“… Figure 4 Typology and exemplification of Obstetric Violence based on the analysis of the articles included in the integrative review 3 , 8 , 10 , 16 - 18 , 20 , 22 - 24 , 26 , 28 - 29 , 32 , 34 …”
Section: Resultsmentioning
confidence: 99%
“…The main source for composition of the concept comes from the Organic Law on the Rights of Women to a Life Free of Violence, approved in November 2006 in Venezuela, which became the first country to enact a law that characterizes OV as the appropriation of the female body and reproductive processes by health professionals. This was brought up due to the inhuman treatment, abusive use of medicalization and unnecessary interventions on physiological processes, leading to loss of autonomy and freedom of choice and negatively affecting the quality of life of women 11 , 15 - 16 , 24 , 29 - 30 .…”
Objective:to analyze the scientific production on obstetric violence by identifying and
discussing its main characteristics in the routine care for the
pregnant-puerperal cycle. Method:integrative literature review of 24 publications indexed in the Cumulative
Index to Nursing and Allied Health Literature, Medical Literature Analysis
and Retrieval System Online, SciVerse Scopus, Web of Science and the
Scientific Electronic Library Online and Virtual Health Library. Results:the publications are intensified from 2015 onwards and present methodological
designs of quantitative and qualitative nature. In the discussion, we first
address the concept of obstetric violence and its different forms of
occurrence in care. Then, interfaces of the phenomenon are presented with
reflections related to the conception of gender, the different actors
involved, the institutionalization, and the invisibility and trivialization
of the event. Finally, strategies to combat the problem are presented
through academic training, women’s awareness, proposals of social
mobilization, and creation of public policies and laws. Conclusion:obstetric violence portrays a violation of human rights and a serious public
health problem and is revealed in the form of negligent, reckless, omissive,
discriminatory and disrespectful acts practiced by health professionals and
legitimized by the symbolic relations of power that naturalize and
trivialize their occurrence.
“… Figure 4 Typology and exemplification of Obstetric Violence based on the analysis of the articles included in the integrative review 3 , 8 , 10 , 16 - 18 , 20 , 22 - 24 , 26 , 28 - 29 , 32 , 34 …”
Section: Resultsmentioning
confidence: 99%
“…The main source for composition of the concept comes from the Organic Law on the Rights of Women to a Life Free of Violence, approved in November 2006 in Venezuela, which became the first country to enact a law that characterizes OV as the appropriation of the female body and reproductive processes by health professionals. This was brought up due to the inhuman treatment, abusive use of medicalization and unnecessary interventions on physiological processes, leading to loss of autonomy and freedom of choice and negatively affecting the quality of life of women 11 , 15 - 16 , 24 , 29 - 30 .…”
Objective:to analyze the scientific production on obstetric violence by identifying and
discussing its main characteristics in the routine care for the
pregnant-puerperal cycle. Method:integrative literature review of 24 publications indexed in the Cumulative
Index to Nursing and Allied Health Literature, Medical Literature Analysis
and Retrieval System Online, SciVerse Scopus, Web of Science and the
Scientific Electronic Library Online and Virtual Health Library. Results:the publications are intensified from 2015 onwards and present methodological
designs of quantitative and qualitative nature. In the discussion, we first
address the concept of obstetric violence and its different forms of
occurrence in care. Then, interfaces of the phenomenon are presented with
reflections related to the conception of gender, the different actors
involved, the institutionalization, and the invisibility and trivialization
of the event. Finally, strategies to combat the problem are presented
through academic training, women’s awareness, proposals of social
mobilization, and creation of public policies and laws. Conclusion:obstetric violence portrays a violation of human rights and a serious public
health problem and is revealed in the form of negligent, reckless, omissive,
discriminatory and disrespectful acts practiced by health professionals and
legitimized by the symbolic relations of power that naturalize and
trivialize their occurrence.
