The association between disrespect and abuse of women during childbirth and postpartum depression: Findings from the 2015 Pelotas birth cohort study

Silveira, Mariângela Freitas da; Mesenburg, Marília Arndt; Bertoldi, Andréa Dâmaso; Mola, Christian Loret de; Bassani, Diego G.; Domingues, Marlos Rodrigues; Stein, Alan; Coll, Carolina de Vargas Nunes

doi:10.1016/j.jad.2019.06.016

Cited by 67 publications

(89 citation statements)

References 33 publications

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“…Another variable included in our model B was the perception of respectful treatment by healthcare professionals toward women. This aspect is closely related to the concept of obstetric violence and has not been evaluated in other predictive models, despite the existence of publications that identify a relationship between the treatment received by healthcare professionals during childbirth care and the presence of PTSD [ 36 , 37 ]. This aspect takes on particular relevance as the World Health Organization [ 38 ] and the United Nations [ 39 , 40 ] report an upward trend in women who perceive inadequate treatment during childbirth care.…”

Section: Discussionmentioning

confidence: 99%

Elaboration and Validation of Two Predictive Models of Postpartum Traumatic Stress Disorder Risk Formed by Variables Related to the Birth Process: A Retrospective Cohort Study

Hernández‐Martínez

Martínez‐Vázquez

Rodríguez‐Almagro

et al. 2020

IJERPH

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This study aimed to develop and validate two predictive models of postpartum post-traumatic stress disorder (PTSD) risk using a retrospective cohort study of women who gave birth between 2018 and 2019 in Spain. The predictive models were developed using a referral cohort of 1752 women (2/3) and were validated on a cohort of 875 women (1/3). The predictive factors in model A were delivery type, skin-to-skin contact, admission of newborn to care unit, presence of a severe tear, type of infant feeding at discharge, postpartum hospital readmission. The area under curve (AUC) of the receiver operating characteristic (ROC) in the referral cohort was 0.70 (95% CI: 0.67–0.74), while in the validation cohort, it was 0.69 (95% CI: 0.63–0.75). The predictive factors in model B were delivery type, admission of newborn to care unit, type of infant feeding at discharge, postpartum hospital readmission, partner support, and the perception of adequate respect from health professionals. The predictive capacity of model B in both the referral cohort and the validation cohort was superior to model A with an AUC-ROC of 0.82 (95% CI: 0.79–0.85) and 0.83 (95% CI: 0.78–0.87), respectively. A predictive model (model B) formed by clinical variables and the perception of partner support and appropriate treatment by health professionals had a good predictive capacity in both the referral and validation cohorts. This model is preferred over the model (model A) that was formed exclusively by clinical variables.

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Section: Discussionmentioning

confidence: 99%

Elaboration and Validation of Two Predictive Models of Postpartum Traumatic Stress Disorder Risk Formed by Variables Related to the Birth Process: A Retrospective Cohort Study

Hernández‐Martínez

Martínez‐Vázquez

Rodríguez‐Almagro

et al. 2020

IJERPH

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“…Two quantitative studies evaluated the association of D&A with PNC use, 50 51 one with breast feeding 52 and one with maternal PPD. 53 All included qualitative studies evaluated D&A in relation to access to PNC. 15 54-69 Of all included studies, 16 were conducted in Africa, 2 in Latin America (Brazil) and 2 in Asia (China and Indonesia).…”

Section: General Overviewmentioning

confidence: 99%

“…the 73.1% of women who reported experiencing at least one form of D&A had 41% lower odds of receiving an early postnatal check (unadjusted OR: 0.59, 95% CI 0.43 to 0.82) and 30% lower odds of their newborn receiving an early postnatal check (95% CI 0.51 to 0.98) compared with mothers who did not experience D&A. The study by Silveira et al53 …”

