Disrespect and abuse during childbirth in maternity hospitals in Piauí, Brazil: A cross‐sectional study

Abstract

Women who seek health facilities for childbirth expect to have a safe environment, skilled professionals, and respect during their care. However, many patients are mistreated during labor and delivery in health care facilities around the world. 1,2 In addition to the suffering caused to women and their families, there is a consensus that this phenomenon negatively influences the quality of care provided and it also acts as a barrier to future health care utilization. [3][4][5] Declared by the World Health Organization (WHO) in 2015 as a public health problem and a violation of women's fundamental human rights, 6 disrespect and abuse during childbirth are considered central components to improve maternal and child health. 7

Factors associated with negative birth experience in Peruvian Quechua‐speaking indigenous women in a context of contagion due to COVID‐19

“…The aforementioned findings constitute one of the most important contributions of this research, since although they have partially been previously described, 19–22 there is no information on the experiences of indigenous women in Peruvian health institutions, where rigorous protocols are prioritized without a real use of intercultural approach and humanized birth care. It should be noted that said intercultural regulations have existed in Peru since 2005, 12 but until now there has been no evidence of its application in a rural community of Quechua‐speaking indigenous women, located in a distant part of Peru.…”

“…On the other hand, although some studies have highlighted the responsibility of health professionals, 17,21,23 this reality has a complex background that goes beyond health institutions and constitutes a structural problem of a society that, like the Peruvian one, has multiethnic characteristics. 9,16 Regarding the biosafety factors, the compulsory use of mask and hand washing were carried out by the majority of women but not by 100% of them, due to the shortage of biosafety materials, insufficient personnel to verify said practices and the easing of restrictions as the pandemic progressed.…”

“…On the other hand, although some studies have highlighted the responsibility of health professionals, 17,21,23 this reality has a complex background that goes beyond health institutions and constitutes a structural problem of a society that, like the Peruvian one, has multiethnic characteristics 9,16 …”

Desrespeito e abuso durante o parto e depressão pós-parto: uma revisão de escopo

“…Os achados constataram também que as mulheres que sofreram desrespeito e abuso no parto estiveram mais propensas a apresentar sintomas de depressão pós-parto, com aumento entre 1,6 e 7 vezes no risco 32,33 . A literatura dispõe de poucos estudos que possam ser comparados com esses resultados, uma vez que a maioria das pesquisas investiga os tipos e a prevalência de derespeito e abuso no parto 41,43,48,49 , havendo poucos artigos que analisam suas consequências 4 . Contudo, corroborando a associação identificada nesta revisão, um estudo transversal realizado na Região Sul do Brasil com 2.687 puérperas demonstrou que o apoio dos profissionais no parto diminuiu em 23% o risco de depressão pós-parto 50 .…”

Disrespect and abuse during childbirth and postpartum depression: a scoping review

“…The findings also showed that women who suffered disrespect and abuse during childbirth during childbirth were more likely to have symptoms of postpartum depression, with a 1.6-to 7-fold increase in risk 32,33 . The literature has few studies that can be compared with these results, since most studies investigate the types and prevalence of disrespect and abuse during childbirth 41,43,48,49 , and there are few studies that analyze its consequences 4 . However, corroborating the association identified in this review, a cross-sectional study conducted in Southern Brazil 50 , with 2,687 postpartum women, showed that the support of professionals during childbirth decreased the risk of postpartum depression by 23%.…”