“…Various studies explored the acceptability of obstetric care and barriers to access and use of maternal health services in South Africa [ 15 ]. Abusive obstetric practices in South African maternity facilities have been described as a “disgrace” [ 10 ] and a human rights violation impacting on autonomy, privacy, physical and psychological integrity, dignity and equality [ 16 ]. Calls have been made to address this important dimension of violence against women [ 10 , 12 , 17 ].…”
BackgroundHealth professionals are striving to improve respectful care for women, but they fall short in the domains of effective communication, respectful and dignified care and emotional support during labour. This study aimed to determine women’s experiences of childbirth with a view to improving respectful clinical care practices in low-risk, midwife-led obstetric units in the Tshwane District Health District, South Africa.MethodsA survey covering all midwife-led units in the district was conducted among 653 new mothers. An anonymous questionnaire was administered to mothers returning for a three-days-to-six-weeks postnatal follow-up visit. Mothers were asked about their experiences regarding communication, labour, clinical care and respectful care during confinement. An ANCOVA was performed to identify the socio-demographic variables that significantly predicted disrespectful care. Six items representing the different areas of experience were used in the analysis.ResultsAge, language, educational level and length of residence in the district were significantly associated with disrespectful care (p ≤ 0.01). Overall, the following groups of mothers reported more negative care experiences during labour: women between the ages of 17 and 24 years; women with limited formal education; and women from another province or a neighbouring country. Items which attracted fewer positive responses from participants were the following: 46% of mothers had been welcomed by name on arrival; 47% had been asked to give consent to a physical examination; and 39% had been offered food or water during labour. With regard to items related to respectful care, 54% of mothers indicated that all staff members had spoken courteously to them, 48% said they had been treated with a lot of respect, and 55% were completely satisfied with their treatment.ConclusionThere is a need to improve respectful care through interventions that are integrated into routine care practices in labour wards. To stop the spiral of abusive obstetric care, the care provided should be culturally sensitive and should address equity for the most vulnerable and underserved groups. All levels of the health care system should employ respectful obstetric care practices, matched with support for midwives and improved clinical governance in maternity facilities.Electronic supplementary materialThe online version of this article (dio: 10.1186/s12978-017-0411-5) contains supplementary material, which is available to authorized users.
“…Previous studies have employed interventions that target facility users such as holding maternity open birth days and community workshops to improve public awareness about mistreatment 6,43 . Mediation and resolution of past incidences of mistreatment whilst preventing future events has also been managed by educating communities on their SRHR whilst providing a means of legal redress 59 . Whilst these interventions may be helpful for older women, they may not be ideal for younger adolescents as they may not possess the autonomy required to properly exercise these facilities.…”
BackgroundIntra-partum mistreatment by healthcare providers remains a global public health and human rights challenge. Adolescents, who are typically younger, poorer and less educated have been found to be disproportionately exposed to intra-partum mistreatment. In Ghana, maternal mortality remains a leading cause of death among adolescent females, despite increasing patronage of skilled birth attendance in health facilities. In response to the the World Health Organisation Human Reproduction Programme (WHO-HRP) recommendations to address mistreatment with Respectful Maternity Care (RMC), this study aims to generate evidence on promoting respectful treatment of adolescents using an intervention that trains health providers on the concept of mistreatment, their professional roles in RMC and the rights of adolescents to RMC.MethodsThis study will employ a pre-test post-test quasi-experimental design. At pre-test and post-test, quantitative surveys will be conducted among adolescents who deliver at health facilities about their labour experience with mistreatment and RMC. A total target of 392 participants will be recruited across intervention and control facilities. Qualitative interviews will also be conducted with selected adolescents and health professionals for an in-depth understanding of the phenomenon. Following the pre-test, a facility-based training module will be implemented at intervention facilities for the facility midwives. The modules will be co-facilitated by the principal investigator and key resource persons from the district health directorate Quality of Care teams. Training will cover the rights of adolescents to quality healthcare, classifications of mistreatment, RMC as a concept and the role of professionals in providing RMC. No intervention will occur in the control facilities. Descriptive statistics, logistic regressions and difference in differences analyses will be computed. Qualitative data will be transcribed and thematically analysed.DiscussionThis study is designed to test the success of an intervention in promoting RMC and reducing intra-partum mistreatment towards adolescents. It is expected that the findings of this study will be beneficial in adding to the body of knowledge in improving maternal healthcare and reducing maternal mortality, especially for adolescents.Trial Registry DetailsName of the registry: Pan African Clinical Trials RegistryDate of registration: 9th March, 2020URL of trial registry record: https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=9837
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