TY  - JOUR
T1  - EBELERİN OBSTETRİK ŞİDDETE YÖNELİK BİLGİLERİNİN İNCELENMESİ: KESİTSEL BİR ÇALIŞMA
TT  - INVESTIGATION OF MIDWIVES' KNOWLEDGE ON OBSTETRIC VIOLENCE: A CROSS-SECTIONAL STUDY
AU  - Beyazgül, Sevgi
AU  - Gökçek, Ayşe İrem
AU  - Günaydın, Sevil
PY  - 2025
DA  - February
Y2  - 2024
DO  - 10.54270/atljm.2025.74
JF  - Atlas Journal of Medicine
JO  - ATLJM
PB  - Atlas University
WT  - DergiPark
SN  - 3023-6878
SP  - 50
EP  - 57
VL  - 5
IS  - 12
LA  - tr
AB  - Amaç: Bu çalışma ebelerin obstetrik şiddete yönelik bilgi düzeylerinin belirlenmesi amacıyla yapılmıştır. Yöntemler: Kesitsel ve tanımlayıcı desene sahip çalışma Temmuz- Eylül 2023 tarihleri arasında gerçekleştirilmiştir. Çalışmanın evrenini bir kamu hastanesinde görev yapan tüm ebeler oluşturmuştur. Çalışmaya katılmaya gönüllü olan toplam 80 ebe ile araştırma tamamlanmıştır. Çalışma verilerinin toplanmasında literatür doğrultusunda hazırlanan tanıtıcı bilgi formu ve obstetrik şiddet bilgi formu kullanılmıştır.  Bulgular: Ebelerin %25’i 40 yaş ve üzeri, %75’i ise üniversite mezunudur. Ebelerin %83,8’i obstetrik şiddeti konu alan bir eğitime katılmadıklarını, %53,8’i ise obstetrik şiddete ilişkin bilgi düzeylerinin orta olduğunu belirtmişlerdir. Ebelerin %93,8’i obstetrik şiddetin sağlık çalışanları tarafından kadınlara uygulanan bir şiddet türü olduğu, %92,5’i kadınların bedenleri üzerindeki söz hakkını engellediği ifadelerine doğru yanıtını vermişlerdir. Ebelerin %81,3’ü hastaneye yatışlarda rutin damar yolu açılmasının, %61,3’ü rutin sezaryen doğum uygulanmasının ve %55’i doğum sürecinde rutin uygulanan müdahalelerin (amniyotomi, epizyotomi) obstetrik şiddete örnek olmadığını belirtmişlerdir.Sonuç: Araştırma sonucunda ebelerin obstetrik şiddet bilgi düzeylerini orta düzeyde olarak değerlendirdikleri, çoğunluğunun daha önce obstetrik şiddete yönelik bir eğitime katılmadıkları görülmüştür.  Ebelerin çoğunluğunun obstetrik şiddeti değerlendiren ifadelere doğru cevaplar verdiği ancak bazı eylemlerin obstetrik şiddet kavramı içerisinde yer aldığının farkında olmadıkları belirlenmiştir.
KW  - Bilgi
KW  - Ebe
KW  - Obstetrik şiddet
N2  - Aim: This study was conducted to assess midwives' knowledge of obstetric violence.Methods: The cross-sectional and descriptive study was conducted between July and September 2023. The study population consisted of all midwives working in a public hospital. The study was completed with a total of 80 midwives who volunteered to participate in the study. A descriptive information form and an information form on obstetric violence, prepared in accordance with the literature, were used to collect the study data.Results: Twenty-five per cent of the midwives were aged 40 or over and 75 per cent were university graduates. 83.8% of midwives reported that they had not received any training on violence in childbirth and 53.8% reported that their knowledge of violence in childbirth was moderate. 93.8% of midwives answered correctly that obstetric violence is a form of violence inflicted on women by health professionals and 92.5% answered correctly that it prevents women from having a say over their bodies. 81.3% of midwives said that routine intravenous access during hospitalisation, routine caesarean section (61.3%) and routine interventions (amniotomy, episiotomy) during childbirth (55%) were not examples of obstetric violence.Conclusion: As a result of the research, it was found that midwives rated their level of knowledge about obstetric violence as medium and the majority of them had never attended any training on obstetric violence.  It was found that the majority of midwives gave correct answers to the statements assessing obstetric violence, but they were not aware that some acts were included in the concept of obstetric violence.
CR  - O’Brien E,  Rich M. Obstetric violence in historical perspective. The Lancet, 2022; 399(10342), 2183-2185.
