Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK; University of Sheffield, Sheffield, UK.
Sidra Medicine, Doha, Qatar; Weill Cornell Medicine, Doha, Qatar.
Eur J Obstet Gynecol Reprod Biol. 2021 Jun;261:98-102. doi: 10.1016/j.ejogrb.2021.04.013. Epub 2021 Apr 15.
OBJECTIVE(S): Obstetric Violence refers to professional deficiencies in maternity care, which can occur in both low and high resource settings. Examples include non-dignified care, lack of respect when giving care, discrimination and abandonment of care. The objective of this study was to assess knowledge and attitudes towards obstetric violence in a cohort of medical students in India and the UK.
An online survey was sent to 240 UK and 280 Indian medical students. This incorporated a video showing a dramatized scenario of obstetric violence. The survey assessed participant's demographics and prior knowledge of obstetric violence. Participants scored their perceptions of eight behaviours in the video on visual analogue scales. Participants were asked to reflect on their own practice and score this. Comparisons of survey responses between UK and Indian participants were made using chi squared/Student's t-test.
62 Indian medical students and 58 UK medical students completed the survey. Indian medical students were significantly more likely to be male (p < 0.001). 26 % of UK participants had previously heard the term obstetric violence, compared to 34 % of Indian participants (p = 0.15). Both were able to correctly define obstetric violence at similar rates (32 % versus 34 %). Indian medical students were significantly less critical (p < 0.001) of all eight scored behaviours in the video of obstetric violence compared to their UK counterparts. UK medical students were significantly less likely to agree that the video had changed their perception on how teams should behave and act in this context (p < 0.001). 90 % of UK participants and 38 % of Indian participants had received training in professional behaviours. 14 % of UK participants had seen examples of obstetric violence in clinical practice compared to 49 % of Indian participants.
UK and Indian medical students were able to identify behaviours associated with obstetric violence, although the majority were previously unaware of the term. Indian medical students in this study were less critical of obstetric violence in the video, which may be because of cultural reasons, greater numbers of male students, greater exposure to obstetric violence or less training on professional behaviours. Standardised training to prevent obstetric violence should be part of undergraduate medical training internationally.
产科暴力是指产科护理中的专业缺陷，这种情况可能发生在资源高低不同的环境中。例如，不尊重的护理、护理时缺乏尊重、歧视和放弃护理。本研究的目的是评估印度和英国医学生群体对产科暴力的知识和态度。
向 240 名英国医学生和 280 名印度医学生发送了在线调查。其中包括一段视频，视频中展示了产科暴力的戏剧化场景。该调查评估了参与者的人口统计学特征和对产科暴力的先前了解。参与者在视觉模拟量表上对视频中的八项行为进行评分。参与者被要求反思自己的实践并进行评分。使用卡方/学生 t 检验比较英国和印度参与者的调查结果。
62 名印度医学生和 58 名英国医学生完成了调查。印度医学生中男性明显更多（p<0.001）。26%的英国参与者之前听说过产科暴力一词，而 34%的印度参与者听说过（p=0.15）。两国对产科暴力的正确定义率相似（32%对 34%）。与英国医学生相比，印度医学生对产科暴力视频中的八项评分行为的批评明显较少（p<0.001）。英国医学生在多大程度上不同意视频改变了他们对团队在这种情况下的行为和行动的看法的可能性明显较小（p<0.001）。90%的英国参与者和 38%的印度参与者接受过专业行为培训。14%的英国参与者在临床实践中见过产科暴力的例子，而 49%的印度参与者见过。
英国和印度医学生能够识别与产科暴力相关的行为，尽管大多数人以前不知道这个词。在这项研究中，印度医学生对视频中的产科暴力批评较少，这可能是因为文化原因、更多的男学生、更多地接触产科暴力或在专业行为方面的培训较少。在国际上，预防产科暴力的标准化培训应成为本科医学培训的一部分。
