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ADR Yönetimi
ADR Yönetimi

EFFECT OF MOTHER-BABY FRIENDLY FACILITY ACCREDITATION ON MIDWIFERY STAFF’S PERCEPTIONS OF OBSTETRIC MISTREATMENT

CAN TERCAN, ALİ SELCUK YENİOCAK, EMRAH DAGDEVİREN, EMRULLAH AKAY

Gynecology Obstetrics & Reproductive Medicine - 2025;31(1):24-31

Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Türkiye

 

OBJECTIVE: This study evaluated the impact of Mother-Baby Friendly Facility (MBFBF) accreditation on midwifery staff’s perceptions of obstetric mistreatment. The hypothesis tested was that MBFBF-associated training and policy changes would improve awareness and decrease tolerance for mistreatment practices during childbirth. STUDY DESIGN: This single-center observational pre-post study was conducted in the obstetrics and gynecology unit of a tertiary hospital. Data were collected before and after MBFBF accreditation, which was granted in November 2024. The study included 122 midwifery staff members with at least one year of clinical experience before accreditation. Perception of obstetric mistreatment was assessed using the Turkish version of the Perception of Obstetric Violence in Students Questionnaire (PercOV-S Q). RESULTS: Significant improvements were observed in the perception of mistreatment, with overall PercOV-S Q scores increasing from 95.50 (87.00–107.00) pre-intervention to 110.50 (83.50–129.00) post-intervention (p=0.027). The key areas of improvement included informed consent (Q1: p<0.001), privacy (Q2: p<0.001), and respectful communication (Q3: p=0.017). Subgroup analysis revealed statistically significant differences in five selected questions (p<0.001), whereas other areas exhibited trends toward improvement. CONCLUSIONS: The MBFBF accreditation process and associated training significantly enhanced midwifery staff’s awareness of obstetric mistreatment, aligning their practices with international guidelines. These findings underscore the importance of structured education and institutional reform in fostering respectful, patient-centered care. Expanding MBFBF accreditation programs globally could help reduce obstetric mistreatment and improve maternal health outcomes.