Obstetric violence experiences of women: A systematic review

Öz

Aim: The aim of this study is to evaluate the results of the study examining the experiences of women regarding obstetric violence. Method: The literature search was carried out in “Pubmed, Scopus, Medline” databases between 01-27 October 2019, using the keyword “obstetric violence” 15 studies were included in the scope of the study in line with the inclusion criteria. Results: Results obtained as a result of systematic review has been grouped under eightheadings; the prevalence of obstetric violence, awareness of obstetric violence, non-consented care, non-dignified care, physical abuse, neglected care, non-confidential care, discrimination. It was found that the prevalence of obstetric violence ranged from 12 to 75% and that women did not have knowledge and awareness of obstetric violence. It was determined 17.1-63.6% of women did not give their consent for care, 19.3-55.3% of them were exposed to condescending and insulting words of health personnel, 13.4-46.9% of them were slapped, hitting, etc. were found to have been subjected to such ill-treatment. It was reported that 8.5-10.6% of the women were neglected in their care, and 3-9.3% of them faced negative discrimination while receiving care. Conclusion: In the birth process, which is one of the most special periods of women’s life, the concept of obtstetric violence that women are exposed to should be defined and all health professionals should fight against this violence in a common movement.

Anahtar Kelimeler

• Pregnancy
• childbirth
• obstetric
• violence

Kadınların obstetrik şiddet deneyimleri: Sistematik derleme

Öz

Amaç: Bu çalışmanın amacı kadınların maruz kaldıkları obstetrik şiddete ilişkin deneyimlerini inceleyen çalışma sonuçlarını değerlendirmektir. Yöntem: Literatür taraması “Pubmed, Scopus, Medline” veri tabanlarında 01-27 Ekim 2019 tarihleri arasında, “obstetric violence” anahtar kelimesi kullanılarak gerçekleştirildi Dahil etme kriterleri doğrultusunda araştırma kapsamına 15 çalışma alındı. Bulgular: Sistematik derleme sonucunda elde edilen bulgular; obstetrik şiddet prevalansı, obstetrik şiddete ilişkin farkındalık, rızasız bakım, onursuz bakım, fiziksel taciz, ihmal edilmiş bakım, mahremiyetsiz bakım, ayrımcılık içeren bakım olmak üzere sekiz başlık altında toplanmıştır. Obstetrik şiddet prevalansının %12-75 arasında değiştiği, kadınların obstetrik şiddete ilişkin bilgi sahibi ve farkındalığının olmadıkları belirlenmiştir. Kadınların %17.1-63.6’sının bakıma ilişkin rızalarının alınmadığını, %19.3-55.3’ünün sağlık personelinin küçümseyici, hakaret içerikli sözlerine maruz kaldığı, %13.4-46.9’unun sağlık personelinin tokat, vurma gibi kötü muamelelerine maruz kaldığı belirlenmiştir. Kadınların %8.5-10.6’sının bakımlarının ihmal edildiği, %3-9.3’ünün bakım alırken negatif ayrımcılığa uğradığı bildirilmiştir. Sonuç: Kadın yaşamının en özel dönemlerinden olan doğum sürecinde kadınların maruz kaldıkları obstetrik şiddet kavramı tanımlanmalı, bu şiddete karşı tüm sağlık profesyonelleri ortak bir hareketle mücadele etmelidirler.

Anahtar Kelimeler

• Gebelik
• doğum
• obstetrik
• şiddet

Kaynakça

1. 1. Gray T, Mohan S, Lindow S, Farrell T. Obstetric violence: Clinical staff perceptions from a video of simulated practice. Eur J Obstet Gynecol Reprod Biol. 2019; X:1,100007.
2. 2. The World Health Organization. WHO. The prevention and elimination of disrespect and abuse during facility-based childbirth. WHO statement: Every woman has the right to the highest attainable standard of health, which includes the right to dignified, respectful health care. Published 2015.
3. 3. Jardim DMB, Modena CM. Obstetric violence in the daily routine of care and its characteristics. Rev. LatinoAm. Enfermagem 2018; 26: e 3069.
4. 4. Lappeman M, Swartz L. Rethinking obstetric violence and the “neglect of neglect”: the silence of a labour ward milieu in a South African district hospital. BMC Int Health Hum Rights 2019; 19(1): 1-11.
5. 5. Bowser D, Hill K. Exploring evidence for disrespect and abuse in facility-based childbirth. Boston: USAID-TRAction Project, Harvard School of Public Health. Report of a Landscape Analysis 2010.
6. 6. 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. Gynecol. Obstet 2019. doi:10.1002/ijgo.13075
7. 7. Lansky S, Souza KVD, Peixoto ERDM, Oliveira BJ, Diniz, CSG, Vieira NF. et al. Obstetric violence: Influences of the Senses of Birth exhibition in pregnant women childbirth experience. Ciencia & Saude Coletiva 2019; 24: 2811-2824.
8. 8. Brandão T, Cañadas S, Galvis A, de los Ríos MM, Meijer M, Falcon, K. Childbirth experiences related to obstetric violence in public health units in Quito, Ecuador. Int. J. Gynecol. Obstet 2018; 143(1); 84-88.

