Obstetric violence: A public health concern

Edward, Majani; Kibanda, Zakia

doi:10.1002/hsr2.1026

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…En esta coyuntura, una reflexión, más que ética, bioética en un sentido genuino (23,24) , se hace perentoria e irrenunciable. Y es que no en vano la violencia obstétrica ha sido ya reclamada como asunto de salud pública global (dada su notoria prevalencia) y de alarmante gravedad (73) .…”

Section: Reflexiones Conclusivas La Insurrección Conceptual O Los Con...unclassified

La violencia obstétrica como injusticia epistémica: el parto en disputa

Massó Guijarro

2023

SCOL

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Este artículo aborda en términos teóricos la cuestión de la violencia obstétrica como injusticia epistémica, con especial énfasis en las perspectivas que propone la filosofía fenomenológica feminista, desde el encuadre general de la bioética narrativa y la lucha por los derechos sexo-reproductivos. En la primera parte, se aborda el concepto de violencia obstétrica, enfatizando el carácter pionero de América Latina en su acuñe y reconocimiento, así como en su aplicación empírico-hermenéutica. En la segunda parte, se examina cómo el concepto de violencia obstétrica ha sido analizado a través del prisma de la injusticia epistémica (en sus dos versiones: testimonial y hermenéutica), lo que ha supuesto un avance significativo en su comprensión sistémica y en su carácter biopolítico. El artículo concluye sobre la plena pertinencia empírico-teórica del término, en tanto concepto filosófico denso, pese a la controversia existente entre la clase biosanitaria (especialmente médica) y la reclamación ciudadana.

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Section: Reflexiones Conclusivas La Insurrección Conceptual O Los Con...unclassified

La violencia obstétrica como injusticia epistémica: el parto en disputa

Massó Guijarro

2023

SCOL

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“…Every woman has the right to a pregnancy and childbirth process that is dignified and respectful. Evidence worldwide shows a persistent occurrence of obstetric violence in health care facilities [ 1 , 2 ]. Obstetric violence is the abuse, neglect, or mistreatment, including non-consented care, during the childbirth process [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…1 PROSPERA was Mexico's conditional cash transfer program for people living in poverty at the time of the interview (eliminated in 2019). https://doi.org/10.1371/journal.pone.0303052.t001…”

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confidence: 99%

Association between location of prenatal care services and non-consented cesarean sections in Mexico: A secondary analysis of the National Survey on the Dynamics of Household Relationships 2016

Marian,

Pérez

2024

PLoS ONE

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Background Mexico has one of the world’s highest rates of cesarean section (C-section). Little is known about Mexico’s frequency of and risk factors for non-consented C-sections, a form of obstetric violence. We examined the prevalence of sociodemographic and obstetric-specific characteristics of Mexican women who delivered via C-section, as well as the association between the location of prenatal care services and experiencing a non-consented C-section. Methods We conducted a secondary analysis of data collected from Mexico’s 2016 National Survey on the Dynamics of Household Relationships (ENDIREH 2016) of women who reported a C-section during their latest delivery. Adjusted logistic regressions were calculated to explore the associations between the location of prenatal care services and experiencing a non-consented cesarean delivery, stratifying by Indigenous belonging. Results The sample size for this analysis was 10,256 ENDIREH respondents, with 9.1% not consenting to a C-section. ENDIREH respondents between the ages of 26 and 35 years old, living in urban settings, living in Central or Southern Mexico, and married or living with a partner experienced a higher prevalence of non-consented C-sections. For both women who identified as Indigenous and those who did not, the odds of experiencing a non-consented C-section were higher when receiving prenatal services in private settings. Receiving more than one type of prenatal service was also associated with increased odds of non-consented C-sections, while ENDIREH 2016 respondents who did not identify as Indigenous and received prenatal care at the State Institute for Social Security and Services for State Workers facility had lower odds of experiencing a non-consented C-section. Conclusions This analysis indicates that receiving prenatal care at a private facility or a combination of public and private services increases the risk of experiencing a non-consented C-section in Mexico. Additional research is required to further understand the factors associated with non-consented C-sections in Mexico.

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“…Obstetric violence, also known as disrespect and abuse during childbirth, is increasingly recognized as a global public health concern thanks to the growing body of research and documentation of women’s experiences with childbirth [ 1 , 2 ]. Obstetric violence, a multifactorial phenomenon which can be both structural and interpersonal, involves any type of loss of autonomy, physical harm, or suffering during the prenatal, childbirth, and postnatal periods [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of different variations of non-consented care during the childbirth process in Mexico by geographical regions: comparing ENDIREH survey data from 2016 to 2021

Marian,

Barker,

Reed

et al. 2024

BMC Pregnancy Childbirth

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Introduction Non-consented care, a form of obstetric violence involving the lack of informed consent for procedures, is a common but little-understood phenomenon in the global public health arena. The aim of this secondary analysis was to measure the prevalence and assess change over time of non-consented care during childbirth in Mexico in 2016 and 2021, as well as to examine the association of sociodemographic, pregnancy-, and childbirth-factors with this type of violence. Methods We measured the prevalence of non-consented care and three of its variations, forced sterilization or contraception, forced cesarean section, and forced consent on paperwork, during childbirth in Mexico for 2016 (N = 24,036) and 2021 (N = 19,322) using data from Mexico’s cross-sectional National Survey on the Dynamics of Household Relationships (ENDIREH). Weighted data were stratified by geographical regions. We performed adjusted logistic regression analyses to explore associations. Results The national prevalence of non-consented care and one of its variations, pressure to get a contraceptive method, increased from 2016 to 2021. A decrease in the prevalence was observed for forced contraception or sterilization without knowledge, forcing women to sign paperwork, and non-consented cesarean sections nationally and in most regions. Women between the ages of 26 and 35 years, married, cohabiting with partner, living in urban settings, who do not identify as Indigenous, and who received prenatal services or gave birth at the Mexican Institute of Social Security (IMSS) facilities experienced a higher prevalence of non-consented care. Being 26 years of age and older, living in a rural setting, experiencing stillbirths in the last five years, having a vaginal delivery, receiving prenatal services at IMSS, or delivering at a private facility were significantly associated with higher odds of reporting non-consented care. Conclusion While a decrease in most of the variations of non-consented care was found, the overall prevalence of non-consented care and, in one of its variations, pressure to get contraceptives, increased at a national and regional level. Our findings suggest the need to enforce current laws and strengthen health systems, paying special attention to the geographical regions and populations that have experienced higher reported cases of this structural problem.

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Obstetric violence: A public health concern

Cited by 4 publications

References 8 publications

La violencia obstétrica como injusticia epistémica: el parto en disputa

La violencia obstétrica como injusticia epistémica: el parto en disputa

Association between location of prenatal care services and non-consented cesarean sections in Mexico: A secondary analysis of the National Survey on the Dynamics of Household Relationships 2016

Prevalence of different variations of non-consented care during the childbirth process in Mexico by geographical regions: comparing ENDIREH survey data from 2016 to 2021

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