CR  - World Health Organization, Intrapartum Care for a Positive Childbirth Experience, 2018. https://usaidmomentum.org/resource/technical-brief-2018-who-intrapartum-care-guidelines-for-a-positive-childbirth-experience/?gclid=CjwKCAiAibeuBhAAEiwAiXBoJKn26oyM4XcugGy4NHN-jZX_tlrJFsWPvpOR_8CJ9gZloJHgFERBBhoC3h4QAvD_BwE
CR  - Martínez-Galiano JM, Martinez-Vazquez S, Rodríguez-Almagro J,  Hernández-Martinez A. The magnitude of the problem of obstetric violence and its associated factors: A cross-sectional study. Women and Birth, 2021;34(5), e526-e536.
CR  - Leite, T. H., Marques, E. S., Esteves-Pereira, A. P., Nucci, M. F., Portella, Y., & Leal, M. D. C. (2022). Disrespect and abuse, mistreatment and obstetric violence: a challenge for epidemiology and public health in Brazil. Ciência & Saúde Coletiva, 27, 483-491.
CR  - Azcué M,  Tain L. The emergence of the concept of “obstetric violence”: the impact of the feminist movement. Sante Publique, 2021; 33(5), 635-643.
CR  - Sando D, Abuya T, Asefa A, Banks KP, Freedman LP, Kujawski S, et al. Methods used in prevalence studies of disrespect and abuse during facility based childbirth: lessons learned. Reproductive health, 2017; 14(1), 127. https://doi.org/10.1186/s12978-017-0389-z
CR  - Cecilia OM, José Alberto CG, José NP, Ernesto Germán CM, Ana Karen LC, Luis Miguel RP, Ricardo Raúl RR,  Adolfo Daniel RC. Oxidative Stress as the Main Target in Diabetic Retinopathy Pathophysiology. Journal of diabetes research, 2019;8562408. https://doi.org/10.1155/2019/8562408
CR  - Ravaldi C, Skoko E, Battisti A, Cericco M,  Vannacci A. Abuse and disrespect in childbirth assistance in Italy: A community-based survey. European journal of obstetrics, gynecology, and reproductive biology, 2018; 224, 208–209. https://doi.org/10.1016/j.ejogrb.2018.03.055
CR  - Siraj W. Teka H. Prevalence of disrespect and abuse during facility based child birth and associated factors, Jimma University Medical Center, Southwest Ethiopia, BMC Pregnancy Childbirth 2019; 19(1):1–9.
CR  - Aşci, Ö., & Bal, M. D. The prevalence of obstetric violence experienced by women during childbirth care and its associated factors in Türkiye: A cross-sectional study. Midwifery, 2023; 124, 103766. https://doi.org/10.1016/j.midw.2023.103766
CR  - Shrivastava S, Sivakami M. Evidence of “obstetric violence” in India: an integrative review, Journal of Biosocial Science, 2020; 52(4):610-628. doi:10.1017/S0021932019000695
CR  - Lukasse M, Schroll AM, Karro H, Schei B, Steingrimsdottir T, Van Parys AS, et al. Prevalence of experienced abuse in healthcare and associated obstetric characteristics in six European countries. Acta obstetricia et gynecologica Scandinavica, 2015; 94(5), 508–517. https://doi.org/10.1111/aogs.12593
CR  - World Health Organization. The prevention and elimination of disrespect and abuse during facility-based childbirth. 2015. https://www.who.int/publications/i/item/WHO-RHR-14.23
CR  - Gray T, Mohan S, Lindow S, Farrell T. Obstetric violence: Clinical staff perceptions from a video of simulated practice. European journal of obstetrics & gynecology and reproductive biology: X, 2019; 1, 100007. https://doi.org/10.1016/j.eurox.2019.100007
CR  - Meijer M, Rehbach K, Brunner JW, Classen JA, Lammertse HCA, Van Linge LAA. Single-Cell Model for Synaptic Transmission and Plasticity in Human iPSC-Derived Neurons. Cell reports, 2019; 27(7), 2199–2211.e6. https://doi.org/10.1016/j.celrep.2019.04.058
CR  - Martínez-Galiano JM, Rodríguez-Almagro J, Rubio-Álvarez A, Ortiz-Esquinas I, Ballesta-Castillejos A, Hernández-Martínez A. (Obstetric Violence from a Midwife Perspective. International journal of environmental research and public health, 2023;20(6), 4930. https://doi.org/10.3390/ijerph20064930
CR  - Jiru HD, Sendo EG. Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives. BMJ open, 2021; 11(10), e051220. https://doi.org/10.1136/bmjopen-2021-051220
CR  - Jardim DMB,  Modena CM. Obstetric violence in the daily routine of care and its characteristics. Revista latino-americana de enfermagem, 2018; 26, e3069. https://doi.org/10.1590/1518-8345.2450.3069
CR  - Maputle MS. Support provided by midwives to women during labour in a public hospital, Limpopo Province, South Africa: a participant observation study. BMC Pregnancy Childbirth 2018; 18, 210. https://doi.org/10.1186/s12884-018-1860-8
UR  - https://doi.org/10.54270/atljm.2025.74
L1  - https://dergipark.org.tr/en/download/article-file/4167627
ER  -