The Dangers of Minimizing Obstetric Violence

2021 ◽  
pp. 107780122110373
Author(s):  
Rachelle Chadwick

This commentary is a response to the article by Lappaman and Swartz, “How gentle must violence against women be in order not to be violent?” in which the term “obstetric violence” is critiqued. The authors argue that the term is harmful and does violence (to health care workers and even birthers themselves) and is not helpful to efforts to improve or reform maternity care. They suggest that we abandon the term and use less inflammatory descriptions (i.e., such as “mistreatment”) instead. While recognizing the inevitable risks involved in naming and writing about obstetric violence, I argue that these risks are necessary in the interests of struggling against unjust systems. I unpack the authors' critique and argue that it ultimately works to minimize experiences of obstetric violence, silence the voices of those that have been speaking out on this issue for a very long time, and casts doubt on the legitimacy of a concept that has only recently received global recognition (after a long and transnational struggle). These harms and dangers are not necessarily the direct intentions of the authors but are embedded in wider structures of power that are often incredulous, disbelieving, and dismissive in the face of testimonies and evidence of gendered and racialized pain/violence.

1970 ◽  
Vol 7 (2) ◽  
pp. 89-90 ◽  
Author(s):  
SK Joshi

DOI: 10.3126/kumj.v7i2.2695Kathmandu University Medical Journal (2009) Vol.7, No.2 Issue 26, 89-90


Author(s):  
Santosh Kumar Swain ◽  
Pragnya Paramita Jena

The current novel corona virus disease 2019 (COVID-19) is a highly infectious disease of the respiratory tract and rapidly spreading all over the world in short span of time. In current COVID-19 pandemic, use of the face mask is becoming usual and ubiquitous for both health care workers and public individuals. Wearing face mask is one of the non-pharmaceutical interventions which need minimum cost and provide dramatic response for preventing the COVID-19 infection. Limited availability of the vaccine and inadequate supply of therapeutic options, face mask use is an important part for public health measures for restricting the COVID-19 spread. Regardless of the debate among medical community regarding global face mask production shortage, a greater number of countries in the world are moving ahead with recommendations or mandates for using face mask in public. As currently global shortage of N95/FFP2 respirators and surgical masks for use by health care workers in the hospitals, simple cloth masks will act as a pragmatic solution for the use of the public. General public often use the surgical mask or even filtering facepiece (FFP) masks irrespective of their need, resulting unnecessary shortage for needy individuals those are exposed to the patients or those are health care workers. So, this review article will clarify the indication of the different types of masks and their rational use in the current COVID-19 pandemic.


2021 ◽  
Vol 17 (12) ◽  
pp. 177-184
Author(s):  
Haval Y. Yacoob Aldosky ◽  
Dindar S. Bari ◽  
Ørjan Grøttem Martinsen

Continues wearing gloves is a crucial problem among health care workers treating patients with coronavirus (COVID-19) infection that may cause skin complications. In the present study, the skin conductance (SC), skin potential (SP) and skin susceptance (SS) were used to identify the effects of long-term wearing gloves among health care workers managing COVID-19. The experimental procedure was repeated 30 times on three subjects recruited as volunteers to wear gloves for 4 hours. The baseline of parameters SC, SP, and SS were recorded at normal conditions without wearing the glove at zero time (To). The parameters were again recorded in the cases of glove-wearing with and without zinc oxide ointment (ZnO) for the same period. Noticeable differences were found in each of SC, SP and SS for subjects who wore gloves when compared to the baseline for 4 h. Results also showed significant differences in each of SP and SS during the same period with applying ZnO comparing to wearing gloves without applying ZnO. The results show that skin hydration is significantly improved by using ZnO. However, changing gloves at least every four hours of continuous wearing is recommended.


