Kermanshah University of Medical Sciences.
Tehran University of Medical Sciences.
Nurs Ethics. 2024 Mar-May;31(2-3):296-310. doi: 10.1177/09697330231197703. Epub 2023 Aug 31.
The principle of human dignity is woven into the ethical principles of the midwifery profession, noted as both an obligation and a human right.
The aim of this study is to explore the experiences of midwifery students regarding threats to women's dignity during childbirth.
This is a qualitative study with explorative design. Participants and Research Context: The research was carried out in 2022 at Kermanshah University of Medical Sciences, involving 32 midwifery students in individual interviews that lasted between 30 and 90 minutes. These participants aged 21 to 28 years, with an average age of 23.5 years, provided their perspectives on the matter.
Four key themes described the threats to women's dignity during childbirth: 1) professional incompetence, 2) abuse of power imbalance, 3) caring only for physical and not mental health, and 4) structural issues within the healthcare system. Professional incompetence was characterized by outdated practices and lack of adherence to evidence-based medicine. Abuse of power imbalance was demonstrated in instances where the authoritative position of healthcare providers was misused, thereby disrupting the respectful care that women are entitled to receive. The disproportionate emphasis on physical health over mental health was evidenced by the disregard for mothers' psychological well-being during childbirth. Lastly, systemic structural issues emerged as significant impediments, revealing the need for system-wide changes. Ethical considerations: This study was approved by the Ethics Committee of the Research Deputy at Kermanshah University. Participation was voluntary and the confidentiality were maintained.
The findings underscore the role that unprofessional behavior, ethical lapses in medical practices, and systemic challenges play in undermining maternal dignity during childbirth. These threats necessitate urgent attention and must be adequately addressed in policy development and program implementation to safeguard the dignity of mothers during childbirth.
人类尊严原则贯穿于助产专业的伦理原则之中，被视为既是一项义务，也是一项人权。
本研究旨在探讨助产专业学生在分娩过程中对女性尊严受到威胁的体验。
这是一项具有探索性设计的定性研究。参与者和研究背景：该研究于 2022 年在克尔曼沙阿医科大学进行，涉及 32 名助产专业学生的个人访谈，访谈时间为 30 至 90 分钟不等。这些年龄在 21 至 28 岁之间、平均年龄为 23.5 岁的参与者提供了他们对这一问题的看法。
四个关键主题描述了分娩过程中对女性尊严的威胁：1）专业能力不足，2）滥用权力失衡，3）只关注身体而不关注心理健康，4）医疗保健系统中的结构性问题。专业能力不足的特点是过时的做法和不遵守循证医学。滥用权力失衡的表现是医疗保健提供者的权威地位被滥用，从而破坏了妇女应得的尊重性护理。对心理健康的关注不如对身体健康的关注，这表现在分娩期间忽视母亲的心理健康。最后，系统结构性问题突显出来，这表明需要进行全系统的变革。伦理考虑：本研究得到了克尔曼沙阿大学研究副主任伦理委员会的批准。参与是自愿的，并且保密。
研究结果强调了不专业行为、医疗实践中的道德失误以及系统挑战在破坏分娩期间产妇尊严方面的作用。这些威胁需要引起紧急关注，并在政策制定和方案实施中得到充分解决，以维护产妇在分娩过程中的尊严。
