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探讨导致巴勒斯坦西岸女性在分娩期间受到虐待的因素。

Exploring factors contributing to mistreatment of women during childbirth in West Bank, Palestine.

机构信息

Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia; Faculty of Health Professions, Al-Quds University, Jerusalem, Palestine.

Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.

出版信息

Women Birth. 2021 Jul;34(4):344-351. doi: 10.1016/j.wombi.2020.07.004. Epub 2020 Jul 16.

DOI:10.1016/j.wombi.2020.07.004
PMID:32684342
Abstract

BACKGROUND

Respectful care during childbirth is a universal right for each woman in every health system, and mistreatment of women during childbirth is a major breach of this right.

AIM

This study aimed to explore the views of Palestinian women and healthcare providers regarding factors contributing to the mistreatment of women during childbirth at childbirth facilities in the West Bank, Palestine.

METHODS

A qualitative study was conducted in the West Bank, Palestine, from February 2019 to April 2019. In-depth interviews were conducted with six Palestinian women and five healthcare providers. Consent was obtained individually from each participant, and the interviews ranged from 40 to 50min. Data collection was continued until thematic saturation was reached. Open-ended questions were asked during interviews. Thematic analysis was used to interpret the data collected from the interviews.

RESULTS

Four themes were identified with regards to the women and healthcare providers' views about factors contributing to the mistreatment of women during childbirth in the West Bank, Palestine: limitation in childbirth facilities, factors within the healthcare providers, the women themselves, and barriers within the community.

DISCUSSION

Mistreatment of women during childbirth may occur due to the limitations of resources and staff in childbirth facilities. Some women also justified the mistreatment, and certain characteristics of the women were believed to be the factors for mistreatment.

CONCLUSION

As the first known study of its kind in West Bank, the identified contributing factors especially the limitations of resources and staff are essential to provide good quality and respectful care at childbirth facilities.

摘要

背景

分娩时的尊重性照护是每个妇女在每个卫生系统中都享有的一项普遍权利,而在分娩过程中虐待妇女则严重侵犯了这项权利。

目的

本研究旨在探讨巴勒斯坦妇女和医疗保健提供者对造成西岸巴勒斯坦分娩机构中妇女在分娩时受到虐待的因素的看法。

方法

2019 年 2 月至 4 月在西岸巴勒斯坦进行了一项定性研究。对 6 名巴勒斯坦妇女和 5 名医疗保健提供者进行了深入访谈。从每位参与者处单独获得同意,访谈时间从 40 分钟到 50 分钟不等。继续收集数据,直到达到主题饱和。访谈中提出了开放式问题。使用主题分析来解释从访谈中收集的数据。

结果

在西岸,巴勒斯坦妇女和医疗保健提供者对造成分娩时虐待妇女的因素有以下看法:分娩设施的限制、医疗保健提供者内部的因素、妇女自身以及社区内的障碍。

讨论

由于分娩设施资源和人员的限制,可能会发生对妇女的虐待。一些妇女也为虐待行为辩护,并且一些妇女的特征被认为是虐待的原因。

结论

作为西岸首例此类研究,确定的促成因素,特别是资源和人员的限制,对于在分娩机构提供优质和尊重性的护理至关重要。

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