Experiences of Obstetric Violence in Women in The Mediterranean Region: A Qualitative Study
Yıl 2025,
Cilt: 14 Sayı: 2, 264 - 271, 30.08.2025
Seda Karaçay Yıkar
,
Bedia Işık
,
Öznur Akçayüzlü
,
Evşen Nazik
Öz
Objective: This study aims to make an in-depth investigation of women's experiences of obstetric violence. Materials and Methods: This study, which is qualitative in nature, used a phenomenological design. The study included 29 women who experienced at least one type of obstetric violence in the Mediterranean region. Data were collected through in-depth interviews conducted individually via video conferencing between September 2023 and February 2024. Data analysis was performed using content analysis methods. Findings: It was stated that women’s experiences of obstetric violence were negative, they were exposed to physical and psychological violence, and they found having children a beautiful feeling. Women expected care providers to pay attention to them, be respectful to them, and act calmly. They also stated that if they were the caregivers, they would provide women with explanations, and be calm, patient and sensitive. Conclusion: This study found that women had negative childbirth experiences and were exposed to various types of obstetric violence. They were also found to have expectations regarding the management of labor.
Kaynakça
-
Abuya, T., Sripad, P.,& Ritter, J. (2018). Measuring mistreatment of women throughout the birthing process: implications for quality of care assessments. Reprod. Health Matters,26,48–61.https://doi.org/10.1080/09688080.2018.1502018.
-
Aşcı, Ö., & Bal, M. D. (2023). The prevalence of obstetric violence experienced by women during childbirth care and its associated factors in Türkiye: A cross-sectional study. Midwifery, 124, 103766. https://doi.org/10.1016/j.midw.2023.103766
-
Abuya, T., Sripad, P., Ritter, J., Ndwiga, C., & Warren, C. E. (2018). Measuring mistreatment of women throughout the birthing process: implications for quality of care assessments. Reproductive health matters, 26(53), 48-61.
-
Annborn, A., & Finnbogadóttir, H. R. (2022). Obstetric violence a qualitative interview study. Midwifery, 105, 103212.
-
Arias, F., Arteaga, E., &San Sebastián, M. (2022). Social inequalities in women exposed to obstetric and gyneco-obstetric Violence in Ecuador: a cross-sectional study. BMC Womens Health,22(1) ,419.https://doi.org/ 10.1186/s12905-022-01998-2.
-
Avcı, N., & Kaydırak, M. M. (2023). A qualitative study of women's experiences with obstetric violence during childbirth in Turkey. Midwifery, 121, 103658
-
Bastian, Hope. (2024). "Fear, gratitude, and the normalization of obstetric violence in Cuban maternity hospitals." Feminist Anthropology.https://doi.org/10.1002/fea2.12137
-
Brandão, T., Cañadas, S., &Galvis, A. (2018).Childbirth experiences related to obstetric violence in public health units in Quito, Ecuador. Int. J. Gynecol. Obstet ,43(1),84- 88.https://doi.org/10.1002/ijgo.12625.
-
Brazy-Nancy, E., Mattern, C.,&Rakotonandrasana, BI. (2023). A qualitative analysis of obstetric violence in rural Madagascar. Heliyon,9(3),13905.https://doi.org/10.1016/j.heliyon.2023.e13905.
-
Cárdenas, Castro, M., &Salinero, Rates, S. (2022). Violencia obstétrica en Chile: percepción de las mujeres y diferencias entre centros de salud [Obstetric violence in Chile: women's perceptions and differences among health centersViolência obstétrica no Chile: percepção das mulheres e diferenças entre os serviços de saúde]. Rev Panam Salud Publica,46:24.https://doi.org/10.26633/RPSP.2022.24.
-
Castro, R., Frías, S.M., 2020. Obstetric violence in Mexico: results from a 2016 national household survey. Violence Against Women 26 (6–7), 555–572. doi:10. 1177/1077801219836732.
-
Çetin, S. A., Ergün, G., & Işık, I. (2024). Obstetric violence in southwestern Turkey: Risk factors and its relationship to postpartum depression. Health care for women international, 45(2), 217-235.
-
Erdoğan, S., Nahçivan, N., &Esin, MN. (2015). Research Process, Practice and Critical in Nursing. 2nd ed. İstanbul: Nobel Medical Bookstores,17.
