Lived Experiences of Respectful Maternity Care Among Women Following Midwife-Led Deliveries in Damongo, Savannah Region, Ghana

Abstract Background Globally, every woman is entitled to the highest attainable standard of health, including the right to respectful maternity care (RMC). RMC is fundamental to ensuring positive childbirth experiences and is strongly endorsed by the World Health Organization (WHO). Despite increasing awareness of RMC principles, reports of mistreatment during childbirth persist, suggesting a gap between policy and practice. This study explored the lived experiences of women who underwent midwife-led deliveries at St. Anne’s Hospital in Damongo, Savannah Region, Ghana, with a focus on respectful maternity care practices. Methods An exploratory qualitative design was employed. In-depth interviews were conducted with ten postpartum women who delivered at St. Anne’s Hospital. Participants were purposively selected based on their recent delivery experiences. Data were analyzed using thematic analysis to identify recurring patterns and themes related to respectful maternity care. Results Most participants demonstrated adequate knowledge of pregnancy and childbirth and were generally aware of respectful maternity care principles. Effective communication, emotional support, and professional conduct by midwives were widely appreciated. However, some participants reported instances where their dignity, autonomy, or comfort were compromised, reflecting inconsistencies in the implementation of RMC practices. Key themes included communication and interpersonal relations, preservation of dignity and privacy, informed consent, and perceived neglect. Conclusion Although awareness of respectful maternity care appears relatively high among participants, inconsistent application of RMC principles persists in practice. Strengthening midwife training, improving facility infrastructure, and reinforcing continuous quality improvement mechanisms are essential to ensuring consistent respectful care. Policymakers should reinforce regulatory frameworks and allocate adequate resources to enhance maternal healthcare delivery. Further research is warranted to examine the long-term health and psychosocial consequences of mistreatment during childbirth.