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在各地努力实现尊重孕产妇的护理。

Striving for Respectful Maternity Care Everywhere.

作者信息

Molina Rose L, Patel Suha J, Scott Jennifer, Schantz-Dunn Julianna, Nour Nawal M

机构信息

Division of Women's Health, Brigham and Women's Hospital, 1620 Tremont St, OBC-34, Boston, MA, 02120, USA.

Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.

出版信息

Matern Child Health J. 2016 Sep;20(9):1769-73. doi: 10.1007/s10995-016-2004-2.

DOI:10.1007/s10995-016-2004-2
PMID:27095032
Abstract

Purpose The mistreatment of women during childbirth in health facilities is a growing area of research and public attention. Description In many countries, disrespect and abuse from maternal health providers discourage women from seeking childbirth with a skilled birth attendant, which can lead to poor maternal and neonatal outcomes. This commentary highlights examples from three countries-Kenya, Mexico and the United States-and presents different forms of mistreatment during childbirth, which range from physical abuse to non-consented care to discriminatory practices. Assessment Building on the momentum from the United Nations Sustainable Development Goals, the International Federation of Gynecology and Obstetrics, and the Global and Maternal Neonatal Health Conference, the global community has placed respectful maternity care at the forefront of the maternal and neonatal health agenda. Conclusion Research efforts must focus on context-specific patient satisfaction during childbirth to identify areas for quality improvement.

摘要

目的

医疗机构中分娩期间对妇女的虐待是一个日益受到研究和公众关注的领域。

描述

在许多国家,孕产妇保健提供者的不尊重和虐待使妇女不愿寻求熟练接生员接生,这可能导致不良的孕产妇和新生儿结局。本评论突出了来自肯尼亚、墨西哥和美国这三个国家的例子,并呈现了分娩期间不同形式的虐待,从身体虐待到未经同意的护理再到歧视性做法。

评估

基于联合国可持续发展目标、国际妇产科联合会以及全球和孕产妇新生儿健康会议的势头,全球社会已将尊重产妇护理置于孕产妇和新生儿健康议程的前沿。

结论

研究工作必须专注于分娩期间特定背景下的患者满意度,以确定质量改进的领域。

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本文引用的文献

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Promoting respect and preventing mistreatment during childbirth.在分娩过程中促进尊重并防止虐待。
BJOG. 2016 Apr;123(5):671-4. doi: 10.1111/1471-0528.13750. Epub 2015 Dec 1.
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The global epidemic of abuse and disrespect during childbirth: History, evidence, interventions, and FIGO's mother-baby friendly birthing facilities initiative.分娩期间虐待与不尊重行为的全球流行:历史、证据、干预措施以及国际妇产科联盟的母婴友好型分娩设施倡议
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产房中的虐待和侮辱:加纳产科暴力的流行情况及其相关因素。
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Promoting respectful maternity care: challenges and prospects from the perspectives of midwives at a tertiary health facility in Ghana.促进尊重产妇护理:加纳一家三级保健机构助产士的观点中的挑战与展望。
BMC Pregnancy Childbirth. 2022 May 31;22(1):451. doi: 10.1186/s12884-022-04786-w.
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Determining a Trusting Environment for Maternity Care: A Framework Based on Perspectives of Women, Communities, Service Providers, and Managers in Peri-Urban Kenya.确定孕产妇保健的信任环境:基于肯尼亚城郊地区妇女、社区、服务提供者和管理人员观点的框架
Front Glob Womens Health. 2022 Apr 21;3:818062. doi: 10.3389/fgwh.2022.818062. eCollection 2022.
6
Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia.埃塞俄比亚南沃洛省博雷纳地区公立卫生机构产妇在分娩过程中受到不尊重和虐待的程度及相关因素。
PLoS One. 2021 Nov 18;16(11):e0256951. doi: 10.1371/journal.pone.0256951. eCollection 2021.
多成分干预对肯尼亚分娩期间的不尊重和虐待行为的影响。
BMC Pregnancy Childbirth. 2015 Sep 22;15:224. doi: 10.1186/s12884-015-0645-6.
4
Microaggressions and the reproduction of social inequalities in medical encounters in Mexico.墨西哥医疗遭遇中的微侵犯与社会不平等的再现
Soc Sci Med. 2015 Oct;143:9-16. doi: 10.1016/j.socscimed.2015.08.039. Epub 2015 Aug 28.
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Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review.孕产妇保健提供者与服务对象互动中的态度和行为:一项系统综述
Global Health. 2015 Aug 15;11:36. doi: 10.1186/s12992-015-0117-9.
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The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review.全球医疗机构中分娩期间对妇女的虐待:一项混合方法的系统评价。
PLoS Med. 2015 Jun 30;12(6):e1001847; discussion e1001847. doi: 10.1371/journal.pmed.1001847. eCollection 2015 Jun.
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A NICE delivery--the cross-Atlantic divide over treatment intensity in childbirth.一次美妙的分娩——关于分娩治疗强度的跨大西洋分歧。
N Engl J Med. 2015 Jun 4;372(23):2181-3. doi: 10.1056/NEJMp1501461.
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Bull World Health Organ. 2014 Dec 1;92(12):915-7. doi: 10.2471/BLT.14.137869. Epub 2014 Oct 6.
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Obstetrics in a Time of Violence: Mexican Midwives Critique Routine Hospital Practices.暴力时期的产科:墨西哥助产士对医院常规做法的批判
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