Type of respectful maternity care

Yes/N/X

Dignity of care

001

002

003

004

Mother is welcomed in a kind and gentle manner during admission

N

N

N

Y

There is no use of non-dignified language during admission

Y

Y

Y

Y

There is no shouting or use of harsh words/language during history taking

Y

Y

Y

Y

The mother is given a clean bed in antenatal ward

N

N

N

N

Consented care

Consent given for first examination

N

Y

Y

N

Consent given for vaginal examination in antenatal ward

N

N

Y

Y

Consent given for episiotomy if done during delivery

N

X

X

X

Confidential care

History of mother taken and/or shared away from others in privacy

N

N

N

N

Mother’s file handled and kept by authorized persons only

N

N

N

N

Privacy of care

There are partitions separating beds in antenatal ward

N

N

N

N

Each mother has a bed to herself in antenatal/postnatal ward (mothers not sharing beds)

N

N

N

N

Mother is covered during examination in antenatal ward

N

N

N

N

Mother is covered while being moved from antenatal ward to the delivery room

Y

X

N

Y

Mother is covered appropriately during delivery

Y

N

N

N

Partitions are closed during delivery

N

N

N

N

Mother is well covered after 3^rd stage of labor

N

Y

Y

Y

There are partitions between beds in postnatal ward

N

N

N

N

There are partitions/curtains during examination in postnatal ward (if done)

Y

X

X

Y

Abuse in care

Patient not shouted at during labor and delivery

Y

N

Y

Y

Patient not pinched /slapped/ pushed/ beaten during labor and deliver

Y

Y

Y

Y

Episiotomy(if done) given with anesthesia

N

X

X

X