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基于生育暴力的负面健康后果:伊朗妇女的定性研究。

Childbirth violence-based negative health consequences: a qualitative study in Iranian women.

机构信息

Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, IR, Iran.

出版信息

BMC Pregnancy Childbirth. 2021 Aug 19;21(1):572. doi: 10.1186/s12884-021-03986-0.

Abstract

BACKGROUND

Violation of mothers' rights during childbirth is a global problem that often silently torments women in many parts of the world. The aim of this study was to explore negative health consequences due to childbirth violence based on mothers' perceptions and experiences.

METHODS

To achieve rich data, an exploratory qualitative study was carried out in 2019 on 26 women with childbirth violence experience who had given birth in hospitals of Ilam, Iran. Data were collected using semi‑structure in‑depth interviews (IDIs) and a purposive sampling. Participants were asked about their experiences and perceptions of negative health consequences due to childbirth violence. Data were analyzed by conventional content analysis based on Graneheim and Lundman approach. MAXQDA (v.18) software was used for better data management.

RESULTS

Final codes were classified into 9 sub-categories and 3 main categories including maternal and newborn injuries, weakening of family ties, sense of distrust and hatred. These findings emerged the theme: negative health consequences.

CONCLUSIONS

This study broke the silence of abused mothers during childbirth and expressed the perspective of mothers who suffered childbirth violence as a routine phenomenon in maternal care, and a serious threat to the health of mothers, newborns and families. Findings of this study can be a warning for maternity health system, monitoring and support structures as well as health policy-makers to seriously plan to prevent and eliminate this problem.

摘要

背景

分娩期间侵犯产妇权利是一个全球性问题,在世界许多地方常常无声地折磨着妇女。本研究旨在根据产妇的认知和经验,探讨分娩暴力导致的负面健康后果。

方法

为了获得丰富的数据,2019 年在伊朗伊拉姆的医院对 26 名有分娩暴力经历的妇女进行了一项探索性定性研究。使用半结构式深入访谈(IDIs)和目的抽样收集数据。受访者被问及她们对分娩暴力导致的负面健康后果的认知和体验。根据 Graneheim 和 Lundman 的方法,采用常规内容分析法对数据进行分析。MAXQDA(v.18)软件用于更好地管理数据。

结果

最终的编码分为 9 个子类别和 3 个主要类别,包括母婴受伤、家庭关系减弱、不信任和仇恨感。这些发现形成了一个主题:负面健康后果。

结论

本研究打破了分娩期间受虐待母亲的沉默,表达了遭受分娩暴力的母亲的观点,认为这是产妇护理中的一种常规现象,也是母亲、新生儿和家庭健康的严重威胁。本研究的结果可以为产妇健康系统、监测和支持结构以及卫生政策制定者敲响警钟,促使他们认真计划预防和消除这一问题。

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