Observations and reports of incidents of how birthing persons are treated during childbirth in two public facilities in Argentina

Correa, Malena; Klein, Karen; Ceballos-Vásquez, Paula; Williams, Caitlin R.; Gibbons, Luz; Cormick, Gabriela; Belizán, María

doi:10.1002/ijgo.13938

Cited by 9 publications

(11 citation statements)

References 19 publications

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“…Due to this normalization of violence, the perceived level of obstetric violence is high in Ghana. This parallels a quantitative study on obstetric violence in Ghana where the prevalence rate was exceedingly high (83%) compared to other countries such as Mexico (33%), the United States (17%), and Italy (21%) [21][22][23]25]. Thus, the normalization of violence and the cultural acceptance explain the high prevalence of OV in Ghanaian health institutions, demonstrating how obstetric violence is deeply embedded in the social norms of the society.…”

Section: Discussionsupporting

confidence: 66%

“…In recent years, a number of studies have reported on women's experiences of OV in some parts of the world with varying prevalence rates. With a prevalence rate of 33% in Mexico, 44% in Argentina, and 17% in the United States [21][22][23], the phenomenon of OV is gaining attention. A multi-country study involving four Sub-Saharan African countries found that about four out of every ten women who delivered in health institutions experienced obstetric violence [24].…”

Section: Introductionmentioning

confidence: 99%

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“We Beat them to Help them Push”: Exploring Midwives’ Perspectives on Obstetric Violence in Ghana

Yalley¹

2022

Preprint

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Obstetric violence has been recognized as a major impediment to facility-based delivery, increasing the risk of preventable complications and maternal mortality. In Ghana, studies on women’s birth experiences reveal enormous and brutal acts of violence during delivery; but inquiries into why midwives abuse women have largely been unexplored. This study explored the perspectives of midwives on the drivers of obstetric violence in the Western and Ashante Regions of Ghana. A qualitative study was conducted involving 30 in-depth interviews with midwives in eight health facilities. The data were analyzed thematically using NVivo 12. The results of the study reveal a normalization of violence in the delivery room and the intensity of violence is heightened during the second stage of labor. Midwives reported perpetrating or witnessing physical violence, abandonment of women, stigmatization of HIV women, verbal abuses such as shouting, and the detention of women in the health facilities. Obstetric violence occurs as a result of the pressures of the midwifery profession, poor maternal efforts of women, disrespect of midwives, women’s disobedience, and uncooperative attitudes. The culture of acceptability of obstetric violence is a major driver, contributing to its normalization. Midwives do not consider obstetric violence as abuse, but rather, as a delivery strategy which aids a successful delivery. It is therefore justified and viewed as a necessary part of the delivery process. There is a critical need for retraining midwives on alternative birthing strategies devoid of violence.

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

“We Beat them to Help them Push”: Exploring Midwives’ Perspectives on Obstetric Violence in Ghana

Yalley¹

2022

Preprint

View full text Add to dashboard Cite

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“…Due to this normalization of violence, the perceived level of obstetric violence is high in Ghana. This parallels a quantitative study on obstetric violence in Ghana where the prevalence rate was exceedingly high (83%) compared to other countries such as Mexico (33%), the United States (17%), and Italy (21%) [21][22][23][24]26]. Thus, the normalization of violence and cultural acceptance explain the high prevalence of obstetric violence in Ghanaian health institutions, demonstrating how obstetric violence is deeply embedded in the social norms of the society.…”

Section: Discussionsupporting

confidence: 62%

“…In recent years, a number of studies have reported on women's experiences of obstetric violence in some parts of the world with varying prevalence rates. With a prevalence rate of 33% in Mexico, 44% in Argentina, and 17% in the United States [22][23][24], the phenomenon of obstetric violence is gaining attention. A multi-country study involving four Sub-Saharan African countries found that about four out of every ten women who delivered in health institutions experienced obstetric violence [25].…”

Section: Introductionmentioning

confidence: 99%

“We Beat Them to Help Them Push”: Midwives’ Perceptions on Obstetric Violence in the Ashante and Western Regions of Ghana

