Person-centered maternity care (PCMC) is defined as providing maternity care that’s responsive and respectful to individual women’s preferences, values, and needs; ensuring that women’s values guide all clinical decisions during labor and childbirth [1, 2]. The world health organization (WHO) recommendations highlighted dignity and respect, communication and autonomy, and supportive care during childbirth as key components of PCMC that should be provided for all mothers during labor and delivery. It aims to improve communication between health care providers and women to promote the utilization of care [3, 4].
Person-centered care during childbirth is identified as a key dimension of the quality of maternity care. It recognizes user experience and affects health-seeking behavior . Studies showed that the PCMC approach can lead to decreased maternal and neonatal complications, postpartum depression, and improved patient satisfaction. Moreover, when women feel respected and experience compassion from care providers during labor and delivery they are more likely to return for postpartum maternal health services [5–7].
Poor quality of care contributes to high maternal mortality in developing countries, especially in Sub-Saharan. About three-quarters of maternal deaths are due to complications of labor, childbirth, and the first 24 hours postpartum after delivery [8, 9].Evidence showed that person-centered maternity care plays an important role in the identification of complications during facility-based childbirth thus reducing maternal mortality and morbidity significantly. Moreover, PCMC emphasizes the quality of patient experience by helping the women to feel safe and at ease to communicate how she feels and what she needs to the health care provider [5, 10].
Poor person-centered maternity care which is characterized by disrespectful and abusive treatment of women during facility-based childbirth can deter women from giving birth in health facilities and lead to poor maternal and neonatal outcomes [11–14]. It has psychological effects for mothers, a higher risk of dissolution and risk for families, and the potential poverty of thousands due to high costs of care [15, 16].
Advancing PCMC approaches in maternal health services is essential to improve client satisfaction, increase facility-based deliveries and ensure effective implementation of women’s rights [6, 15]. Efforts to increase maternal utilization of health services in low and middle-income countries are not possible to achieve the desired goals without improving women’s experience of care. Other studies showed that women intent to give birth in an environment where they feel safe, valued, and respected [4, 12, 17].
A study in low and middle-income countries revealed that mothers were not experiencing person-centered maternity care. This study reported that women were receiving the highest mean PCMC score (66.9%) in urban Kenya and the lowest PCMC score (51.6%) in rural Ghana. The study reported that health care providers never introduced themselves for 90% of mothers, 53% of women in Kenya, and 73% of women in India were not asked permission from health care providers before doing procedures .
Evidences showed that person-centered maternity care was affected by the socioeconomic status of the women and by health facility level [10, 18, 19]. A study done in Kenya found that wealthier, employed, literate and married women experienced higher person-centered maternity care scores as compared to poorer, unemployed, illiterate, and unmarried women respectively .
A study done in Ethiopia reported that 64.5% of women experienced person-centered maternity care. This study also showed that person-centered maternity care increases client satisfaction and influence health-seeking behavior of the women . On the other hand, poor person-centered maternity care results in decreased institutional delivery [20, 21]. Residence, average monthly income, having ANC follow-up, time of delivery, mode of delivery, complication during childbirth, and length of stay in the health facility were factors affecting person-centered maternity care [2, 22–25].
Several studies have been conducted to identify determinant factors of person-centered maternity care in different countries. However, little research has been conducted in Ethiopia about person-centered maternity care during facility-based childbirth. Therefore this study aimed to assess the status of person-centered maternity care during childbirth and associated factors at public hospitals in Addis Ababa, Ethiopia.