scholarly journals “Give Her the Baby’s Hat so She Can Bite it”: Obstetric Violence in Flores, Indonesia

Moussons ◽  
2021 ◽  
pp. 57-84
Author(s):  
Alicia Paramita Rebuelta-Cho
Keyword(s):  
Obstetric Violence

scholarly journals Potential of standard perinatal data for measuring maternal integrity in childbirth

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Miani ◽  
S Batram-Zantvoort ◽  
O Razum
Keyword(s):  
Real Life ◽  
Healthcare Setting ◽  
Demographic Variables ◽  
Care Providers ◽  
Birth Process ◽  
Standard Data ◽  
Obstetric Violence ◽  
Relevant Variables ◽  
Perinatal Data ◽  
Birth Centres

Abstract Background Measuring the phenomenon of violation of maternal integrity in childbirth (e.g. obstetric violence) relies in part on the completeness of maternity care providers' data. The population coverage and linkage possibilities that they provide make for a great untapped potential. Although violation of integrity is a complex phenomenon best measured with dedicated instruments, standard data provide details about the birth and care received. Relevant variables include justifications of medical procedures (e.g. episiotomy) and characteristics of the birth process (e.g. length of labour). Demographic variables can be used for intersectional analyses to track potential discrimination -a dimension of violation of integrity in childbirth. Methods Using a baseline questionnaire and perinatal data obtained from hospitals, birth centres and midwifes in the BaBi study (Germany), we compared the completeness of integrity-relevant variables across providers and depending on the demographic and clinical characteristics of the women. We investigated potential for analysis from an intersectional perspective. Results Our analyses included 908 births, of which 32 outside hospital. There were 634 vaginal birth vs. 274 caesarean sections. We found poor reporting on demographic variables, in particular with regard to the 'region of origin' variable (correct origin recorded for half of the migrants). There was better reporting by midwives than by hospitals for “soft indicators”, such as the position of the women during birth (100% vs. 87.6%). Conclusions Putting more emphasis on completeness of standardised data could increase their potential for research. Healthcare setting, organisational culture and working conditions might determine what is judged important in terms of reporting; therefore, targeted education may improve this process. Next, we will interview care providers to understand data collection constraints and priorities and potential reporting bias in real-life settings.

scholarly journals Obstetric Violence in Spain (Part III): Healthcare Professionals, Times and Areas

2021 ◽  
Vol 18 (7) ◽  
pp. 3359
Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
María Jesús Valero-Chillerón ◽  
Laura Andreu-Pejó ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Informed Consent ◽  
Healthcare Professionals ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Lack Of Information ◽  
Obstetric Violence

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.

Obstetric Violence: Comparing medical student perceptions in India and the UK

2021 ◽  
Author(s):  
Thomas Gray ◽  
Suruchi Mohan ◽  
Stephen Lindow ◽  
Uma Pandey ◽  
Tom Farrell
Keyword(s):  
Medical Student ◽  
Student Perceptions ◽  
Obstetric Violence ◽  
The Uk

Obstetric Violence in Their Own Words: How Women in Mexico and South Africa Expect, Experience, and Respond to Violence

2021 ◽  
pp. 107780122110373
Author(s):  
Vania Smith-Oka ◽  
Sarah E. Rubin ◽  
Lydia Z. Dixon
Keyword(s):  
South Africa ◽  
Ethnographic Research ◽  
Powerful Method ◽  
Obstetric Violence ◽  
The World ◽  
Core Feature ◽  
Temporal Model ◽  
Women's Stories ◽  
Structural Inequalities

This article, based on ethnographic research in Mexico and South Africa, presents two central arguments about obstetric violence: (a) structural inequalities across diverse global sites are primarily linked to gender and lead to similar patterns of obstetric violence, and (b) ethnography is a powerful method to give voice to women's stories. Connecting these two arguments is a temporal model to understand how women across the world come to expect, experience, and respond to obstetric violence—that is, before, during, and after the encounter. This temporal approach is a core feature of ethnography, which requires long-term immersion and attention to context.

scholarly journals Violência obstétrica no Brasil e prevenção quaternária: revisão integrativa / Obstetric violence in Brazil and quaternary prevention: an integrative review

2021 ◽  
Vol 4 (2) ◽  
pp. 5143-5147
Author(s):  
Gabriela Losano Pais Barbosa ◽  
Isabelly Motta Figueredo da Silva ◽  
Denise Mary Costa de Oliveira
Keyword(s):  
Integrative Review ◽  
Obstetric Violence ◽  
Quaternary Prevention

scholarly journals A violência obstétrica em gestantes, parturientes e puérperas: um estudo de prevalência/ Obstetric violence in pregnant, parturient and postpartum women: a prevalence study

