Objective: To assess the prevalence of disrespect and abuse during childbirth and its associated factors in Peru.
Methods: In an observational cross-sectional study, women were surveyed within 48 hours of live delivery at 14 hospitals located in nine Peruvian cities between April and July 2016. The survey was based on seven categories of disrespect and abuse proposed by Bowser and Hill. To evaluate factors associated with each category, prevalence ratios (PRs) and 95% confidence intervals (CIs) were calculated using adjusted Poisson models with robust variances.
Results: Among 1528 participants, 1488 (97.4%) had experienced at least one category of disrespect and abuse. Frequency of abandonment of care was increased with cesarean delivery (PR 1.27, 95% CI 1.03-1.57) but decreased in the jungle region (PR 0.27, 0.14-0.53). Discrimination was associated with the jungle region (PR 5.67, 2.32-13.88). Physical abuse was less frequent with cesarean than vaginal delivery (PR 0.23, 0.11-0.49). The prevalences of abandonment of care (PR 0.42, 0.29-0.60), non-consented care (PR 0.70, 0.57-0.85), discrimination (PR 0.40, 0.19-0.85), and non-confidential care (PR 0.71, 0.55-0.93) were decreased among women who had been referred.
Conclusion: Nearly all participants reported having experienced at least one category of disrespect and abuse during childbirth care, which was associated with type of delivery, being referred, and geographic region.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/ijgo.12353 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Distressing Aspects of Elder Abuse Victimization: Perspective of Survivors.
Clin Gerontol
December 2024
Weill Cornell Medicine, Division of Geriatrics and Palliative Medicine, New York, New York, USA.
Objectives: Our understanding of elder abuse (EA) phenomena has largely been shaped from the perspective of researchers and professionals whose conceptualizations often differ from the perceptions of older adults who experience mistreatment. This study sought to understand the most distressing aspects of EA victimization from the perspective of survivors.
Methods: Using a descriptive phenomenological approach, individual interviews were conducted with a diverse sample ( = 32) of EA survivors, recruited from EA support and Adult Protective Services programs in New York City and Los Angeles.
Extending the concept of "obstetric violence" to post-partum experiences: cautions regarding the "first ever" pill for post-partum depression.
Sex Reprod Health Matters
December 2024
Clinical Psychologist and Professor, University of Massachusetts, Boston, USA.
Article Synopsis
- The concept of "obstetric violence" has gained traction globally, highlighting power imbalances in reproductive health and challenging the perception of pregnancy and childbirth as merely medical events.
- The discussion extends to include post-partum obstetric violence, which has been largely overlooked, emphasizing the impact of pharmaceutical treatments for issues like postpartum depression (PPD) on women's health.
- The approval of zuranolone, the first pill for PPD, exemplifies the risks of framing emotional distress as purely biochemical, which could underplay the socio-political factors at play and result in harmful consequences for women.
How power and knowledge hierarchies affect communication in intrapartum care: findings from public health facilities in two southern Indian districts.
BMC Pregnancy Childbirth
November 2024
Ramalingaswami Centre on Equity and Social Determinants of Health, Public Health Foundation of India, Bangalore, India.
Background: Effective communication is a key element of medical care; it can foster a warm interpersonal relationship, facilitate the exchange of information, and enable shared decision-making. In the context of obstetric care, it is associated with a range of positive clinical and social outcomes for mother and baby. Extant communication frameworks and respectful maternity care (RMC) guidelines emphasize the importance of effective communication during intrapartum care.
View Article and Find Full Text PDFContent and design of respectful maternity care training packages for health workers in sub-Saharan Africa: Scoping review.
Int J Gynaecol Obstet
October 2024
Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre, London School of Hygiene & Tropical Medicine, London, UK.
Background: Training health workers might facilitate respectful maternity care (RMC); however, the content and design of RMC training remain unclear.
Objective: To explore the content and design of RMC training packages for health workers in sub-Saharan Africa.
Search Strategy: MEDLINE, EMBASE, CINAHL Complete, Web of Science Core Collections, SCOPUS, and grey literature sources (including websites of RMC-focused key organizations and Ministries of Health) were searched for journal papers, reports, and training guides from January 2006 up to August 2022.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!