Women's experiences of giving birth in healthcare facilities in India -A systematic literature review of qualitative research

Background: Childbirth in healthcare facilities has increased in South-East Asia and the focus on quality of childbirth care has increased in the region. Without a deeper understanding of women's experience of giving birth in healthcare facilities, the quality of care cannot be improved. The aim of this study was to synthesise available qualitative research from India that explores women's experiences of giving birth in healthcare facilities. Method: A qualitative systematic literature review was conducted in February 2023, using the databases PubMed, CINAHL, and Scopus. We used an inductive content analysis. Findings: The search identified 6316 articles, 16 of which were included. The overall categories were Lack of dignity and respect, Adequacy of supportive care, and Limited hospital infrastructure and cleanliness, and these were cited by the women to be a deterrent from having their future births at a hospital. Conclusion: There is an urgent need for comprehensive measures to eliminate mistreatment during childbirth, ensure cost-free access to healthcare, and enhance the quality of maternal care. These efforts are essential for improving maternal and neonatal outcomes and promoting positive childbirth experiences for women in India and in other similar settings.