scholarly journals Violation of maternal integrity during childbirth: a micro-, meso- and macrostructural perspective

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Batram-Zantvoort ◽  
L Wandschneider ◽  
O Razum ◽  
C Miani
Keyword(s):  
Violence Against Women ◽  
Interdisciplinary Collaboration ◽  
Obstetric Care ◽  
Primary Data ◽  
Disrespect And Abuse ◽  
Obstetric Violence ◽  
Micro Level ◽  
Comprehensive Framework ◽  
Financial Allocation ◽  
Published Research

Abstract Background Violation of maternal integrity (VMI) during childbirth is reported by women world-wide and reflects one aspect of gender-related violence against women. Terminology and concepts to describe VMI range from disrespect and abuse over mistreatment in childbirth to obstetric violence. The choice of terms might determine the scope of reference: while mistreatment encompasses rather interactional forms of VMI embedded on a microstructural level of society, obstetric violence includes a critical view on gendered power imbalances and is therefore considering cultural, political and economic exposures situated on macro- and meso-level. To identify different ways of explicitly integrating or implicitly reflecting micro-, meso- and macrostructural dimensions of VMI, we examine terminology, methodology and results in published research. Methods For our review, we chose a meta-ethnographic approach, viewing studies on VMI as primary data in terms of defining, collecting, describing and analysing the phenomena of VMI. Our goal lies in first determining the explanatory model of each study and second synthesising these findings to outline a multilevel framework on maternal integrity. Findings Studies predominantly concentrate on interaction-related determinants of VMI. To integrate macro- and mesostructural factors of VMI within a comprehensive framework, further epidemiological research on structural and social determinants of maternal health as well as interdisciplinary collaboration on the intertwining of gender imbalances in health care is needed. Conclusions By differentiating between macro-to-micro-level factors of VMI, potential causes that go beyond the interaction level (e.g. policy, financial allocation, legal laws, maternal care conditions) can be identified to improve both research and implementation in obstetric care.

Investigating the Increase in Domestic Violence Post Disaster: An Australian Case Study

2017 ◽  
Vol 34 (11) ◽  
pp. 2333-2362 ◽  
Author(s):  
Debra Parkinson
Keyword(s):  
Domestic Violence ◽  
Violence Against Women ◽  
Interpersonal Violence ◽  
Research Question ◽  
Developed Countries ◽  
Primary Data ◽  
Semistructured Interviews ◽  
Australian Case ◽  
Published Research

Interviews with 30 women in two shires in Victoria, Australia, confirmed that domestic violence increased following the catastrophic Black Saturday bushfires on February 7, 2009. As such research is rare, it addresses a gap in the disaster and interpersonal violence literature. The research that exists internationally indicates that increased violence against women is characteristic of a postdisaster recovery in developing countries. The relative lack of published research from primary data in developed countries instead reflects our resistance to investigating or recognizing increased male violence against women after disasters in developed countries. This article begins with an overview of this literature. The primary research was qualitative, using in-depth semistructured interviews to address the research question of whether violence against women increased in the Australian context. The sample of 30 women was aged from 20s to 60s. Recruitment was through flyers and advertisements, and interviews were audio-recorded, transcribed, and checked by participants. Analysis was inductive, using modified grounded theory. Seventeen women gave accounts of new or increased violence from male partners that they attribute to the disaster. A key finding is that, not only is there both increased and new domestic violence but formal reporting will not increase in communities unwilling to hear of this hidden disaster. Findings are reported within a framework of three broad explanations. In conclusion, although causation is not claimed, it is important to act on the knowledge that increased domestic violence and disasters are linked.

scholarly journals A violência obstétrica no contexto do parto e nascimento

2018 ◽  
Vol 12 (1) ◽  
pp. 236 ◽  
Author(s):  
Diego Pereira Rodrigues ◽  
Valdecyr Herdy Alves ◽  
Raquel Santana Vieira ◽  
Diva Cristina Morett Romano Leão ◽  
Enimar de Paula ◽  
...  
Keyword(s):  
Violence Against Women ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Web Of Science ◽  
Obstetric Care ◽  
Virtual Library ◽  
Birth Process ◽  
Natural Childbirth ◽  
Obstetric Violence ◽  
Analysis Technique

