title: Nègènègèn: Sweet talk, disrespect, and abuse among rural auxiliary midwives in Mali.
abstract: OBJECTIVE
  the purpose of this study was to explore disrespect and abuse toward women in labor from the perspective of auxiliary midwives.
  
  
  METHODS
  this study uses a cross-sectional, descriptive mixed-methods design using surveys and interviews.
  
  
  METHODS
  Koutiala, Mali.
  
  
  METHODS
  67 mostly rural auxiliary midwives.
  
  
  METHODS
  this was a descriptive study and had no intervention component. The variables of interest were Malian auxiliary midwives' reports of caring and respectful, as well as abusive and disrespectful, behaviours towards childbearing women.
  
  
  RESULTS
  participants reported abusive and disrespectful behaviour toward women, particularly yelling, insulting, and displaying a hostile or aggressive attitude. However, auxiliary midwives also stressed the importance of making women feel welcome and comfortable, sweet-talking to them throughout labor, and providing quality care. IMPLICATIONS FOR TRAINING AND PRACTICE: we recommend a strengths-based approach to pre-service and continuing education to ensure that auxiliary midwives meet the basic competencies for midwives and appreciate both the impact of their abusive and disrespectful behaviours and the value of the respectful care they already provide.
authors: Johns Hopkins University, School of Nursing, Department Community-Public Health, 615 North Wolfe Street, Baltimore, MD 21205, United States. Electronic address: nwarren3@jhu.edu.
authors: Nicole
authors: N
authors: Warren
authors: Johns Hopkins University, Bloomberg School of Public Health, Department of International Health, 615 North Wolfe Street, Baltimore, MD 21205, United States. Electronic address: mbeebe@jhu.edu.
authors: Madeleine
authors: M
authors: Beebe
authors: Johns Hopkins University, Bloomberg School of Public Health, Department of International Health, 615 North Wolfe Street, Baltimore, MD 21205, United States. Electronic address: Rachel.p.chase@gmail.com.
authors: Rachel P
authors: RP
authors: Chase
authors: Department of Public Health, Université des Sciences, des Techniques et des Technologies de Bamako, Mali. Electronic address: sdoumbi@icermali.org.
authors: Seydou
authors: S
authors: Doumbia
authors: Johns Hopkins University, Bloomberg School of Public Health, Department of International Health, 615 North Wolfe Street, Baltimore, MD 21205, United States. Electronic address: pwinch@jhu.edu.
authors: Peter J
authors: PJ
authors: Winch
mesh_terms: D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D008302:Mali; D008427:Maternal Health Services / Q000592:standards*; D008880:Midwifery; D011247:Pregnancy; D011369:Professional-Patient Relations; D011787:Quality of Health Care; D019035:Rural Health Services; D011795:Surveys and Questionnaires
keywords: Attitude of health personnel; Maternal health services; Midwifery; Pregnancy/childbirth/parturition; Professional–patient relations; Respect in pregnancy