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confidence: 92%

Disrespect and abuse as a predictor of postnatal care utilisation and maternal-newborn well-being: a mixed-methods systematic review

et al. 2021

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IntroductionGlobally, a substantial number of women experience abusive and disrespectful care from health providers during childbirth. As evidence mounts on the nature and frequency of disrespect and abuse (D&A), little is known about the consequences of a negative experience of care on health and well-being of women and newborns. This review summarises available evidence on the associations of D&A of mother and newborns during childbirth and the immediate postnatal period (understood as the first 24 hours from birth) with maternal and neonatal postnatal care (PNC) utilisation, newborn feeding practices, newborn weight gain and maternal mental health.MethodsWe conducted a systematic review of all published qualitative, quantitative and mixed-methods studies on D&A and its postnatal consequences across all countries. Pubmed, Embase, Web of Science, LILACS and Scopus were searched using predetermined search terms. Quantitative and qualitative data were analysed and presented separately. Thematic analysis was used to synthesise the qualitative evidence.ResultsA total of 4 quantitative, 1 mixed-methods and 16 qualitative studies were included. Quantitative studies suggested associations between several domains of D&A and use of PNC as well as maternal mental health. Different definitions of exposure meant formal meta-analysis was not possible. Three main themes emerged from the qualitative findings associated with PNC utilisation: (1) women’s direct experiences; (2) women’s expectations and (3) women’s agency.ConclusionThis review is the first to examine the postnatal effect of D&A of women and newborns during childbirth. We highlight gaps in research that could help improve health outcomes and protect women and newborns during childbirth. Understanding the health and access consequences of a negative birth experience can help progress the respectful care agenda.

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“…A common characteristic of AHC is the experience of dehumanization [ 9 , 10 , 11 ], or a situation “…devoid of care, where patients suffer and feel they lose their value as human beings” [ 12 ] (p. 123). Concerning maternity care, AHC experiences are associated with fear of childbirth and postpartum depression [ 13 , 14 ]. As a possible consequence patients may avoid contacting the health care system which can lead to the deterioration of patients’ health, prolonged suffering, increased treatment expenses, and low return to work rates [ 9 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Counteracting Abuse in Health Care: Evaluating a One-Year Drama Intervention with Staff in Sweden

Zbikowski

Brüggemann

Wijma

et al. 2020

IJERPH

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In Northern European countries 13–28% of female patients seeking gynecological health care have reported abuse by health care staff (AHC). We conducted workshops with health care staff using the improvised role-play method Forum Play (FP), based on techniques developed by Boal. The study explores to what extent the intervention increased the staff’s awareness of AHC and their ability to take action against it. A total of 16 half-day FP workshops were conducted with staff from a Swedish women’s clinic over one year. Self-reported questionnaires were distributed to all staff before, during, and after the intervention. Primary outcome measures were the number of reported occasions of AHC and FP participants’ ability to act in AHC-situations. We found an increase in the participants’ self-reported ability to act in AHC-related situations. However, no change could be observed in the number of reported occasions of AHC between baseline and one year after the intervention. Health care staff’s participation in workshops using improvised role-play can increase staff’s perceived ability to take action in AHC situations. The voluntary nature of the intervention may have attracted those who were already aware of the topic, and likely explains the unchanged awareness of AHC.

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The association between disrespect and abuse of women during childbirth and postpartum depression: Findings from the 2015 Pelotas birth cohort study

Cited by 67 publications

References 33 publications

Elaboration and Validation of Two Predictive Models of Postpartum Traumatic Stress Disorder Risk Formed by Variables Related to the Birth Process: A Retrospective Cohort Study

Elaboration and Validation of Two Predictive Models of Postpartum Traumatic Stress Disorder Risk Formed by Variables Related to the Birth Process: A Retrospective Cohort Study

Disrespect and abuse as a predictor of postnatal care utilisation and maternal-newborn well-being: a mixed-methods systematic review

Counteracting Abuse in Health Care: Evaluating a One-Year Drama Intervention with Staff in Sweden

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