RESUMOObjetivo: analisar as práticas consideradas violentas na atenção obstétrica. Método: revisão integrativa, com coleta de dados nas bases de dados Web of Science, CINAHL, Scopus, MEDLINE, LILACS e a biblioteca virtual SciELO, com artigos dos últimos cinco anos, em idioma inglês, espanhol e português, obtendo 13 artigos selecionados que foram submetidos à técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: foram identificadas as seguintes categorias <<Violência obstétrica: tipologia, definições, legislação>>; <<A violência obstétrica na percepção da equipe obstétrica>>; <<A violência obstétrica na percepção das usuárias>>. Conclusão: a violência obstétrica está inserida com as práticas dos profissionais de saúde, como a episiotomia, a manobra de kristeller, a medicalização do parto, e o cuidado no contexto do processo de nascimento deve ocorrer de forma respeitosa e, assim, enfrentar atos de violência. Desse modo, o estudo contribui para o conhecimento acerca das práticas desrespeitosas com a mulher no contexto da parturição. Descritores: Obstetrícia; Trabalho de Parto; Parto Normal; Violência contra a Mulher; Parto Humanizado; Direitos Sexuais e Reprodutivos.ABSTRACT Objective: to analyze practices considered violent in obstetric care. Method: integrative review, with data collection in the Web of Science, CINAHL, Scopus, MEDLINE, LILACS databases and the SciELO virtual library with articles of the last five years in English, Spanish and Portuguese, obtaining 13 selected articles that were submitted to the Content Analysis technique, in the Thematic Analysis modality. Results: the following categories have been identified: 'Obstetric violence: typology, definitions, legislation'; << Obstetric violence in the perception of the obstetric team >>; << Obstetric violence in the perception of users >>. Conclusion: obstetric violence is inserted with the practices of health professionals, such as episiotomy, kristeller maneuver, medicalization of childbirth, and care in the context of the birth process should occur in a respectful way and, thus, face acts of violence. Thus, the study contributes to the knowledge about disrespectful practices with women in the context of parturition. Descritores: Obstetrics; Labor, Obstetric; Natural Childbirth; Violence Against Women; Humanizing Delivery; Reproductive Rights.RESUMEN Objetivo: analizar las prácticas consideradas violentas en la atención obstétrica. Método: revisión integrativa, con recolección de datos en las bases de datos Web of Science, CINAHL, Scopus, MEDLINE, LILACS y la biblioteca virtual SciELO, con artículos de los últimos cinco años, en Inglés, español y portugués lenguaje, obteniendo 13 artículos seleccionados, que fueron sometidos a la técnica de Análisis de Contenido, en el modo de análisis temático. Resultados: se identificaron las siguientes categorías << Violencia obstétrica: tipología, definiciones, legislación >>; << La violencia obstétrica en la percepción del equipo obstétrico >>; << La violencia obstétrica en la percepción de las usuarias >>. Conclusión: la violencia obstétrica está inserida con las prácticas de los profesionales de salud, como la episiotomía, la maniobra de kristeller, la medicalización del parto, y el cuidado en el contexto del proceso de nacimiento debe ocurrir de forma respetuosa y, así, enfrentar actos de violencia. De ese modo, el estudio contribuye al conocimiento acerca  de las prácticas irrespetuosas con la mujer en el contexto de la parturición. Descritores: Obstétrica; Trabajo de Parto; Parto Normal; Parto Humanizado; Violencia contra la Mujer; Parto Humanizado; Derechos Sexuales y Reproductivos.