Author(s):  
Gerald Steiner ◽  
Lukas Zenk ◽  
Eva Schernhammer

COVID-19 painfully demonstrates how little resilience our societies have to novel viruses. Societies, decision makers, and scientists lack (1) a comprehensive understanding of the complexity of viral outbreaks and their impact on society; (2) intervention portfolios; and (3) a global crisis and resilience policy, all of which are required to develop appropriate measures and to improve societal resilience. We highlight COVID-19 immunity as one key benchmark in preparation for the next wave of the pandemic. Specifically, using network scenarios, we demonstrate the substantial advantage of reintegrating health care workers with acquired COVID-19 immunity in epidemic hotspots, which would not only enable their safe contribution to the health care system but also drastically contain further spread.


2021 ◽  
Author(s):  
Papa Dasari ◽  
Mahalakshmy Thulasingam

Title: Implementation of RMC at Tertiary Care Centre in South IndiaAbstract:Background: Disrespect and abuse experienced during childbirth has been reported by women to various sections of health care workers. The objective was to abolish Disrespect and Abuse and to bring about a policy change in labour room practices and to implement Respectful Maternity Care (RMC) in a high-volume tertiary care teaching hospital in South India.Methods: A Workshop and Continuous Medical Education Programme involving RMC experts were conducted in Phase I with defined objectives. These targeted health care workers were nurses, resident doctors, consultants, medical nursing students involved in giving care during pregnancy and labour. In Phase II the Govt. of India Policy on Birth Companion was presented in a meeting discussing on the National guidelines of “LaQshya”. Consent forms for birth companions were introduced and a dedicated public health nurse was trained to train the birth companions regarding their role in maternal support. The change of policy was officially intimated to the hospital administration. A qualitative assessment was done whether the Residents and Nurses practiced RMC as demonstrated in the Workshop. The operationalization of the birth companion policy was followed on daily observations, enquiries and onsite surprise visits over one year period.Results: The practice of RMC was followed only by few health care workers and certain cadre of women who laboured, received RMC and disrespect and abuse still prevailed. The bottle necks identified were low socioeconomic status of women, the in-charge consultants not insisting on presence of birth companions, the residents and nurses not promoting birth companion policy.Conclusions: : Implementation of Respectful Maternity Care needs change of attitudes of personnel who render care during child birth and it can only be successful unless it forms an integral part of Medical and Nursing curriculum.


2020 ◽  
Vol 8 (9) ◽  
pp. 146-150
Author(s):  
Ann Carlock ◽  
Susanne Beier ◽  
John Sienrukos

One in six senior citizens (age 65 years and older) living alone in the United States faces physical, cultural, and/or geographical barriers that isolate them from their peers and communities. This isolation can prevent them from receiving benefits and services that can improve their economic security and ability to live healthy, independent lives. Although it is generally known that depression is not directly related to the aging process, adults 65 years and older are more likely to experience depression due the onset of physical limitations, living alone, decreases in mobility, feelings of purposeless, cognitive decline, and fear of dying (Neff 2020). Prior to COVID-19, older adults attending senior activities centers (SAC) were instrumental in decreasing episodes of depression. This is largely based on socialization with peers, getting out of the home and, and listening to the life experiences of the much older adults. Since COVID-19, social distancing has been encouraged and the elimination of social gathering has been emphasized, which was, heretofore, expected in senior activities center settings. In the authors’ combined experience, the primary goal of successfully transitioning senior citizens returning to senior activities centers can best be accomplished by mental health care workers use of the EASE method. EASE stands for E: educate: Mental health care workers must educate older adults on the importance of social distancing in decreasing the spread of COVID-19 to the most vulnerable population (based on age and pre morbid conditions). By training staff to educate older adults on CDC guidelines relative to COVID-19 on proper handwashing, the wearing of facemasks to cover the mouth and nose, and to seek medical attention if Covid-19 symptoms are present, is essential. A: avoid: mental health care workers must constantly remind older adults to avoid the touching of the face and eyes. From picking up objects to turning doorknobs, people are constantly touching surfaces contaminated with pathogens. These pathogens can be picked up by our hands and get into the body through mucous membranes on the face — eyes, nose, and mouth — that act as pathways to the throat and lungs (Elder NC, Sawyer W, Pallerla H, Khaja S, Blacker M, 2014). S: support: Mental health care workers who work in senior activities centers. Senior should strive to support and provide an environment for older adults engaging them in opportunities for socialization, exercise, and education. The more active a senior citizen is, the healthier they will be. Recent research suggests when older adults consistently engage in social activities, they experience significant improvements in their physical, mental, and emotional health. Much of this improvement results from the ability to maintain healthy relationships and a continued sense of being part of society. E: Eliminate: mental health care workers should convey to older adults the need to eliminate activities that may contribute to contracting Covid-19, such as smoking and decreasing contact with those that smoke. Educating mental health workers on the benefits of transitioning the (EASE) of senior citizens back to attending the senior activities center will better assist this population to return to and overcome their fears to participate in the “new normal” beyond convid-19. Senior activities centers have been and will continue to be valuable community assets providing significant benefit to older adults and their families. Change  in these programs will have to be significant enough to make a difference for this large demographic group. Using the EASE Method will assist with meeting the scale of change with the scale of the demand for Seniors to feel safe to return to Senior activities Centers.


