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.

scholarly journals O planejamento familiar para homens

2018 ◽  
Vol 12 (11) ◽  
pp. 3098 ◽  
Author(s):  
Wesley Gomes da Silva ◽  
Higor Lopes Bernal ◽  
Fellipi Nelson Ortiz Cândido ◽  
Pedro Paulo Martins Raimundo ◽  
Sebastião Junior Henrique Duarte
Keyword(s):  
Family Planning ◽  
Web Of Science ◽  
Virtual Library ◽  
Male Population ◽  
Analysis Technique ◽  
The Family ◽  
Planning Methods ◽  
Review Study ◽  
Health Nursing ◽  
Family Planning Methods

RESUMOObjetivo: analisar o acesso da população masculina aos métodos de planejamento familiar. Método: trata-se de estudo bibliográfico, descritivo, de revisão integrativa, no período de maio de 2018, realizando-se buscas de artigos nos últimos 10 anos, nas bases de dados PUBMED/MEDLINE, Cochrane, CINAHL, Web of Science e na Biblioteca Virtual SciELO, apresentando-se os dados em figuras. Consideraram-se as categorias temáticas que emergiram da Técnica de Análise de Conteúdo após a análise dos artigos. Resultados: identificaram-se 1725 artigos, selecionando-se 37, que evidenciaram o aumento da participação masculina por meio da vasectomia e da decisão compartilhada. Constatou-se que, a baixa oferta de serviço e o baixo nível de orientação por parte dos usuários configuram-se como principais fatores que implicam negativamente a participação do homem nas ações de planejamento familiar. Conclusão: revelaram-se barreiras na análise das publicações e no acesso de homens ao planejamento familiar relacionadas tanto pela pouca oferta de serviços e métodos, como pela desinformação. Descritores: Planejamento Familiar; Vasectomia; Saúde do Homem; Saúde Sexual e Reprodutiva; Enfermagem; Políticas Públicas de Saúde.ABSTRACT Objective: to analyze the access of the male population to family planning methods. Method: this is a descriptive, descriptive, integrative review study, in the period of May, 2018, searching for articles in the last 10 years, in the databases PUBMED / MEDLINE, Cochrane, CINAHL, Web of Science and in the SciELO Virtual Library, presenting the data in figures. We considered the thematic categories that emerged from the Content Analysis Technique after analyzing the articles. Results: 1725 articles were identified, selecting 37, which showed an increase in male participation through vasectomy and the shared decision. It was verified that the low service offer and the low level of orientation on the part of the users are the main factors that imply the participation of the man in the family planning actions. Conclusion: barriers have emerged in the analysis of publications and in the access of men to family planning related to both the poor supply of services and methods, as well as disinformation. Descritores: Family Planning; Vasectomy; Men's Health; Sexual and Reproductive Health; Nursing; Public Health Policies.RESUMEN Objetivo: analizar el acceso de la población masculina a los métodos de planificación familiar. Método: se trata de un estudio bibliográfico, descriptivo, de revisión integrativa, en el período de mayo de 2018, realizándose búsquedas de artículos en los últimos 10 años, en las bases de datos PUBMED / MEDLINE, Cochrane, CINAHL, Web of Science y en la Biblioteca Virtual SciELO, presentando los datos en figuras. Se consideraron las categorías temáticas que surgieron de la Técnica de Análisis de Contenido después del análisis de los artículos. Resultados: se identificaron 1725 artículos, seleccionándose 37, que evidenciaron el aumento de la participación masculina por medio de la vasectomía y de la decisión compartida. Se constató que la baja oferta de servicio y el bajo nivel de orientación por parte de los usuarios se configuran como principales factores que implican negativamente la participación del hombre en las acciones de planificación familiar. Conclusión: se revelaron barreras en el análisis de las publicaciones y en el acceso de hombres a la planificación familiar relacionadas tanto por la poca oferta de servicios y métodos, como por la desinformación. Descritores: Planificación Familiar; vasectomía; Salud del Hombre; Salud Sexual y Reproductiva; Enfermería; Políticas Públicas de Salud.

scholarly journals A assistência obstétrica ao parto e nascimento na percepção das mulheres

2017 ◽  
Vol 11 (12) ◽  
pp. 5402
Author(s):  
Paolla Amorim Malheiros Dulfe ◽  
Joyce Gonçalves Barcellos ◽  
Valdecyr Herdy Alves ◽  
Diego Pereira Rodrigues ◽  
Audrey Vidal Pereira ◽  
...  
Keyword(s):  
Thematic Analysis ◽  
Web Of Science ◽  
Obstetric Care ◽  
Scientific Production ◽  
Qualitative Approach ◽  
The People ◽  
Final Sample ◽  
Las Mujeres ◽  
Remarkable Progress ◽  
Process Method