-
Faheem, A. (2021). The nature of obstetric violence and the organisational context of its manifestation in India: a systematic review. Sex Reprod Health Matters,29(2),2004634.https://doi.org/10.1080/26410397.2021.2004634.
-
Güneş, G.,& Karaçam, Z. (2018).Doğum sonudönemdeki kadınların vajinal muayene deneyimleri: nitel bir araştırma. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(2),87-95.
-
Keedle, H., Keedle, W.,& Dahlen, HG. (2022). Dehumanized, Violated, and Powerless: An Australian Survey of Women's Experiences of Obstetric Violence in the Past 5 Years. Violence Against Women, 30.https://doi.org/10.1177/10778012221140138.
-
Martínez-Galiano, JM., Martinez-Vazquez, S.,& Rodríguez-Almagro. (2021). The magnitude of the problem of obstetric violence and its associated factors: A cross-sectional study. Women Birth, 34(5), 526536.https://doi.org/10.1016/j.wombi.2020.10.002
-
Meyer, S., Cignacco, E., Monteverde, S., Trachsel, M., Raio, L., & Oelhafen, S. (2022). ‘We felt like part of a production system’: a qualitative study on women’s experiences of mistreatment during childbirth in Switzerland. Plos one, 17(2), e0264119.
-
Mihret, MS. (2019). Obstetric violence and its associated factors among postnatal women in a Specialized Comprehensive Hospital, Amhara Region, Northwest Ethiopia. BMC Res Notes, 12(1),600. https://doi.org/10.1186/s13104-019-4614-4.
-
Molla, W., Wudneh, A., &Tilahun, R. (2022). Obstetric violence and associated factors among women during facility based childbirth at Gedeo Zone, South Ethiopia. BMC Pregnancy Childbirth,14,22(1),565.https://doi.org/10.1186/s12884-022-04895-6.
-
Moridi, M., Pazandeh, F.,& Hajian, S. (2020).Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study. PloS One, 15(3),0229941.https://doi.org/10.1371/journal.pone.0229941.
-
Morris, T. (2023). “Screaming,‘No! No!’It was literally like being raped”: Connecting sexual assault trauma and coerced obstetric procedures." Social Problems,55-70.https://doi.org/10.1093/socpro/spab024
-
O’Brien, E., & Rich, M. (2022). Obstetric violence in historical perspective. The Lancet, 399(10342), 2183-2185
-
Perera, D., Munas, M.,&Swahnberg, K. (2022) On Behalf Of The Advance Study Group. Obstetric Violence Is Prevalent in Routine Maternity Care: A Cross-Sectional Study of Obstetric Violence and Its Associated Factors among Pregnant Women in Sri Lanka's Colombo District. Int J Environ Res PublicHealth,19(16),9997.https://doi.org/10.3390/ijerph19169997.
-
Perrotte, V., Chaudhary, A.,& Goodman, A. (2020) “At least your baby is healthy” obstetric violence or disrespect and abuse in childbirth occurrence worldwide: A literature review. Open Journal of Obstetrics and Gynecology,10,1544–1562.https://doi.org/10.4236/ojog.2020.10110139.
-
Sánchez, ODR., Tanaka, Zambrano, E.,& Dantas-Silva, A. (2022).Domestic violence: A cross-sectional study among pregnant and postpartum women. J Adv Nurs.https://doi.org/10.1111/jan.15375.
-
Shetty, RK., Samant, P.,&Honavar, PU. (2021). Obstetric violence: a health system study. International Journal of Reproduction Contraception, Obstetrics and Gynecology,10(4),1551-1561. https://doi.org/10.18203/23201770.ijrcog20211136.
-
Silva-Fernandez, CS., De la Calle, M.,& Arribas, SM. (2023). Factors Associated with Obstetric Violence Implicated in the Development of Postpartum Depression and Post-Traumatic Stress Disorder: A Systematic Review. Nurs Rep, 13(4),1553-1576.https://doi.org/10.3390/nursrep13040130.
-
Sharma, G., Penn-Kekana, L., Halder, K., & Filippi, V. (2019). An investigation into mistreatment of women during labour and childbirth in maternity care facilities in Uttar Pradesh, India: a mixed methods study. Reproductive health, 16, 1-16.