Author(s):  
Adelaide Lusambili ◽  
Stefania Wisofschi ◽  
Constance Shumba ◽  
Jerim Obure ◽  
Kennedy Mulama ◽  
...  

While disrespectful treatment of pregnant women attending health care facilities occurs globally, it is more prevalent in low-resource countries. In Kenya, a large body of research studied disrespectful maternity care (DMC) from the perspective of the service users. This paper examines the perspective of health care workers (HCWs) on factors that influence DMC experienced by pregnant women at health care facilities in rural Kisii and Kilifi counties in Kenya. We conducted 24 in-depth interviews with health care workers (HCWs) in these two sites. Data were analyzed deductively and inductively using NVIVO 12. Findings from HCWs reflective narratives identified four areas connected to the delivery of disrespectful care, including poor infrastructure, understaffing, service users’ sociocultural beliefs, and health care workers’ attitudes toward marginalized women. Investments are needed to address health system influences on DMC, including poor health infrastructure and understaffing. Additionally, it is important to reduce cultural barriers through training on HCWs’ interpersonal communication skills. Further, strategies are needed to affect positive behavior changes among HCWs directed at addressing the stigma and discrimination of pregnant women due to socioeconomic standing. To develop evidence-informed strategies to address DMC, a holistic understanding of the factors associated with pregnant women’s poor experiences of facility-based maternity care is needed. This may best be achieved through an intersectional approach to address DMC by identifying systemic, cultural, and socioeconomic inequities, as well as the structural and policy features that contribute and determine peoples’ behaviors and choices.


2020 ◽  
Vol 11 ◽  
pp. 215013272096616 ◽  
Author(s):  
Leelawadee Techasatian ◽  
Sirirus Lebsing ◽  
Rattapon Uppala ◽  
Wilairat Thaowandee ◽  
Jitjira Chaiyarit ◽  
...  

Purpose: The study aimed to explore the prevalence and possible risk factors to prevent the face mask related adverse skin reactions during the ongoing COVID-19 after a recommendation of face mask wearing for public use in Thailand. Results: The prevalence of face mask related adverse skin reactions was 454 cases (54.5%), of which acne was the most frequent (399; 39.9%), followed by rashes on the face (154; 18.4%), and itch symptoms (130; 15.6%). Wearing a surgical mask showed a higher risk of adverse skin reaction compared to a cloth mask, OR (95% CI) = 1.54 (1.16-2.06). A duration of face mask wearing of more than 4 hours/day and the reuse of face masks increased the risk of adverse skin reactions compared to changing the mask every day, adjusted OR(95% CI) = 1.96 (1.29-2.98), and 1.5 (1.11-2.02). Conclusion: Suggestions were made for wearing a cloth mask in non-health care workers (HCW) to decrease the risk of face mask related adverse skin reactions. This suggestion could potentially help in decreasing the demand of surgical masks which should be reserved for the HCW population during the ongoing COVID-19 pandemic.


2020 ◽  
Vol 14 (8) ◽  
pp. e01264
Author(s):  
Richa Wardhan ◽  
Meghan M. Brennan ◽  
Holden L. Brown ◽  
Trey B. Creech

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