Naming Silence and Inadequate Obstetric Care as Obstetric Violence is a Necessary Step for Change

2021 ◽  
pp. 107780122199644
Author(s):  
Cynthia L. Salter ◽  
Abisola Olaniyan ◽  
Dara D. Mendez ◽  
Judy C. Chang
Keyword(s):  
Violence Against Women ◽  
Structural Violence ◽  
Obstetric Care ◽  
Unintended Consequences ◽  
Institutional Violence ◽  
Obstetric Violence ◽  
Health Related ◽  
Change Impact ◽  
Impact Outcome

This response article addresses the questions raised in “How Gentle Must Violence Against Women be in Order to not be Violent? Rethinking the Word ‘Violence; in Obstetric Settings” and concludes that naming violence is critical for describing people’s experiences of such violence and for addressing the structures and contexts that create and fuel such violence, not for judgment but for accountability and change. Impact, outcome, and, at times, processes—rather than intention—should underpin applications of the term violence; naming violence does not disempower women, but rather naming structural, systemic, and institutional violence demands acknowledgment, accountability, and responsibility for its effects on both patients and clinicians; and, finally, while the unintended consequences of using such a term may present challenges, they do not outweigh the importance of naming structural violence in health-related systems to identify practices and processes that discriminate, disempower, harm, and oppress.

Obstetric violence criminalised in Mexico: a comparative analysis of hospital complaints filed with the Medical Arbitration Commission

2019 ◽  
Vol 46 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Omar Calvo Aguilar ◽  
Marta Torres Falcón ◽  
Rosario Valdez Santiago
Keyword(s):  
Health Personnel ◽  
Legal Status ◽  
Reproductive Rights ◽  
Health Indicators ◽  
Obstetric Care ◽  
Phenomenological Approach ◽  
Disrespect And Abuse ◽  
Obstetric Violence ◽  
The World ◽  
Poor Health Care

IntroductionDisrespect and abuse during childbirth have been reported by numerous countries around the world. One of their principal manifestations is the performance of invasive or surgical procedures without the informed consent of women. Non-dignified treatment is the second most common form of this conduct. Five Mexican states have classified obstetric violence as a crime: Aguascalientes, Chiapas, Guerrero, the State of Mexico and Veracruz. The others have not yet done so although it is provided for in their civil and administrative regulations.ObjectiveTo analyse whether criminalising obstetric violence has been conducive to the recognition and observance of the reproductive rights of women, based on the records of poor health care complaints filed by women with the Medical Arbitration Commissions (CAMs by their Spanish initials) in two Mexican states.Materials and methodsWe conducted an observational qualitative study using a phenomenological approach. Analysis included two states with similar partner demographic and maternal health indicators but different legal classifications of obstetric violence: the Chiapas has criminalized this form of violence while Oaxaca has not. We reviewed the records of obstetric care complaints filed with CAMs in both states from 2011 to 2015, all of them concluded and including full information.ResultsDifferences were observed regarding the contents of complaints, specifically in the categories of abuse, discrimination and neglect during childbirth. The narratives in the other complaint categories were similar between states.ConclusionAfter analysing the records of malpractice complaints in Chiapas and Oaxaca, we conclude that the differentiated legal status of obstetric violence has not influenced recognition or observance of the reproductive rights of women. Criminalising obstetric violence has not improved care provided by health personnel.

scholarly journals Guidance on how to develop complex interventions to improve health and healthcare

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029954 ◽  
Author(s):  
Alicia O'Cathain ◽  
Liz Croot ◽  
Edward Duncan ◽  
Nikki Rousseau ◽  
Katie Sworn ◽  
...  
Keyword(s):  
Research Evidence ◽  
Qualitative Interviews ◽  
Complex Interventions ◽  
Intervention Development ◽  
Primary Data ◽  
Programme Theory ◽  
Key Points ◽  
Stakeholder Input ◽  
Published Research ◽  
Improve Health

ObjectiveTo provide researchers with guidance on actions to take during intervention development.Summary of key pointsBased on a consensus exercise informed by reviews and qualitative interviews, we present key principles and actions for consideration when developing interventions to improve health. These include seeing intervention development as a dynamic iterative process, involving stakeholders, reviewing published research evidence, drawing on existing theories, articulating programme theory, undertaking primary data collection, understanding context, paying attention to future implementation in the real world and designing and refining an intervention using iterative cycles of development with stakeholder input throughout.ConclusionResearchers should consider each action by addressing its relevance to a specific intervention in a specific context, both at the start and throughout the development process.

