Abstract
Problem: Thousands of women in Iran experience disrespectful and traumatic childbirth annually, which can lead to postpartum post-traumatic stress disorder (PTSD) and influence decisions about future fertility. Beyond the psychological impact, this issue also imposes serious social and economic burdens on the healthcare system.
Key Results: In our study of 420 women 1–12 months postpartum, over 60% reported experiences of disrespect or violations of their rights during childbirth. Moreover, higher levels of respectful maternity care were significantly associated with lower severity of postpartum PTSD.
Recommended Action: Implementing RMC protocols, including staff training, standardized procedures, and continuous monitoring, can reduce postpartum PTSD while improving childbirth experiences and supporting positive fertility decisions.
Urgency: Without immediate action, more women will experience psychological harm. In addition, healthcare costs for mental health support will rise, and fertility rates may be negatively affected.
Target Audience: The Ministry of Health officials, hospital and healthcare center administrators, health policymakers, and maternal health advocates.