Childbirth experiences related to obstetric violence in public health units in Quito, Ecuador

Brandão, Thais; Cañadas, Sofía; Galvis, Alejandro; Ríos, María Moreno de los; Meijer, Magriet; Falcón, Kirsten

doi:10.1002/ijgo.12625

Cited by 25 publications

(30 citation statements)

References 10 publications

(21 reference statements)

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“…Where episiotomy and Kristeller are concerned, more than one‐third of the women indicated that information was not given to them before the procedure was performed. These data have already been explored in an earlier paper, when describing the omission of the right to information …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Components of obstetric violence in health facilities in Quito, Ecuador: A descriptive study on information, accompaniment, and position during childbirth

Meijer¹,

Brandão

Cañadas

et al. 2019

Intl J Gynecology & Obste

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Objective: To describe three factors of obstetric violence in health centers that attend births in Quito, Ecuador: information; accompaniment; and free position. Method:A cross-sectional descriptive study of 388 women was conducted, focusing on the analysis of three factors of obstetric violence. This study forms part of a larger study that explores the experiences of women in childbirth in Quito between July 1, 2016 and July 1, 2017.Results: Of all procedures, the performance of episiotomies and the application of fundal pressure during the second stage of labor (Kristeller) stand out, as more than 35% of the women were not informed about them. In total, 121 (46.9%) women who gave birth vaginally were not given the opportunity to be accompanied by someone of their choice, neither in labor nor during delivery. While in the cases of cesarean deliveries, this increased to 116 (92.1%) women. A total of 119 (37.2%) women did not have the opportunity to choose their birthing position (or they did not know they could choose).During delivery, 138 (53.5%) women indicated the same. Conclusion:Obstetric violence is seen in all three components: information; accompaniment; and free position. K E Y W O R D S

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Section: Resultsmentioning

confidence: 99%

“…The present study is part of a larger one, in which several criteria of obstetric violence were identified. The larger study investigates the postpartum experiences of women from units of the Ministry of Health of Ecuador, between the years 2016 and 2017, using a descriptive cross‐sectional design with a quantitative and qualitative approach …”

Section: Methodsmentioning

confidence: 99%

Components of obstetric violence in health facilities in Quito, Ecuador: A descriptive study on information, accompaniment, and position during childbirth

Meijer¹,

Brandão

Cañadas

et al. 2019

Intl J Gynecology & Obste

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“…This support is reflected in the breastfeeding rates shown for the various SACs, where La Rioja had a similar breastfeeding starting rate to the other SACs, but presented a much higher breastfeeding percentage at six months than other communities [ 43 ]. The international literature has also related the presence of OV with little received support to commence breastfeeding [ 44 ]. Indeed mistreatment, abuse and OV are found to influence women’s decision making and their capacity to breastfeed their babies.…”

Section: Discussionmentioning

confidence: 99%

Obstetric Violence in Spain (Part I): Women’s Perception and Interterritorial Differences

Mena‐Tudela

Iglesias-Casás²,

Chorda

et al. 2020

IJERPH

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The decentralization of health systems can have direct repercussions on maternity care. Some inequalities can be noted in outcomes, like neonatal and child mortality in Spain. This study aimed to make the presence of obstetric violence in Spain visible as an interterritorial equity criterion. A descriptive, restrospective and cross-sectional study was conducted between January 2018 and June 2019. The sample comprised 17,541 questionnaires, which represented all Spanish Autonomous Communities. Of our sample, 38.3% perceived having suffered obstetric violence; 44.4% perceived that they had undergone unnecessary and/or painful procedures, of whom 83.4% were not requested to provide informed consent. The mean satisfaction with the attention women received obtained 6.94 points in the general sample and 4.85 points for those women who viewed themselves as victims of obstetric violence. Spain seems to have a serious problem with public health and respecting human rights in obstetric violence. Offering information to women and requesting their informed consent are barely practiced in the healthcare system, so it is necessary to profoundly reflect on obstetric practices with, and request informed consent from, women in Spain.

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“…Women's own accounts of childbirth, available in the literature, often describe different obstetric interventions related to OV, such as not being accompanied by anyone, performing unnecessary cesarean sections, routine vaginal palpations, use of oxytocin, or performing the Kristeller maneuver, among other interventions [6][7][8] that are neither recommended nor backed by scientific evidence. Some studies also indicate a lack of respect and a higher level of intervention from the health professional's point of view [9].…”

Section: Introductionmentioning

confidence: 99%

Obstetric Violence in Spain (Part II): Interventionism and Medicalization during Birth

Mena‐Tudela

Iglesias-Casás²,

Chorda

et al. 2020

IJERPH

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Background: obstetric violence can partially be represented by the high number of interventions and medicalization rates during the birthing process. The objective of the present study was to determine the interventionism and medicalization levels during childbirth in Spain. Methods: a descriptive, retrospective, and cross-sectional study was conducted between January 2018 and June 2019. Results: the intervention percentages were 34.2% for Kristeller maneuver and 39.3% for episiotomy. Differences appeared in public, private, and mixed healthcare settings (p < 0.001). The mean satisfaction, with healthcare in the different settings, was estimated at 6.88 points (SD ± 2.146) in public healthcare, 4.76 points (SD ± 3.968) in private healthcare, and 8.03 points (SD ± 1.930) in mixed healthcare (p < 0.001). No statistically significant differences were found in Spanish autonomous communities. Conclusions: births in Spain seem to be highly intervened. In this study, a certain equity criterion was found concerning interventionism during childbirth in Spain. Healthcare influenced female intervention, satisfaction, and perception levels for obstetric violence; this evidences that female empowerment plays an important role.

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Childbirth experiences related to obstetric violence in public health units in Quito, Ecuador

Abstract: Various forms of obstetric violence are occurring in the public health services of Quito, despite World Health Organization recognition of the need for perinatal care at the highest level. Programs designed to prevent and diminish obstetric violence are urgently required.

Cited by 25 publications

References 10 publications

Components of obstetric violence in health facilities in Quito, Ecuador: A descriptive study on information, accompaniment, and position during childbirth

Components of obstetric violence in health facilities in Quito, Ecuador: A descriptive study on information, accompaniment, and position during childbirth

Obstetric Violence in Spain (Part I): Women’s Perception and Interterritorial Differences

Obstetric Violence in Spain (Part II): Interventionism and Medicalization during Birth

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