scholarly journals Midwives Perceiving and Dealing With Violence Against Women: Is It Mostly About Midwives Actively Protecting Women? A Modified Grounded Theory Study

2020 ◽  
pp. 088626052092749
Author(s):  
Heidi Siller ◽  
Martina König-Bachmann ◽  
Susanne Perkhofer ◽  
Margarethe Hochleitner
Keyword(s):  
Grounded Theory ◽  
Violence Against Women ◽  
Partner Violence ◽  
Protective Role ◽  
Optimal Care ◽  
Obstetric Violence ◽  
Core Category ◽  
Violence During Pregnancy ◽  
Forms Of Violence

Violence against women (VAW) affects pregnancy, birthing, and puerperium. In this sense, domestic violence (DV) or intimate partner violence (IPV) may increase during pregnancy, sexual child abuse may affect the birthing process, and obstetric violence may occur during birthing. Thus, consideration of violence during pregnancy and puerperium is essential to providing optimal care for women. This implies that midwives should be able to identify women affected by VAW. Therefore, this study explored VAW as perceived by midwives in one region of Austria. Interviews with 15 midwives (mean age 38.7 years) were conducted in Tyrol, Austria, between December 2014 and December 2015. Data were analyzed with a modified version of Grounded Theory. The core category “protecting but walking on eggshells” showed the caution with which midwives approached VAW and in particular DV or IPV. Including VAW in midwifery was connected to midwives being active protectors of women in their care. This meant being an intuitive, sensible, guiding, and empowering midwife to the woman. Staying active was necessary to fulfill the protective role also with regard to DV. However, this was influenced by the visibility of the connection between VAW, pregnancy, childbirth, and puerperium. The key to including VAW and particularly DV was midwives’ professional role of actively protecting women. Neglecting DV during pregnancy, labor, and puerperium meant further silencing DV, and keeping it hidden. Considering these aspects in planning and implementing actions to prevent VAW is expected to support sustainability and motivation to ask women about all forms of violence during and after pregnancy.

scholarly journals OBSTETRIC VIOLENCE AND THE CURRENT OBSTETRIC MODEL, IN THE PERCEPTION OF HEALTH MANAGERS

2020 ◽  
Vol 29 ◽  
Author(s):  
Enimar de Paula ◽  
Valdecyr Herdy Alves ◽  
Diego Pereira Rodrigues ◽  
Felipe de Castro Felicio ◽  
Renata Corrêa Bezerra de Araújo ◽  
...  
Keyword(s):  
Rio De Janeiro ◽  
Scientific Evidence ◽  
Quality Care ◽  
Obstetric Care ◽  
The State ◽  
Metropolitan Region ◽  
Obstetric Violence ◽  
Maternity Hospitals ◽  
Region Ii ◽  
Health Managers

ABSTRACT Objectives: to understand the perception of managers of public maternity hospitals in the Metropolitan Region II of the state of Rio de Janeiro regarding obstetric violence and the measures to face it aiming at guaranteeing the quality of care. Method: a descriptive, exploratory study with a qualitative approach, conducted with 16 health managers from five maternity hospitals in Metropolitan Region II in the state of Rio de Janeiro. Data were collected through interviews, applied from May 2017 to May 2018, and submitted to content analysis in the thematic modality. Results: the research pointed out thenon-reception, technocratic principles of childbirth, refusal of the companion, disrespect to humanized practices centered on physiology and the choice of women, the need for health training as a guide for the humanization policy and the management of health units, professional unpreparedness for performance and lack of involvement of professionals with longer service time to modify practices in obstetric care. Thus, the need to break away from obstetric violence at the structural/institutional level was evident in order to guarantee quality care for women. Conclusion: it is the responsibility of the managers to provide training to health professionals regarding performance that respects the scientific evidence, the centrality and the axes of policies and recommendations in the area of sexual and reproductive health, especially to women regarding their autonomy.