RESUMOObjetivo: analisar a produção científica sobre a percepção das mulheres a respeito da assistência do processo parturitivo. Método: revisão integrativa com busca de artigos publicados a partir de 2010, em Inglês, Espanhol e Português nas Bases de Dados Web of Science, Scopus, MEDLINE, LILACS, IBECS, PsycINFO e biblioteca ScieLO. A análise dos dados deu-se por análise textual e, posteriormente, pela Análise de Conteúdo na modalidade Análise Temática. Resultados: a amostra final constitui-se de 20 artigos. Houve predomínio na abordagem qualitativa do tipo descritivo-exploratória (90%). Foram identificados o acolhimento no serviço; o vínculo com as mulheres; e a utilização de tecnologias no parto e nascimento. Conclusão: a síntese dos estudos analisados evidenciou predominância na satisfação das mulheres em relação à assistência obstétrica comprovando notável progresso na qualificação da assistência ao parto e nascimento. Descritores: Parto; Tocologia; Parto Humanizado; Percepção.ABSTRACTObjective: to analyse the scientific production over women's perception concerning the assistance of the parturitive process. Method: integrative review with search of published papers from 2010 on, being these papers published in English, Spanish and Portuguese in the databases Web of Science, Scopus, MEDLINE, LILACS, IBECS, PsycINFO and the ScieLO library. The data analysis was initially made through textual analysis and after through the Content Analysis in the Thematic Analysis modality. Results: the final sample is composed by 20 papers. There was a predominance in the qualitative approach of the descriptive-exploratory type (90%). On the results were identified the welcoming in the service, the bond between the people in service and the women, and the usage of technologies during labor and childbirth. Conclusion: the synthesis of the studies analyzed showed a predominance in the satisfaction of women in relation to obstetric care, confirming remarkable progress in the qualification of delivery and birth care. Descriptors: Parturition; Midwifery; Humanizing Delivery; Perception.RESUMENObjetivo: analizar la producción científica bajo la percepción de las mujeres respecto a la asistencia en el proceso de parto. Método: revisión integrativa con búsqueda de artículos publicados a partir de 2010 en inglés, español y portugués en las bases de datos Webof Science, Scopus,MEDLINE, LILACS, IBECS, PsycINFOy biblioteca ScieLO. El análisis de los datos se dio mediante análisis textual y posteriormente mediante Análisis del Contenido en la modalidad Análisis Temático. Resultados: la muestra final la constituyen 20 artículos. Hubo un predominio en el abordaje cualitativo del tipo descriptivo-exploratorio (90%). Se identificaron la acogida en el servicio, el vínculo con las mujeres y el empleo de tecnologías en el parto y nacimiento. Conclusión: la síntesis de los resultados analizados subrayó el predominio en la satisfacción de las mujeres respecto a la asistencia obstétrica comprobando notable progresión en la cualificación de la asistencia al parto y nacimiento. Descriptores: Parto; Tocología; Parto Humanizado; Percepción.

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.

scholarly journals Health professionals in a changing climate: protocol for a scoping review

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024451 ◽  
Author(s):  
Lianping Yang ◽  
Chaojie Liu ◽  
Jeremy Hess ◽  
Dung Phung ◽  
Cunrui Huang
Keyword(s):  
Climate Change ◽  
Thematic Analysis ◽  
Scoping Review ◽  
Health Professionals ◽  
Web Of Science ◽  
Research Policy ◽  
Critical Role ◽  
Health Impacts ◽  
Significant Health ◽  
Climate Change And Health

IntroductionClimate change will impose significant health impacts. Although we know health professionals should play a critical role in protecting human health from climate change, their preparedness to engage with these issues worldwide is unclear. This study aims to map the range and nature of existing evidence regarding health professionals’ knowledge, attitudes, perceptions and practices regarding climate change and health impacts and the challenges they face, and identify knowledge gaps to guide future development of research, policy and practices.Methods and analysisWe will perform a scoping review based on the six-stage framework proposed by Arksey and O’Malley. Our study includes peer-reviewed literature focusing on any aspect of health professionals’ work regarding climate change and health since 2002 and indexed in MEDLINE/Pubmed, Web of Science, Scopus or Embase. Identified papers will be described and assessed. Thematic analysis will be applied to evaluate and categorise the study findings.Implications and disseminationThis is the first scoping review of health professionals’ activities to anticipate and prepare for health impacts attributable to climate change. It will provide evidence regarding the current situations worldwide and gaps in preparedness. The findings can be used to highlight accomplishments to date, identify gaps and further develop good practices for health professionals’ engagement. The results will be published in the peer-reviewed literature and shared at health professional society meetings.

