Global health experts have described loss of autonomy and disrespect as mistreatment. Risk of disrespect and abuse is higher when patient and care provider opinions differ, but little is known about service users experiences when declining aspects of their maternity care. To address this gap, the authors present a qualitative content analysis of 1540 written accounts from 892 service users declining or refusing care options throughout childbearing with a large, geographically representative sample (2900) of childbearing women in British Columbia who participated in an online survey with open-ended questions eliciting care experiences.


  1. Karkee R, Lee AH, Pokharel PK. Women’s perception of quality of maternity services: a longitudinal survey in Nepal. BMC Pregnancy Childbirth [Internet]. 2014;14:45. 

  2. Van Den Broek NR, Graham WJ. Quality of care for maternal and newborn health: The neglected agenda. BJOG An Int J Obstet Gynaecol. 2009;116(Suppl. 1):18–21. doi: 10.1111/j.1471-0528.2009.02333.x 

  3. Goberna-Tricas J, Banús-Giménez MR, Palacio-Tauste A, Linares-Sancho S. Satisfaction with pregnancy and birth services: The quality of maternity care services as experienced by women. Midwifery. 2011;27(231–237). doi: 10.1016/j.midw.2010.10.00


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