Components of obstetric violence: A descriptive study on physical abuse, non-consented care and non-confidential care
Esra Karataş Okyay 1,
Zeynep Bal 2,
Sümeyye Barut 3,
Esra Güney 2 * More Detail
1 Department of Midwifery, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
2 Department of Midwifery, Faculty of Health Sciences, İnönü University, Malatya, Turkey
3 Department of Midwifery, Faculty of Health Sciences, Fırat University, Elazığ, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 19, Issue 4, pp. 32-39.
https://doi.org/10.23950/jcmk/12286
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ABSTRACT
Objective: This study aimed at assessing the components of obstetric violence of women in receiving care during labor and postnatal period.
Material and methods: This research was designed as a web-based descriptive study. The study was conducted with 556 women who had a vaginal delivery were within the first 6 weeks after delivery. The data of the research were collected between November-December 2021.
Results: The mean age of women was 27.33±5.75, and the mean gestational week was 38.96±1.42. It was determined that while 95% of the women who underwent the intervention had a vaginal examination for less than 4 hours, 86.9% of them had no freedom of positioning at birth, and information was not provided to 41.2% of them before shaving, 22.2% of them before the amniotomy, 6.3% of them before oxytocin administration, 7.8% of them before episiotomy administration, 23.6% of them before fundal pressure, and 88.9% of them before vacuum support. It was found that 69.8% of the women did not have a companion during the delivery process, 67.1% of them were not involved in the decisions during the delivery process, and 93.9% of them asked for getting permission and providing information in the interventions during the delivery process. Additionally, the difference between the distributions of exposure to obstetric violence according to some sociodemographic and obstetric characteristics of the women was not statistically significant (p<0.05).
Conclusion: According to the result of the study, it was determined that women were subjected to some types of obstetric violence during labor and the delivery process.
CITATION
Karataş Okyay E, Bal Z, Barut S, Güney E. Components of obstetric violence: A descriptive study on physical abuse, non-consented care and non-confidential care. J CLIN MED KAZ. 2022;19(4):32-9.
https://doi.org/10.23950/jcmk/12286
REFERENCES
- Williams CR, Jerez C, Klein K, Correa M, Belizán JM, Cormick G. Obstetric violence: a Latin American legal response to mistreatment during childbirth. BJOG. 2018;125(10):1208-1211. https://doi.org/10.1111/1471-0528.15270
- Kruk ME, Kujawski S, Mbaruku G, Ramsey K, Moyo W, Freedman LP. Disrespectful and abusive treatment during facility delivery in Tanzania: a facility and community survey. Health Policy Plan. 2018;33(1):e26-e33. https://doi.org/10.1093/heapol/czu079
- World Health Organization (WHO) (2015). Health in 2015 from MDGs to SMDGs. Geneva. Retrieved from https://www.who.int/data/gho/publications/mdgs-sdgs Accessed date: November 2021
- U.S. Agency for International Development (USAID) 2014–2020 Maternal Health Vision (2014). Retrieved from https://www.usaid.gov/sites/default/files/documents/1864/MCHVision.pdf Accessed date: November 2021
- Ishola F, Owolabi O, Filippi V. Disrespect and abuse of women during childbirth in Nigeria: a systematic review. PloS one. 2017;12(3). https://doi.org/10.1371/journal.pone.0174084
- Windau-Melmer T. A guide for advocating for respectful maternity care. Washington, DC: Futures Group. Health Policy Project. 2013;(1):1-8. https://www.healthpolicyproject.com/index.cfm?ID=publications&get=pubID&pubID=189
- Reis V, Deller B, Carr C, Smith J. Respectful Maternity Care: Country Experiences: Survey Report. Washington DC: United States Agency for International Development. 2012.
- d'Oliveira AFPL, Diniz SG, Schraiber LB. Violence against women in health-care institutions: an emerging problem. The Lancet. 2002;359(9318):1681-1685. https://doi.org/10.1016/S0140-6736(02)08592-6
- Miller S et al. Quality of care in institutionalized deliveries: the paradox of the Dominican Republic. Int J Gynaecol Obstet. 2003;82(1):89-103. https://doi.org/10.1016/S0020-7292(03)00148-6
- d'Ambruoso L, Abbey M, Hussein J. Please understand when I cry out in pain: women's accounts of maternity services during labour and delivery in Ghana. BMC Public Health. 2005;5(1):1-11. https://doi.org/10.1186/1471-2458-5-140
- Browser D, Hill K. Exploring Evidence for Disrespect and Abuse in Facility-Based Childbirth: Report of a Landscape Analysis - USAID. (2015). Accessed date: December 2021. https://cdn1.sph.harvard.edu/wp-content/uploads/sites/2413/2014/05/Exploring-Evidence-RMC_Bowser_rep_2010.pdf
- The Mother and Baby Friendly Birth Facility (MBFBF) Accessed date: December 2021 https://www.whiteribbonalliance.org/wp-content/uploads/2017/11/MBFBF-guidelines.pdf
- Miller S, Lalonde A. The global epidemic of abuse and disrespect during childbirth: History, evidence, interventions, and FIGO's mother− baby friendly birthing facilities initiative-International Int J Gynaecol Obstet. 2015;131(1):49-52. https://doi.org/10.1016/j.ijgo.2015.02.005
- The United Nation General (July-2019). Accessed date: December 2021 https://www.ohchr.org/EN/Issues/Women/SRWomen/Pages/Mistreatment.aspx
- Šimonović D. (2019). Report of the Special Rapporteur on violence against women, its causes and consequences on a human rights-based approach to mistreatment and violence against women in reproductive health services with a focus on childbirth and obstetric violence. New York: United Nations General Assembly. [New York] : UN, 11 July 2019, Accessed date: December 2021 https://digitallibrary.un.org/record/3823698
- Yıldız H. Pozitif doğum deneyimi için intrapartum bakım modeli: Dünya Sağlık Örgütü önerileri. (Intrapartum care model for a posıtıve chıldbırth experıence: World Health Organızatıon’ recommendatıons). Kocaeli Üniversitesi Sağlık Bilimleri Dergisi. 2019;5(2):98-105. https://doi.org/10.30934/kusbed.546900
- The Ministry of Health of the Republic of Turkey (MHRT) (2017). Mother-Friendly Hospital Program, Retrieved from https://hsgm.saglik.gov.tr/tr/kadin-ve-ureme-sagligi-programlari/anne-dostu-hastane-program%C4%B1.html Accessed date: November 2021
- Erciyes Ü. (2016). The pregnancy, birth experience and the opinions reparding delivery type of the puerperants, after vaginal birth. (Unpublished master dissertation). İstanbul Medipol University.
