Moving toward addressing obstetrics violence

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 426

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شناسه ملی سند علمی:

PNMED07_158

تاریخ نمایه سازی: 18 تیر 1398

چکیده مقاله:

Introduction: Birth is a critical process in the life of a woman and is influenced by the sociocultural context, human rights ethics and community engagement. Although significant progress has been made globally in maternal and neonatal health (MNH) care, the new phenomena as obstetric violence emerge in this domain. Currently, various studies emphasizing the importance of underlying professional ethics and psycho-socio-cultural aspects of feto maternal health as essential elements of care.Method, data collection was done by integrative review in the Web of Science, , Scopus, MEDLINE, and virtual library with articles of the last ten years in English, obtaining 23 selected articles . Search terms used included, childbirth care, obstetric violence, humanization, and disrespectful and respectful care . Results: While the underlying factors contributing to obstetrics violence and abusive maternity care, as described by survey findings, the following categories have been identified:1) policy included lack of regulations and legal frameworks for health rights; failure to enforce existing laws or to apply policy or laws ignorance of the existing laws related to pregnancy, labor, and delivery care; norms that exclude fathers, family members, friends, traditional birth attendants (TBAs), and doulas from the labor and birth process.2) Facility infrastructure and physical resources included: Lack of adequate infrastructure (physical space and environment), Poor facility conditions including extreme overcrowding with poor sanitation. 3) Human resources included inadequate staffing and resources, and little reward leading to high stress and frustration among skilled birth attendants (SBAs), Acute shortages of health, The thoughts and ideas of the medical hierarchy predominate over the thoughts of other care providers, Poor communication among medical professionals, with resistance to dialogue and change 4) Knowledge and practice of health care providers included: Authoritarian culture in health services with socialization of health care providers into a hierarchical system of care; denigration of midwives by obstetricians, Professional resistance to changing practice routines based on evidenceworkers , Attention focused on specific clinical issues without regard to a woman’s beliefs orculture or an understanding of the emotional and physical needs of women and babies. Conclusion Despite research and policy-making to address these problems, eliminating violence towards women during childbirth should be analyzed as a consequence of human rights protection. Ensuring respectful care may contribute to maternal positive experience of child birth and improving health care provider job satisfaction.

کلیدواژه ها:

obstetric violence- respectful care-maternal health

نویسندگان

Fatemeh Rahmanian

Assistant professor, department of midwifery, school of nursing and midwifery, shiraz university of medical science, Shiraz, Iran

Zahra Rajaei

Senior lecturer- department of midwifery, school of nursing and midwifery, shiraz university of medical science, Shiraz, Iran