Evidence of ‘obstetric violence’ in India: an integrative review

2019 ◽  
Vol 52 (4) ◽  
pp. 610-628
Author(s):  
Surbhi Shrivastava ◽  
Muthusamy Sivakami
Keyword(s):  
Health Care Providers ◽  
Standards Of Care ◽  
Public Health Issue ◽  
Disrespect And Abuse ◽  
Care Providers ◽  
Indian Literature ◽  
Cross Sectional ◽  
Public And Private ◽  
Obstetric Violence ◽  
Socio Demographic Factors

AbstractThe term ‘obstetric violence’ has been used to describe the mistreatment, disrespect and abuse or dehumanized care of women during childbirth by health care providers. This is a review of the existing literature in India on violence against women during childbirth. The review used the typology of Bohren et al. (2015). An internet search of PubMed, Google Scholar and JSTOR was conducted using the terms ‘obstetric violence’, ‘mistreatment’, ‘disrespect and abuse’ and ‘dehumanized care’. Studies based on empirical research on women’s experiences during childbirth in health facilities in India were included in the review. The search yielded sixteen studies: one case study, two ethnographic studies, two mixed-methods studies, three cross-sectional qualitative studies, seven cross-sectional quantitative studies and one longitudinal quantitative study. The studies were analysed using the seven categories of mistreatment outlined by Bohren et al. (2015): 1) physical abuse, (2) sexual abuse, (3) verbal abuse, (4) stigma and discrimination, (5) failure to meet professional standards of care, (6) poor rapport between women and providers, and (7) health system conditions and constraints. An additional category of ‘harmful traditional practices and beliefs’ emerged from the Indian literature, which was also included in the review. Although geographically limited, the selected research highlighted varying prevalences of the different forms of ‘obstetric violence’ in both public and private birth facilities in India. ‘Obstetric violence’ in India was found to be associated with socio-demographic factors, with women of lower social standing experiencing greater levels of mistreatment. In response to this normalized public health issue, a multi-pronged, rights-based framework is proposed that addresses the social, political and structural contexts of ‘obstetric violence’ in India.

A holistic perspective on sustainable banking operating system drivers

2017 ◽  
Vol 9 (3) ◽  
pp. 240-262 ◽  
Author(s):  
Lay Hong Tan ◽  
Boon Cheong Chew ◽  
Syaiful Rizal Hamid
Keyword(s):  
Operating System ◽  
Mission Statement ◽  
Driving Forces ◽  
Secondary Data ◽  
Annual Reports ◽  
Primary Data ◽  
Multiple Perspectives ◽  
Content Type ◽  
Holistic Perspective ◽  
Micro Level

PurposeThis paper aims to provide a more holistic perspective on rationales that motivated Maybank to move toward a sustainable banking operating system. Design/methodology/approachThe case study was based on primary data collected through a series of qualitative interview with 35 bankers who were from different departments. Besides, the secondary data such as academic books and journals, government and regulatory authority’s publications, website publications, Maybank’s annual reports and Maybank’s sustainability reports were reviewed to obtain a more comprehensive understanding on rationales that motivated Maybank to move toward a sustainable banking operating system. FindingsWithin the corporation studied, the rationales for moving Maybank toward sustainable banking operating system are driven by macro-, meso- and micro-level drivers. In terms of macro-level drivers, the pressures come from the bank’s external environment. A PESTLE analysis is used to discuss the drivers for change present within the macro environment. The different national government bodies and non-government organizations are calling upon financial institutions to implement more socially and environmentally friendly lending policies. In terms of meso-level drivers, stakeholders are viewed as important driving forces for Maybank to integrate sustainability into banking operations. Internal driving forces are likely to emanate from employees, the board of directors and shareholders. External driving forces result from pressure from customers, governments, competitors, NGOs and society at large. Micro-level drivers are drivers of sustainable banking that include pressures generated from within the bank’s internal environment. Maybank is largely motivated by its mission statement and vision statement, which is articulated in their sustainable banking agenda. Research limitations/implicationsViewing the rationales that motivated Maybank to move toward a sustainable banking operating system through multiple perspectives – macro-, meso- and micro-level drivers present an interesting approach for research. Originality/valueThe rationales for moving Maybank toward a sustainable banking operating system are driven by macro-, meso- and micro-level drivers. This paper provides fresh insight into rationales that move toward the sustainable banking operating system.

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