scholarly journals Design and Validation of the PercOV-S Questionnaire for Measuring Perceived Obstetric Violence in Nursing, Midwifery and Medical Students

2020 ◽  
Vol 17 (21) ◽  
pp. 8022 ◽  
Author(s):  
Desirée Mena-Tudela ◽  
Agueda Cervera-Gasch ◽  
María José Alemany-Anchel ◽  
Laura Andreu-Pejó ◽  
Víctor Manuel González-Chordá
Keyword(s):  
Violence Against Women ◽  
Health Professionals ◽  
The Body ◽  
Reproductive Process ◽  
Sociodemographic Variables ◽  
Future Studies ◽  
Significant Relationships ◽  
Obstetric Violence ◽  
Final Sample ◽  
Two Factors

Background: Obstetric violence could be defined as the dehumanized treatment or abuse of health professionals towards the body or reproductive process of women. Some practices associated with obstetric violence have been routinely standardized and do not include the woman in decision making. This type of violence has consequences for the health of both the mother and the baby and that of the professionals who practice or observed it. Methods: A questionnaire consisting of 33 items that measured perception through a Likert scale was developed. Some sociodemographic variables were collected. The instrument was applied to a sample of nursing, medicine and midwifery students to determine its psychometric properties. Results: The final sample consisted of 153 students. The Kaiser-Meyer-Olkin (p = 0.918) and Barlett tests (p ≤ 0.001) allowed for factor analysis, which explained 54.47% of the variance in two factors called protocolized-visible obstetric violence and non-protocolized-invisible obstetric violence. Conclusions: The PercOV-S (Perception of Obstetric Violence in Students) instrument was validated. The distribution and content of the two factors are closely related to obstetric violence against women. The existence of statistically significant relationships between the sociodemographic variables collected and the global measurements, domains and items of the PercOV-S scale highlight the normalization of obstetric violence as a central factor for future studies.

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.

Asking the Hard Questions: Psychologists’ Discomfort With Inquiring About Sexual Abuse Histories

2021 ◽  
pp. 107780122110145
Author(s):  
Belinda Nixon ◽  
Elly Quinlan
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Mental Health Professionals ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Early Career ◽  
Evidence Based ◽  
Structured Interviews ◽  
Early Career Psychologists ◽  
University Training

The literature on sexual abuse indicates low rates of inquiry by mental health professionals. This study explores early career psychologists’ experiences of inquiry into their clients’ sexual abuse histories. Twelve Australian psychologists participated in semi-structured interviews with transcripts analyzed using thematic analysis. The vast majority of participants reported that they did not routinely inquire about sexual abuse with barriers including not knowing what to do, discomfort, stigma, and fear of negative outcomes. Participants asserted that their university training in sexual abuse inquiry was inadequate. Findings emphasize the need for the development of an evidence-based framework for sexual abuse training.

scholarly journals Use of symptom checkers for COVID-19-related symptoms among university students: a qualitative study

2021 ◽  
pp. bmjinnov-2020-000498
Author(s):  
Stephanie Aboueid ◽  
Samantha B Meyer ◽  
James R Wallace ◽  
Shreya Mahajan ◽  
Teeyaa Nur ◽  
...  
Keyword(s):  
Young Adults ◽  
Qualitative Study ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Qualitative Interviews ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Positive Experience ◽  
Perceived Credibility ◽  
Inductive Thematic Analysis

ObjectiveSymptom checkers are potentially beneficial tools during pandemics. To increase the use of the platform, perspectives of end users must be gathered. Our objectives were to understand the perspectives and experiences of young adults related to the use of symptom checkers for assessing COVID-19-related symptoms and to identify areas for improvement.MethodsWe conducted semistructured qualitative interviews with 22 young adults (18–34 years of age) at a university in Ontario, Canada. Interviews were audio-recorded, transcribed, and analysed using inductive thematic analysis.ResultsWe identified six main themes related to the decision of using a symptom checker for COVID-19 symptoms: (1) presence of symptoms or a combination of symptoms, (2) knowledge about COVID-19 symptoms, (3) fear of seeking in-person healthcare services, (4) awareness about symptom checkers, (5) paranoia and (6) curiosity. Participants who used symptom checkers shared by governmental entities reported an overall positive experience. Individuals who used non-credible sources reported suboptimal experiences due to lack of perceived credibility. Five main areas for improvement were identified: (1) information about the creators of the platform, (2) explanation of symptoms, (3) personalised experience, (4) language options, and (5) option to get tested.ConclusionsThis study suggests an increased acceptance of symptom checkers due to the perceived risks of infection associated with seeking in-person healthcare services. Symptom checkers have the potential to reduce the burden on healthcare systems and health professionals, especially during pandemics; however, these platforms could be improved to increase use.

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