-
Topçu, E.,& Fiso, S. (2023). Spotlights of Turkish Foreigners - Motherhood in an Unknown Land: A Case Study in The Jezero Maternity Hospital. The Journal of World Women Studies, 8(2),265-275. https://doi.org/10.5281/zenodo.8431042.
-
Yalley, Abena, A., Dare, A., &Seth, Christopher, YA. (2023). "Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana." Frontiers In Public Health, 988961.https://doi.org/10.3389/fpubh.2023.988961.
-
Yalley, AA., Abioye, D.,& Appiah, SCY. (2023). Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana. Front Public Health,11,988961.https://doi.org/10.3389/fpubh.2023.988961.
-
Yıldırım, A., &Şimşek, H. (2016). Qualitative research methods in the social sciences. 8th ed. Ankara: Seçkin Publishing.
-
World Health Organization (WHO). The prevention and elimination of disrespect and abuse during facility-based childbirth. Geneva: (2015). Available from: http://apps.who.int/iris/bitstream/10665/134588/1/WHO_RHR_14.23_eng.pdf?ua=1&u a=1. (Erişimtarihi: 30.03.2024)
Wudneh, A., Cherinet, A., &Abebe, M. (2022).Obstetric violence and disability overlaps: obstetric violence during child birth among womens with disabilities: a qualitative study. BMC Womens Health,22(1),299.https://doi.org/10.1186/s12905-022-01883-y.
-
Van der Pijl, M. S., Hollander, M. H., Van der Linden, T., Verweij, R., Holten, L., Kingma, E., ... & Verhoeven, C. J. (2020). Left powerless: A qualitative social media content analysis of the Dutch# breakthesilence campaign on negative and traumatic experiences of labour and birth. PloS one, 15(5), e0233114.
Akdeniz Bölgesi’ndeki Kadınların Obstetrik Şiddet Deneyimleri: Niteliksel Bir Çalışma
Yıl 2025,
Cilt: 14 Sayı: 2, 264 - 271, 30.08.2025
Seda Karaçay Yıkar
,
Bedia Işık
,
Öznur Akçayüzlü
,
Evşen Nazik
Öz
Amaç: Bu çalışma kadınların obstetrik şiddet deneyimlerini derinlemesine ortaya koymayı amaçlamaktadır. Gereç ve Yöntem: Çalışma fenomenolojik desenli nitel bir araştırmadır. Çalışmaya Akdeniz Bölgesi’nde yer alan obstetrik şiddet türlerinden en az birini yaşayan 29 kadın dahil edilmiştir. Veriler, Eylül 2023- Şubat 2024 tarihleri arasında video konferans yoluyla bireysel derinlemesine görüşmelerle toplanmıştır. Elde edilen nitel veriler içerik analizi yöntemi ile analiz edilmiştir. Bulgular: Kadınların obstetrik şiddet deneyimlerinin olumsuz olduğu, fiziksel ve psikolojik şiddet türlerine maruz bırakıldığı ve çocuk sahibi olmayı güzel bir duygu olarak kabul ettikleri ifade edilmiştir. Kadınlar kendilerine bakım verenlerin onlara ilgi gösterme, saygılı olma ve sakin davranmalarını beklemişlerdir. Eğer kendileri bakım veren olsalardı, kadınlara daha çok açıklayıcı bilgi vereceklerini, sakin olacaklarını, sabırlı ve hassas davranacaklarını dile getirmiştirler. Sonuç: Bu çalışmada kadınların olumsuz doğum deneyimi yaşadıkları ve çeşitli obstetrik şiddet türlerine maruz kaldıkları saptanmıştır. Ayrıca kadınların doğumun yönetimine yönelik beklentilerinin olduğu belirtilmiştir.
Kaynakça
-
Abuya, T., Sripad, P.,& Ritter, J. (2018). Measuring mistreatment of women throughout the birthing process: implications for quality of care assessments. Reprod. Health Matters,26,48–61.https://doi.org/10.1080/09688080.2018.1502018.
-
Aşcı, Ö., & Bal, M. D. (2023). The prevalence of obstetric violence experienced by women during childbirth care and its associated factors in Türkiye: A cross-sectional study. Midwifery, 124, 103766. https://doi.org/10.1016/j.midw.2023.103766
-
Abuya, T., Sripad, P., Ritter, J., Ndwiga, C., & Warren, C. E. (2018). Measuring mistreatment of women throughout the birthing process: implications for quality of care assessments. Reproductive health matters, 26(53), 48-61.
