Department of Political Science, San Diego State University, San Diego, 5500 Campanile Dr, San Diego, CA, 92182-4427, USA.
Department of Political Science, San Diego State University, San Diego, 5500 Campanile Dr, San Diego, CA, 92182-4427, USA.
Soc Sci Med. 2023 Sep;333:116110. doi: 10.1016/j.socscimed.2023.116110. Epub 2023 Jul 22.
Obstetric violence is a product of medical institutions' failure to prioritize women-centric reproductive care. Through interviews with local activists and leaders in Oaxaca, Mexico, as well as analysis of primary and secondary sources, we find that women-centric reproductive care is hindered by three barriers that are a part of a continuum of violence. These barriers include the cultural and religious norms surrounding reproductive care, the medical community and medical profiteers' opposition to combatting obstetric violence, and the state's resistance to women's human rights policy changes. Shifting to a women-centric reproductive care model requires: the life of the woman to be prioritized in reproductive care, the criminalization of obstetric violence, improved training for the medical community, reduced monetary incentives for unnecessary cesarean sections, and the respectful inclusion of indigenous and midwife knowledge and practices. Our study's theoretical and empirical contributions add to the scholarly research regarding the systemic causes of obstetric violence and the care ethic required for transformative change. Our recommendations can be applied across contexts with locally developed and culturally inclusive models of women-centric reproductive care.
产科暴力是医疗机构未能优先重视以妇女为中心的生殖护理的产物。通过对墨西哥瓦哈卡的当地活动家和领导人的访谈，以及对主要和次要资料的分析，我们发现，以妇女为中心的生殖护理受到三个障碍的阻碍，这些障碍是连续不断的暴力的一部分。这些障碍包括生殖护理周围的文化和宗教规范、医疗界和医疗牟利者反对打击产科暴力，以及国家抵制妇女人权政策的改变。向以妇女为中心的生殖护理模式转变需要：在生殖护理中优先考虑妇女的生命、将产科暴力定为犯罪、为医疗界提供更好的培训、减少不必要的剖腹产手术的金钱激励，以及尊重纳入土著和助产士的知识和实践。我们的研究在理论和经验上的贡献增加了关于产科暴力的系统性原因和变革所需的护理伦理的学术研究。我们的建议可以在具有地方特色和文化包容性的以妇女为中心的生殖护理模式的背景下应用。
