectional analysis. Midwifery. 2022;112:103403. doi:10.1016/j.midw.2022.103403 Akpovi E, Freeburg T, Bocage A, Howard E. Communication, respect, and autonomy: exploring elements of a meaningful birth partnership [08P]. Obstet Gynecol. 2020;135(Suppl 1):169S. doi:10.1097/01.AOG.0000663948.19230.45 Almanza JI, Karbeah JM, Tessier KM, et al. The impact of culturally-centered care on peripartum experiences of autonomy and respect in community birth centers: a comparative study. Matern Child Health J. 2021;26(4):895-904. doi: 10.1007/s10995-021-03245-w Feijen-de Jong EI, van der Pijl M, Vedam S, Jansen DEMC, Peters LL. Measuring respect and autonomy in Dutch maternity care: applicability of two measures. Women Birth. 2020;33(5):e447-e454. doi:10.1016/j.wombi.2019.10.008 Jenkinson B, Kearney L, Kynn M, et al. Validating a scale to measure respectful maternity care in Australia: challenges and recommendations. Midwifery. 2021;103:103090. doi:10.1016/j.midw.2021.103090 Vedam S, Stoll K, Martin K, et al. The Mother's Autonomy in Decision Making (MADM) scale: patient-led development and psychometric testing of a new instrument to evaluate experience of maternity care. PLoS One. 2017;12(2):e0171804. doi:10.1371/journal.pone.0171804 Dağlı E, Aktaş Reyhan F, Topkara FN, Moridi M. Turkish validity and reliability study of the "respectful maternity care" knowledge and practice scale of midwives. Eur J Obstet Gynecol Reprod Biol X. 2023;19:100222. doi:10.1016/j.eurox.2023.100222 Çamlibel M, Uludağ E, Pazandeh F. Psychometric evaluation of the women’s perception of respectful maternity care scale Turkish version. Women Health. 2022;62(8):700-710. doi:10.1080/03630242.2022.2118407 Çamlibel M, Uludağ E. The Turkish version of the students' perceptions of respectful maternity care scale: An assessment of psychometric properties. Nurse Educ Pract. 2023;70:103684. doi:10.1016/j.nepr.2023.103684 Reyhan FA, Dağlı E. Öğrenci ebelerin doğum sürecinde “saygılı annelik bakımına” ilişkin görüşleri: nitel bir araştırma. Ankara Sağlık Bilimleri Dergisi. 2022;11(1):96-105. doi:10.46971/ausbid.1085944 Reyhan FA, Dağlı E. Kadınların saygılı annelik bakımı doğrultusunda doğum deneyimlerinin değerlendirilmesi: nitel bir araştırma. Sakarya Üniversitesi Holistik Sağlık Dergisi. 2023;6(1):124-141. doi:10.54803/sauhsd.1228231 TC. Sanayi ve Teknoloji Bakanlığı. Sosyo-ekonomik gelişmişlik sıralaması araştırmaları (SEGE), 2025. https://www.sanayi.gov.tr/merkez-birimi/b94224510b7b/sege Erişim tarihi: 22.01.2026 Ayoubi S, Pazandeh F, Simbar M, Moridi M, Zare E, Potrata B. A questionnaire to assess women’s perception of respectful maternity care (WP-RMC): Development and psychometric properties. Midwifery. 2020;80:102573. doi: 10.1016/j.midw.2019.102573 Murat Öztürk D. A validity and reliability study of the Turkish version of The Mothers’ Autonomy in Decision Making Scale. Sakarya Üniversitesi Holistik Sağlık Dergisi. 2023;6(1):53-61. doi:10.54803/sauhsd.1197456 Ďuríčeková B, Škodová Z, Bašková M. Satisfaction with childbirth and level of autonomy of women during the childbirth. Cent Eur J Nurs Midwifery. 2024;15(4):2060-2068. doi:10.15452/CEJNM. 2024.15.0025 Niles PM, Baumont M, Malhotra N, et al. Examining respect, autonomy, and mistreatment in childbirth in the US: do provider type and place of birth matter? Reprod Health. 2023;20:67. doi:10.1186/s12978-023-01584-1