Yalley

2022

Women

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Obstetric violence has been recognized as a major impediment to facility-based delivery, increasing the risk of preventable complications and maternal mortality. In Ghana, studies on women’s birth experiences reveal enormous and brutal acts of violence during delivery; however, inquiries into why midwives abuse women have not been extensively studied. This study explored the perspectives of midwives on the drivers of obstetric violence in the Western and Ashante Regions of Ghana. A qualitative study was conducted involving 30 in-depth interviews with midwives in eight health facilities. The data were analyzed thematically using NVivo 12. The results of the study reveal a normalization of violence in the delivery room and the intensity of violence is heightened during the second stage of labor. Midwives reported perpetrating or witnessing physical violence, abandonment of women, stigmatization of HIV women, verbal abuses such as shouting, and the detention of women in the health facilities. Midwives abuse women as a result of the pressures of the midwifery profession, poor maternal efforts of women, disrespect of midwives, women’s disobedience, and uncooperative attitudes. The culture of acceptability of obstetric violence is a major driver, contributing to its normalization. Midwives do not consider obstetric violence as abuse, but rather, as a delivery strategy which aids a successful delivery. It is therefore justified and viewed as a necessary part of the delivery process. There is a critical need for retraining midwives on alternative birthing strategies devoid of violence.

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“…In recent years, a number of studies have reported on women's experiences of OV in some parts of the world, with a prevalence rate of 33% in Mexico, 44% in Argentina, 15% in India and 17% in the United States (25)(26)(27)(28). Whereas, the phenomenon of OV is gaining attention in many countries, in Ghana, only few studies have been conducted on OV and these are mainly qualitative (10, 29, 30), limiting our understanding of the magnitude of OV among Ghanaian women.…”

mentioning

confidence: 99%

Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana

Yalley

Abioye²,

Appiah³

et al. 2023

Front. Public Health

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BackgroundAbuse and mistreatment of women during childbirth is a major barrier to facility-based delivery, putting women at risk of avoidable complications, trauma and negative health outcomes including death. We study the prevalence of obstetric violence (OV) and its associated factors in the Ashanti and Western Regions of Ghana.MethodologyA facility-based cross-sectional survey was conducted in eight public health facilities from September to December 2021. Specifically, close-ended questionnaires were administered to 1,854 women, aged 15–45 who gave birth in the health facilities. The data collected include the sociodemographic attributes of women, their obstetric history and experiences of OV based on the seven typologies according to the categorization by Bowser and Hills.FindingsWe find that about two in every three women (65.3%) experience OV. The most common form of OV is non-confidential care (35.8%), followed by abandoned care (33.4%), non-dignified care (28.5%) and physical abuse (27.4%). Furthermore, 7.7% of women were detained in health facilities for their inability to pay their bills, 7.5% received non-consented care while 11.0% reported discriminated care. A test for associated factors of OV yielded few results. Single women (OR 1.6, 95% CI 1.2–2.2) and women who reported birth complications (OR 3.2, 95% CI 2.4–4.3) were more likely to experience OV compared with married women and women who had no birth complications. In addition, teenage mothers (OR 2.6, 95% CI 1.5–4.5) were more likely to experience physical abuse compared to older mothers. Rural vs. urban location, employment status, gender of birth attendant, type of delivery, time of delivery, the ethnicity of the mothers and their social class were all not statistically significant.ConclusionThe prevalence of OV in the Ashanti and Western Regions was high and only few variables were strongly associated with OV, suggesting that all women are at risk of abuse. Interventions should aim at promoting alternative birth strategies devoid of violence and changing the organizational culture of violence embedded in the obstetric care in Ghana.

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Observations and reports of incidents of how birthing persons are treated during childbirth in two public facilities in Argentina

Cited by 9 publications

References 19 publications

“We Beat them to Help them Push”: Exploring Midwives’ Perspectives on Obstetric Violence in Ghana

“We Beat them to Help them Push”: Exploring Midwives’ Perspectives on Obstetric Violence in Ghana

“We Beat Them to Help Them Push”: Midwives’ Perceptions on Obstetric Violence in the Ashante and Western Regions of Ghana

Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana

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