-
Annborn, A., & Finnbogadóttir, H. R. (2022). Obstetric violence a qualitative interview study. Midwifery, 105, 103212.
-
Arias, F., Arteaga, E., &San Sebastián, M. (2022). Social inequalities in women exposed to obstetric and gyneco-obstetric Violence in Ecuador: a cross-sectional study. BMC Womens Health,22(1) ,419.https://doi.org/ 10.1186/s12905-022-01998-2.
-
Avcı, N., & Kaydırak, M. M. (2023). A qualitative study of women's experiences with obstetric violence during childbirth in Turkey. Midwifery, 121, 103658
-
Bastian, Hope. (2024). "Fear, gratitude, and the normalization of obstetric violence in Cuban maternity hospitals." Feminist Anthropology.https://doi.org/10.1002/fea2.12137
-
Brandão, T., Cañadas, S., &Galvis, A. (2018).Childbirth experiences related to obstetric violence in public health units in Quito, Ecuador. Int. J. Gynecol. Obstet ,43(1),84- 88.https://doi.org/10.1002/ijgo.12625.
-
Brazy-Nancy, E., Mattern, C.,&Rakotonandrasana, BI. (2023). A qualitative analysis of obstetric violence in rural Madagascar. Heliyon,9(3),13905.https://doi.org/10.1016/j.heliyon.2023.e13905.
-
Cárdenas, Castro, M., &Salinero, Rates, S. (2022). Violencia obstétrica en Chile: percepción de las mujeres y diferencias entre centros de salud [Obstetric violence in Chile: women's perceptions and differences among health centersViolência obstétrica no Chile: percepção das mulheres e diferenças entre os serviços de saúde]. Rev Panam Salud Publica,46:24.https://doi.org/10.26633/RPSP.2022.24.
-
Castro, R., Frías, S.M., 2020. Obstetric violence in Mexico: results from a 2016 national household survey. Violence Against Women 26 (6–7), 555–572. doi:10. 1177/1077801219836732.
-
Çetin, S. A., Ergün, G., & Işık, I. (2024). Obstetric violence in southwestern Turkey: Risk factors and its relationship to postpartum depression. Health care for women international, 45(2), 217-235.
-
Erdoğan, S., Nahçivan, N., &Esin, MN. (2015). Research Process, Practice and Critical in Nursing. 2nd ed. İstanbul: Nobel Medical Bookstores,17.
-
Faheem, A. (2021). The nature of obstetric violence and the organisational context of its manifestation in India: a systematic review. Sex Reprod Health Matters,29(2),2004634.https://doi.org/10.1080/26410397.2021.2004634.
-
Güneş, G.,& Karaçam, Z. (2018).Doğum sonudönemdeki kadınların vajinal muayene deneyimleri: nitel bir araştırma. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(2),87-95.
-
Keedle, H., Keedle, W.,& Dahlen, HG. (2022). Dehumanized, Violated, and Powerless: An Australian Survey of Women's Experiences of Obstetric Violence in the Past 5 Years. Violence Against Women, 30.https://doi.org/10.1177/10778012221140138.
-
Martínez-Galiano, JM., Martinez-Vazquez, S.,& Rodríguez-Almagro. (2021). The magnitude of the problem of obstetric violence and its associated factors: A cross-sectional study. Women Birth, 34(5), 526536.https://doi.org/10.1016/j.wombi.2020.10.002
-
Meyer, S., Cignacco, E., Monteverde, S., Trachsel, M., Raio, L., & Oelhafen, S. (2022). ‘We felt like part of a production system’: a qualitative study on women’s experiences of mistreatment during childbirth in Switzerland. Plos one, 17(2), e0264119.
-
Mihret, MS. (2019). Obstetric violence and its associated factors among postnatal women in a Specialized Comprehensive Hospital, Amhara Region, Northwest Ethiopia. BMC Res Notes, 12(1),600. https://doi.org/10.1186/s13104-019-4614-4.
-
Molla, W., Wudneh, A., &Tilahun, R. (2022). Obstetric violence and associated factors among women during facility based childbirth at Gedeo Zone, South Ethiopia. BMC Pregnancy Childbirth,14,22(1),565.https://doi.org/10.1186/s12884-022-04895-6.
