I Wince in Pain for a Reason: Women's Perspective of Maternity Care Services during Intrapatum and Post Delivery Insemi-Urbanindore

This study was conducted to enquire and investigate women?s perception of interaction with health care providers during intrapartum and delivery and the assessment of implications for utilization, accessibility and acceptability of maternity services in rural Indore. Method: To conduct this study 20 individual in-depth-interviews and 2 focused group discussion were carried out with females of reproductive age group, who were aged between 19-39 years and who had delivered in past 5 years in areas of rural indore. Women's perception and their experiences of intrapartum care and care after delivery in terms of factors that influenced satisfaction with services, place and environment of delivery and whether they would recommend some changes for improvement in services was investigated and enquired. Results: Attitude of health care providers was the component of care which appeared to be the greatest importance to the women. on accessibility, acceptability and utilization of services this factor had considerable influence. Other factors like expenses, perceived quality of care, successful labour outcome and proximity of services were also important. Our study suggests that females do expect professional yet welcoming and courteous treatment and humane environment from health care providers. If they experience unacceptable behaviors, discrimination in terms of cast, religion, socioeconomic status and degrading, they consciously change their preferences for place of delivery and exchange their thoughts with their fellow females, friends and neighbors. Conclusion: User views and opinions are important and future investigation is warranted, our findings suggest that. We should also investigate the views of health care providers and then identify channels by which quality of care and services improvements can take place, considering women?s recommendations and views. Interventions to improve intrapartum and post delivery care should also be directed to general health system for betterment and should not only e directed to health professionals.