9. 9. Mihret MS. Obstetric violence and its associated factors among postnatal women in a Specialized Comprehensive Hospital, Amhara Region, Northwest Ethiopia. BMC Research Notes 2019; 12(1): 600.
10. 10. Castro R, Frías SM. Obstetric violence in Mexico: Results from a 2016 National Household Survey. Violence Against Women 2019; 1-18.
11. 11. Goli S, Ganguly D, Chakravorty S, Siddiqui MZ, Ram H, Rammohan, A, Acharya, S. S. Labour room violence in Uttar Pradesh, India: Evidence from longitudinal study of pregnancy and childbirth. BMJ Open 2019; 9: e028688.
12. 12. Bhattacharya S, Ravindran TS. Silent voices: Institutional disrespect and abuse during delivery among women of Varanasi district, Northern India. BMC Pregnancy and Childbirth 2018; 18(1): 338.
13. 13. Santiago RV, Monreal LA, Carmona AR, Domínguez MS. “If we’re here, it’s only because we have no money…” discrimination and violence in Mexican maternity wards. BMC Pregnancy and Childbirth 2018; 18(1): 244.
14. 14. Flores YYR, Ledezma AGM, Ibarra LEH, Acevedo CEG. Social construction of obstetric violence of Tenek and Nahuatl women in Mexico. Revista da Escola de Enfermagem da US. 2019; 53: e03464-e03464.
15. 15. Perera D, Lund R, Swahnberg K, Schei B, Infanti JJ. ‘When helpers hurt’: women’s and midwives’ stories of obstetric violence in state health institutions, Colombo district, Sri Lanka. BMC Pregnancy and Childbirth 2018; 18(1): 211.
16. 16. Begley C, Sedlicka N, Daly, D. Respectful and disrespectful care in the Czech Republic: an online survey. Reprod. Health 2018; 15(1): 198.
17. 17. Castro A, Savage V. Obstetric violence as reproductive governance in the Dominican Republic. Medical Anthropology 2019; 38(2): 123-136.
18. 18. Carvalho IS, Santana-Brito R. Forms of obstetric violence experienced by mothers who had normal birth. Enfermería Global 2017; 16(3): 89-97.
19. 19. Oliveira VJ, Penna CMDM. (2017). Discussing obstetric violence through the voices of women and health professionals. Texto & Contexto-Enfermagem 2017; 26(2): e06500015.
20. 20. Chattopadhyay S, Mishra A, Jacob S. ‘Safe’, yet violent? Women’s experiences with obstetric violence during hospital births in rural Northeast India. Cult. Health Sex 2018; 20(7): 815-829.
21. 21. Anunciação PSD, Lamy ZC, Pereira MUL, Madeira HGR, Loyola, CD, Gonçalves, L. LM, Lamy-Filho F. “A tragedy after giving birth”: stories of women who have lost newborn children. Cad Saude Publıca 2018; 34(12): e00190517.
22. 22. Chadwick, RJ. Obstetric violence in South Africa. SAMJ 2016; 106(5): 423-424.
23. 23. 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 Obstet Gynecol Scand 2015; 94(5): 508-517.
24. 24. Vedam S, Stoll K, Taiwo TK, Rubashkin N, Cheyney M, Strauss N, et al. The Giving Voice to Mothers study: Inequity and mistreatment during pregnancy and childbirth in the United States. Reprod Health 2019; 16(1): 77.
25. 25. 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. Reprod Health 2017; 14(1): 127.
26. 26. Oluoch-Aridi J, Smith-Oka V, Milan E, Dowd R. Exploring mistreatment of women during childbirth in a peri-urban setting in Kenya: Experiences and perceptions of women and healthcare providers. Reprod Health 2018: 15(1); 209.
27. 27. Maya E, Adu-Bonsaffoh K, Dako-Gyeke P, et al. Women’s perspectives of mistreatment during childbirth at health facilities in Ghana: findings from a qualitative study. Reprod Health Matters 2018; 26(53): 70-87.
28. 28. Karaçam Z, Akyüz EÖ, Karaçam Z, Akyüz E. Doğum eyleminde verilen destekleyici bakım ve ebe/hemşirenin rolü. Florence Nightingale Hemşirelik Dergisi 2011; 19(1): 45-53.
29. 29. Güneş G, Karaçam, Z. Doğum sonu dönemdeki kadınların vajinal muayene deneyimleri: nitel bir araştırma. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi 2018; 11(2): 87-95.
30. 30. Ağ SDS, Kömürcü N. Doğumda mahremiyet. Turkiye Klinikleri Obstetric-Women's Health and Diseases Nursing-Special Topics 2015; 1(3): 15-1.