-
Moridi, M., Pazandeh, F.,& Hajian, S. (2020).Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study. PloS One, 15(3),0229941.https://doi.org/10.1371/journal.pone.0229941.
-
Morris, T. (2023). “Screaming,‘No! No!’It was literally like being raped”: Connecting sexual assault trauma and coerced obstetric procedures." Social Problems,55-70.https://doi.org/10.1093/socpro/spab024
-
O’Brien, E., & Rich, M. (2022). Obstetric violence in historical perspective. The Lancet, 399(10342), 2183-2185
-
Perera, D., Munas, M.,&Swahnberg, K. (2022) On Behalf Of The Advance Study Group. Obstetric Violence Is Prevalent in Routine Maternity Care: A Cross-Sectional Study of Obstetric Violence and Its Associated Factors among Pregnant Women in Sri Lanka's Colombo District. Int J Environ Res PublicHealth,19(16),9997.https://doi.org/10.3390/ijerph19169997.
-
Perrotte, V., Chaudhary, A.,& Goodman, A. (2020) “At least your baby is healthy” obstetric violence or disrespect and abuse in childbirth occurrence worldwide: A literature review. Open Journal of Obstetrics and Gynecology,10,1544–1562.https://doi.org/10.4236/ojog.2020.10110139.
-
Sánchez, ODR., Tanaka, Zambrano, E.,& Dantas-Silva, A. (2022).Domestic violence: A cross-sectional study among pregnant and postpartum women. J Adv Nurs.https://doi.org/10.1111/jan.15375.
-
Shetty, RK., Samant, P.,&Honavar, PU. (2021). Obstetric violence: a health system study. International Journal of Reproduction Contraception, Obstetrics and Gynecology,10(4),1551-1561. https://doi.org/10.18203/23201770.ijrcog20211136.
-
Silva-Fernandez, CS., De la Calle, M.,& Arribas, SM. (2023). Factors Associated with Obstetric Violence Implicated in the Development of Postpartum Depression and Post-Traumatic Stress Disorder: A Systematic Review. Nurs Rep, 13(4),1553-1576.https://doi.org/10.3390/nursrep13040130.
-
Sharma, G., Penn-Kekana, L., Halder, K., & Filippi, V. (2019). An investigation into mistreatment of women during labour and childbirth in maternity care facilities in Uttar Pradesh, India: a mixed methods study. Reproductive health, 16, 1-16.
-
Topçu, E.,& Fiso, S. (2023). Spotlights of Turkish Foreigners - Motherhood in an Unknown Land: A Case Study in The Jezero Maternity Hospital. The Journal of World Women Studies, 8(2),265-275. https://doi.org/10.5281/zenodo.8431042.
-
Yalley, Abena, A., Dare, A., &Seth, Christopher, YA. (2023). "Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana." Frontiers In Public Health, 988961.https://doi.org/10.3389/fpubh.2023.988961.
-
Yalley, AA., Abioye, D.,& Appiah, SCY. (2023). Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana. Front Public Health,11,988961.https://doi.org/10.3389/fpubh.2023.988961.
-
Yıldırım, A., &Şimşek, H. (2016). Qualitative research methods in the social sciences. 8th ed. Ankara: Seçkin Publishing.
-
World Health Organization (WHO). The prevention and elimination of disrespect and abuse during facility-based childbirth. Geneva: (2015). Available from: http://apps.who.int/iris/bitstream/10665/134588/1/WHO_RHR_14.23_eng.pdf?ua=1&u a=1. (Erişimtarihi: 30.03.2024)
Wudneh, A., Cherinet, A., &Abebe, M. (2022).Obstetric violence and disability overlaps: obstetric violence during child birth among womens with disabilities: a qualitative study. BMC Womens Health,22(1),299.https://doi.org/10.1186/s12905-022-01883-y.
-
Van der Pijl, M. S., Hollander, M. H., Van der Linden, T., Verweij, R., Holten, L., Kingma, E., ... & Verhoeven, C. J. (2020). Left powerless: A qualitative social media content analysis of the Dutch# breakthesilence campaign on negative and traumatic experiences of labour and birth. PloS one, 15(5), e0233114.