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“如果能独自应对,我就会待在家里”:埃塞俄比亚一位母亲在医疗机构分娩时被医护人员遗弃的案例研究

"I Would Have Stayed Home if I Could Manage It Alone": A Case Study of Ethiopian Mother Abandoned by Care Providers During Facility-Based Childbirth.

作者信息

Mehretie Adinew Yohannes, Kelly Janet, Marshall Amy, Hall Helen

机构信息

College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia.

Adelaide Nursing School, The University of Adelaide, Adelaide, Australia.

出版信息

Int J Womens Health. 2021 May 24;13:501-507. doi: 10.2147/IJWH.S302208. eCollection 2021.

DOI:10.2147/IJWH.S302208
PMID:34079387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8163623/
Abstract

BACKGROUND

Every woman is entitled to respectful care during pregnancy and childbirth as a basic human right. However, not all women are being treated equally well.

CASE PRESENTATION

This case study highlights some of the common disrespectful practices that women face. This is a testimony of a 28-year-old mother of two, narrated in her own words. The data were collected during an in-depth interview in November 2019. The interview was conducted in her house and her name has been changed to protect her identity. The interview was audio-taped using a digital voice recorder, later transcribed, and translated verbatim from the local language - Amharic, to English.

CONCLUSION

This woman's story highlights the unfortunate reality for some women. Five themes emerged from her narrative: denial of care: the provider left her unattended at a critical moment and denied her the care that she came for; non-consented care: she did not consent to the episiotomy; non-dignified care: she was carried by her arms and legs to the delivery couch, and left naked and bleeding on the couch after birth; taking a sick baby home without medical assistance: she was forced to leave the hospital even though her child had breathing difficulties and was not able to suck or breastfeed; and loss of trust in care providers: for her second birth this woman went to a facility where a relative works, as she no longer trusted these providers.

摘要

背景

每位女性在怀孕和分娩期间都有权获得尊重性护理,这是一项基本人权。然而,并非所有女性都能得到同等良好的对待。

病例介绍

本案例研究突出了女性所面临的一些常见的不尊重行为。这是一位育有两个孩子的28岁母亲的自述。数据于2019年11月的一次深入访谈中收集。访谈在她家中进行,为保护其身份,她的名字已被更改。访谈使用数字录音机进行了录音,随后进行了转录,并逐字从当地语言——阿姆哈拉语翻译成英语。

结论

这位女性的故事凸显了一些女性所面临的不幸现实。从她的叙述中出现了五个主题:护理被拒绝:医护人员在关键时刻让她无人照料,拒绝给予她前来寻求的护理;未经同意的护理:她不同意进行会阴切开术;不尊重尊严的护理:她被人四肢朝天地抬到产床上,产后赤身裸体、流血不止地留在产床上;在没有医疗帮助的情况下带患病婴儿回家:尽管她的孩子呼吸困难,无法吸吮或进行母乳喂养,她还是被迫离开医院;以及对医护人员失去信任:因为第二次分娩,这位女性去了一位亲戚工作的医疗机构,因为她不再信任这些医护人员。

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How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys.在四个国家中,医疗机构分娩期间女性的待遇:一项带有分娩观察和社区调查的横断面研究。
Lancet. 2019 Nov 9;394(10210):1750-1763. doi: 10.1016/S0140-6736(19)31992-0. Epub 2019 Oct 8.
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Service providers' experiences of disrespectful and abusive behavior towards women during facility based childbirth in Addis Ababa, Ethiopia.服务提供者在埃塞俄比亚亚的斯亚贝巴的医疗机构分娩过程中经历的针对妇女的不尊重和虐待行为。
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Methods used in prevalence studies of disrespect and abuse during facility based childbirth: lessons learned.基于医疗机构分娩的不尊重和虐待发生率研究中使用的方法:经验教训。
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