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dc.contributor.author
Correa, Malena
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dc.contributor.author
Klein, Karen
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dc.contributor.author
Vasquez, Paula
dc.contributor.author
Williams, Caitlin R.
dc.contributor.author
Gibbons, Luz
dc.contributor.author
Cormick, Gabriela
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dc.contributor.author
Belizan, María
dc.date.available
2022-10-31T10:35:00Z
dc.date.issued
2021-09
dc.identifier.citation
Correa, Malena; Klein, Karen; Vasquez, Paula; Williams, Caitlin R.; Gibbons, Luz; et al.; Observations and reports of incidents of how birthing persons are treated during childbirth in two public facilities in Argentina; Wiley; International Journal of Gynecology Obstetrics; 158; 1; 9-2021; 35-43
dc.identifier.issn
0020-7292
dc.identifier.uri
http://hdl.handle.net/11336/175518
dc.description.abstract
Objective: This study sought to estimate the frequency and types of mistreatment during childbirth and explore health professionals’ opinions on barriers/facilitators to providing respectful childbirth care. Methods: This prospective mixed-methods investigation consisted of direct observations of childbirth (n = 250), at-home surveys with birthing individuals (n = 45), and qualitative in-depth health staff interviews (n = 6), conducted between January and July 2019, in two public facilities in Argentina. Frequencies of clinical practices and mistreatment and 5% confidence intervals were calculated. A logistic regression analysis was also conducted to examine associations between mistreatment and covariates of interest, with P < 0.05 considered statistically significant. Results: Overall, 61/250 (24.4%, confidence interval 19.6%–30.6%) observations recorded instances of mistreatment; 20/45 surveyed participants (44.4%) reported at least one episode of mistreatment. The most frequent perpetrators were physicians (35.6%), birth companions (24.4%), midwives (22.2%), and nurses (13.3%). Participants with lower educational attainment and those racialized as non-white had higher odds of being mistreated. Health providers reported that respectful childbirth is currently widely implemented due to authorities’ and communities’ awareness on respectful birth´s rights. Conclusion: Almost a quarter of birthing people were observed to suffer mistreatment – primarily verbal abuse – and 44.4% of surveyed individuals reported mistreatment. Future research is needed to determine how to ensure the provision of respectful childbirth care for all. A quarter of participants experienced mistreatment; mostly those with lower educational attainment and/or racialized as non-white. Further research on implementation of respectful childbirth is warranted.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Wiley
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dc.rights
info:eu-repo/semantics/restrictedAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
BIRTH RIGHTS
dc.subject
GENDER VIOLENCE
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HUMANIZED CHILDBIRTH
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MISTREATMENT
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OBSTETRIC VIOLENCE
dc.subject
REPRODUCTIVE HEALTH
dc.subject.classification
Epidemiología
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dc.subject.classification
Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Observations and reports of incidents of how birthing persons are treated during childbirth in two public facilities in Argentina
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2022-09-29T13:47:34Z
dc.journal.volume
158
dc.journal.number
1
dc.journal.pagination
35-43
dc.journal.pais
Irlanda
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dc.description.fil
Fil: Correa, Malena. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Klein, Karen. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Vasquez, Paula. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Williams, Caitlin R.. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.description.fil
Fil: Belizan, María. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.journal.title
International Journal of Gynecology Obstetrics
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1002/ijgo.13938
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1002/ijgo.13938
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