- Uzel Gökdemir, H, Yanıkkerem E. Evidence-based practice during ıntrapartum period: preferences of women giving birth. DEUHFED. 2018;11(1):26-34. https://doi.org/10.33808/clinexphealthsci.765157
- Moncrieff G, Gyte GML, Dahlen HG, Thomson G, Singata-Madliki M, Clegg A, Downe S. Routine vaginal examinations compared to other methods for assessing progress of labour to improve outcomes for women and babies at term. Cochrane Database of Systematic Reviews. 2022; (3),Art. No.: CD010088. https://doi.org/10.1002/14651858.CD010088.pub3
- Shepherd A, Cheyne H. The frequency and reasons for vaginal examinations in labour. Women and Birth. 2013;26(1):49-54. https://doi.org/10.1016/j.wombi.2012.02.001
- Yıldırım G, Bilgin NÇ. Women's experıences of vagınal examınatıon durıng normal chıldbırth and affectıng factors: A qualıtatıve study. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2021; 24(2):220-230. https://doi.org/10.17049/ataunihem.856233
- WHO recommendations Intrapartum care for a positive childbirth experience. Accessed date: December 2021 https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf
- ACOG, The American College of Obstetricians and Gynecologists. (2017). Approaches To Limit Intervention During Labor And Birth Committee Opinion. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/02/approaches-to-limit-intervention-during-labor-and-birth
- Yılmaz K, Polat O, Kocamaz B. Defansif tıp uygulamalarının hukuksal açıdan incelenmesi. (The legal analysis of defensive medicine acts). Türkiye Adalet Akademisi Dergisi. 2014;16:19-51.
- Gottvall K, Allebeck P, Ekeus C. Risk factors for anal sphincter tears: the importance of maternal position at birth. BJOG: Int. J. Obstet. Gynaecol. 2007; 114(10):1266-1272. https://doi.org/10.1111/j.1471-0528.2007.01482.x
- Mselle LT, Eustace L. Why do women assume a supine position when giving birth? The perceptions and experiences of postnatal mothers and nurse-midwives in Tanzania. BMC Pregnancy Childbirth. 2020;20(1):1-10. https://doi.org/10.1186/s12884-020-2726-4
- Uysal B. (2017). Assessment of women's birth experience and postpartum Satisfaction (Unpublished master dissertation). Eskişehir Osmangazi University
- Meijer M, Brandão T, Cañadas S, Falcon K. Components of obstetric violence in health facilities in Quito, Ecuador: A descriptive study on information, accompaniment, and position during childbirth. Int J Gynaecol Obstet. 2020;148(3):355-360. https://doi.org/10.1002/ijgo.13075
- Özmen N. (2012). The Nursing Services Concerning Nursing Approaches And Expectations Of Women During Gynecological Examination (Unpublished master dissertation). University of Hacettepe
- Erdem E, Ege E. (2019). Frequency of induction use in labor and its relationship with postpartum depression score (Unpublished master dissertation). Necmettin Erbakan University.
- Pryrodni Prava Ukraina. Mistreatment and violence against women during reproductive health care with a focus on childbirth: the case of Ukraine. United Nations Special Rapporteur on violence against women by the civil society organization. 2017; https://www.ohchr.org/Documents/Issues/Women/SR/ReproductiveHealthCare/Pryrodni%20Prava%20Ukraina.pdf
- Aslan Ş, Okumuş F. The ınfluence of childbirth expectation on primiparous women’s perceptions of their birth experience. Arc Health Sci Res. 2017;4(1):32-40. https://doi.org/10.17681/hsp.287497
- Fırat A. Türkiye sağlık işletmelerinde hasta hakları ve sorumlulukları. (Patient Rights and Responsibilities in Health Care Establishments in Turkey). İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi. 2017; 2:157-173. https://dergipark.org.tr/tr/pub/igusabder/issue/30932/332354
- Muslu A, Yanıkkerem E. Doğum Beklentileri ve Deneyimleri Ölçeği’nin Türkçe formunun geçerlilik güvenirlik çalışması. (Turkish Form Validity and Reliability of the Childbirth Expectations and Experiences Scale). Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2020;13(4):231-244. https://doi.org/10.46483/deuhfed.577938
- Santiago RV, Monreal LA, Rojas Carmona A, Domínguez MS. "If we're here, it's only because we have no money…" discrimination and violence in Mexican maternity wards. BMC Pregnancy Childbirth. 2018;18(1):244. https://doi.org/10.1186/s12884-018-1897-8