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以色列医疗体系中产科暴力和结构性障碍对阿拉伯和犹太裔女性妊娠和分娩体验的影响。

The Experience of Pregnancy and Childbirth Overshadowed by Obstetric Violence and Structural Barriers of the Israeli Health System from the Perspective of Arab and Jewish Women.

机构信息

Department of Social Worker, Ruppin Academic Center, Emeq Hefer, Israel.

Department of Nursing Sciences, Ruppin Academic Center, Emeq Hefer, Israel.

出版信息

Qual Health Res. 2023 Jun;33(7):647-659. doi: 10.1177/10497323231173814. Epub 2023 May 3.

DOI:10.1177/10497323231173814
PMID:37137486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10259084/
Abstract

The aim of this study was to give a voice to Arab and Jewish women in Israel who had suffered obstetric violence during various stages of fertility treatments, pregnancy, and childbirth and also to learn from the women about their experiences of obstetric violence subject to the barriers of the Israeli health system, and their recommendations of possible solutions. The study underlines the unique gender, social, and cultural context in Israel concerning pregnancy and childbirth, and was based on the feminist approach that strives to promote human rights, and eradicate phenomena of gender-related, patriarchal, and social structures. The study used a qualitative-constructivist methodology. Twenty semi-structured interviews with ten Arab women and ten Jewish women were thematically analyzed, and five main themes emerged: first, the women's experience of becoming pregnant and pregnancy overshadowed by physical and emotional barriers from caregivers and the close environment; second, the women's awareness of their bodies and needs during pregnancy dominated by the challenges of the health services; third, the women's awareness of their bodies and needs during childbirth alongside incompatible expectations and nonattentive medical staff; fourth, the women's descriptions of experiences and types of obstetric violence; and fifth, the women's recommendations to eradicate obstetric violence.

摘要

本研究旨在为在生育治疗、怀孕和分娩的各个阶段遭受产科暴力的以色列阿拉伯和犹太妇女发声,并从妇女那里了解到她们在以色列卫生系统障碍下的产科暴力经历,以及她们对可能的解决方案的建议。该研究强调了以色列在怀孕和分娩方面独特的性别、社会和文化背景,并基于女权主义方法,该方法旨在促进人权,消除与性别相关的、父权制和社会结构的现象。该研究采用了定性建构主义方法。对十名阿拉伯妇女和十名犹太妇女进行了二十次半结构化访谈,并进行了主题分析,出现了五个主要主题:第一,妇女在怀孕和怀孕过程中经历的身体和情感障碍来自护理人员和亲密环境;第二,妇女在怀孕过程中对身体和需求的认识受到卫生服务挑战的主导;第三,妇女在分娩过程中对身体和需求的认识伴随着不兼容的期望和不关注的医务人员;第四,妇女对产科暴力的经历和类型的描述;第五,妇女消除产科暴力的建议。

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J Adv Nurs. 2022 Aug;78(8):2608-2621. doi: 10.1111/jan.15225. Epub 2022 Mar 17.
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Obstetric violence a qualitative interview study.产科暴力:一项定性访谈研究。
Midwifery. 2022 Feb;105:103212. doi: 10.1016/j.midw.2021.103212. Epub 2021 Nov 27.
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'The System is Not Set up for the Benefit of Women': Women's Experiences of Decision-Making During Pregnancy and Birth in Ireland.“这个体系不是为了女性的利益而设立的”:爱尔兰女性在怀孕和分娩期间的决策体验。
Qual Health Res. 2022 Jan;32(2):330-344. doi: 10.1177/10497323211055461. Epub 2021 Dec 1.
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The Dangers of Minimizing Obstetric Violence.《轻视产科暴力的危害》
Violence Against Women. 2023 Jul;29(9):1899-1908. doi: 10.1177/10778012211037379. Epub 2021 Nov 9.
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Humanized childbirth: the values of health professionals in daily obstetric care.人性化分娩:日常产科护理中卫生专业人员的价值观。
Rev Bras Enferm. 2021 Oct 18;75(2):e20210052. doi: 10.1590/0034-7167-2021-0052. eCollection 2021.
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The magnitude of the problem of obstetric violence and its associated factors: A cross-sectional study.产科暴力问题及其相关因素的严重程度:一项横断面研究。
Women Birth. 2021 Sep;34(5):e526-e536. doi: 10.1016/j.wombi.2020.10.002. Epub 2020 Oct 17.
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Nurs Forum. 2020 Nov;55(4):654-663. doi: 10.1111/nuf.12482. Epub 2020 Jul 7.
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Patterns of healthcare services utilization associated with intimate partner violence (IPV): Effects of IPV screening and receiving information on support services in a cohort of perinatal women.与亲密伴侣暴力(IPV)相关的医疗服务利用模式:在围产期妇女队列中进行 IPV 筛查和获得支持服务信息的效果。
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