2021 ◽  
Vol 4 (6) ◽  
pp. 26299-26320
Author(s):  
Matheus Henrique Junqueira de Carvalho ◽  
Virgínia Braz da Silva Vaz ◽  
Mario Augusto Mendes da Silva ◽  
Marilia Tavares Rodrigues ◽  
Nathalia Quiel Barros Martins ◽  
...  
Keyword(s):  
Prevalence Study ◽  
Postpartum Women ◽  
Obstetric Violence

scholarly journals Can Forum Play Contribute to Counteracting Abuse in Health Care? A Pilot Intervention Study in Sri Lanka

2019 ◽  
Vol 16 (9) ◽  
pp. 1616 ◽  
Author(s):  
Katarina Swahnberg ◽  
Anke Zbikowski ◽  
Kumudu Wijewardene ◽  
Agneta Josephson ◽  
Prembarsha Khadka ◽  
...  
Keyword(s):  
Health Care ◽  
Sri Lanka ◽  
Health Care Providers ◽  
Improve Patient Care ◽  
Poor Quality ◽  
Health Providers ◽  
Care Providers ◽  
Training Interventions ◽  
Pregnancy And Childbirth ◽  
Obstetric Violence

Obstetric violence refers to the mistreatment of women in pregnancy and childbirth care by their health providers. It is linked to poor quality of care, lack of trust in health systems, and adverse maternal and neonatal outcomes. Evidence of interventions to reduce and prevent obstetric violence is limited. We developed a training intervention using a participatory theatre technique called Forum Play inspired by the Theatre of the Oppressed for health providers in Sri Lanka. This paper assesses the potential of the training method to increase staff awareness of obstetric violence and promote taking action to reduce or prevent it. We conducted four workshops with 20 physicians and 30 nurses working in three hospitals in Colombo, Sri Lanka. Participants completed a questionnaire before and three-to-four months after the intervention. At follow-up, participants more often reported that they had been involved in situations of obstetric violence, indicating new knowledge of the phenomenon and/or an increase in their ability to conceptualise it. The intervention appears promising for improving the abilities of health care providers to recognise obstetric violence, the first step in counteracting it. The study demonstrates the value of developing further studies to assess the longitudinal impacts of theatre-based training interventions to reduce obstetric violence and, ultimately, improve patient care.

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 Labour room violence in Uttar Pradesh, India: evidence from longitudinal study of pregnancy and childbirth

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028688 ◽  
Author(s):  
Srinivas Goli ◽  
Dibyasree Ganguly ◽  
Swastika Chakravorty ◽  
Mohammad Zahid Siddiqui ◽  
Harchand Ram ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Pregnant Women ◽  
Rural Areas ◽  
Logistic Regression Model ◽  
Uttar Pradesh ◽  
First Trimester ◽  
General Category ◽  
Obstetric Violence ◽  
Labour Room

ObjectivesThe major objective of this study was to investigate the prevalence of labour room violence (LRV) (one of the forms of obstetric violence) faced by the women during the time of delivery in Uttar Pradesh (UP) (the largest populous state of India which is also considered to be a microcosm of India). Furthermore, this study also analyses the association between prevalence of obstetric violence and socioeconomic characteristics of the respondents.DesignThe study was longitudinal in design with the first visit to women made at the time of first trimester. The second visit was made at the time of second trimester and the last visit was made after the delivery. However, we have continuously tracked women over phone to keep record of developments and adverse consequences.SettingsUrban and rural areas of UP, India.ParticipantsSample of 504 pregnant women was systematically selected from the Integrated Child Development Scheme Register of pregnant women.OutcomeWe aimed to assess the levels and determinants of LRV using data collected from 504 pregnant women in a longitudinal survey conducted in UP, India. The dataset comprised three waves of survey from the inception of pregnancy to childbirth and postnatal care. Logistic regression model has been used to assess the association between prevalence of LRV faced by the women at the time of delivery and their background characteristics.ResultAbout 15.12% of women are facing LRV in UP, India. Results from logistic regression model (OR) show that LRV is higher among Muslim women (OR 1.8, 95% CI 0.7 to 4.3) relative to Hindu women (OR 1). The prevalence of LRV is higher among lower castes relative to general category, and is higher among those women who have no mass media exposure (OR 4.7, 95% CI 1.7 to 12.8) compared with those who have (OR 1).ConclusionIn comparison with global evidence, the level of LRV in India is high. Women from socially disadvantaged communities are facing higher LRV than their counterparts.

scholarly journals ‘When helpers hurt’: women’s and midwives’ stories of obstetric violence in state health institutions, Colombo district, Sri Lanka

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Dinusha Perera ◽  
◽  
Ragnhild Lund ◽  
Katarina Swahnberg ◽  
Berit Schei ◽  
...  
Keyword(s):  
Sri Lanka ◽  
State Health ◽  
Obstetric Violence ◽  
Health Institutions
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