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对残疾妇女的能力主义产科暴力:一项综合文献综述

[Ableist obstetric violence against women with disabilities: An integrative literature review].

作者信息

Rodríguez-Garrido Pía

机构信息

Doctora en Enfermería y Salud. Integrante del Núcleo Milenio Discapacidad y Ciudadanía, Chile; Grupo de Estudios Mujer, Salud y Ética, Universidad de Barcelona, España; Laboratório de Estudos Sociais sobre o Nascimento, Instituto Universitario de Lisboa, Portugal. Investigadora Postdoctoral, Instituto de Ciencias de la Salud, Universidad de O'Higgins, Rancagua; Chile.

出版信息

Salud Colect. 2023 Dec 20;19:e4676. doi: 10.18294/sc.2023.4676.

DOI:10.18294/sc.2023.4676
PMID:38135673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11822895/
Abstract

Women with disabilities face increased precarity throughout their lives, with one of the most affected areas being their sexual and reproductive health. The aim of this study was to identify and analyze the scientific literature on obstetric violence against women with disabilities. The search was conducted from August to October 2022 in five databases: PubMed, Web of Science, Dialnet, SciELO, and Scopus. A total of 194 articles were retrieved, and after applying selection criteria, ten articles were analyzed. Through thematic analysis, the dimension "ableist obstetric violence towards women with disabilities" emerged. Findings suggest that women with disabilities are marginalized during obstetric care, resulting in untimely attention and cascading interventions. At present, there is scarce literature addressing this phenomenon from a rights-based perspective. Urgent measures are needed to train healthcare teams on the provision of care to people with disabilities. Additionally, it is crucial to critically examine the relationship between healthcare personnel and institutions to women with disabilities within the framework of their sexual and reproductive rights.

摘要

残疾女性在其一生中面临着更多的不稳定因素,其中受影响最严重的领域之一是她们的性健康和生殖健康。本研究的目的是识别和分析关于针对残疾女性的产科暴力的科学文献。检索工作于2022年8月至10月在五个数据库中进行:PubMed、科学网、Dialnet、SciELO和Scopus。共检索到194篇文章,在应用筛选标准后,对10篇文章进行了分析。通过主题分析,出现了“对残疾女性的能力主义产科暴力”这一维度。研究结果表明,残疾女性在产科护理中被边缘化,导致得不到及时关注和一系列的干预措施。目前,从基于权利的角度探讨这一现象的文献很少。需要采取紧急措施,培训医疗团队为残疾人提供护理。此外,在残疾女性的性权利和生殖权利框架内,批判性地审视医护人员和机构与残疾女性之间的关系至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2058/11822895/b0e1fcb07492/1851-8265-scol-19-e4676-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2058/11822895/b0e1fcb07492/1851-8265-scol-19-e4676-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2058/11822895/b0e1fcb07492/1851-8265-scol-19-e4676-gf1.jpg

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1
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Salud Colect. 2023 Dec 20;19:e4676. doi: 10.18294/sc.2023.4676.
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本文引用的文献

1
[Obstetric violence as epistemic injustice: childbirth trouble.].[作为认知不公正的产科暴力:分娩困境。]
Salud Colect. 2023 Oct 3;19:e4464. doi: 10.18294/sc.2023.4464.
2
[Geographies for a good birth: a geo(corpo)graphic approach to home birth in Chile].《美好分娩之地:智利家庭分娩的地理(身体)学方法》
Salud Colect. 2022 May 16;18:e3848. doi: 10.18294/sc.2022.3848.
3
Obstetric violence and disability overlaps: obstetric violence during child birth among womens with disabilities: a qualitative study.产科暴力与残疾的重叠:残疾妇女分娩时的产科暴力:一项定性研究。
BMC Womens Health. 2022 Jul 18;22(1):299. doi: 10.1186/s12905-022-01883-y.
4
Breaking the silence about obstetric violence: Body mapping women's narratives of respect, disrespect and abuse during childbirth in Bihar, India.打破产科暴力的沉默:在印度比哈尔邦,身体绘图描绘了女性在分娩过程中对尊重、不尊重和虐待的叙述。
BMC Pregnancy Childbirth. 2022 Apr 14;22(1):318. doi: 10.1186/s12884-022-04503-7.
5
[Access of chilean deaf women to healthcare information and reproductive care].[智利失聪女性获取医疗保健信息及生殖保健服务的情况]
Rev Med Chil. 2021 Sep;149(9):1317-1321. doi: 10.4067/S0034-98872021000901317.
6
The determinants of early childbearing by disability status in Uganda: an analysis of demographic and health survey data.乌干达残疾状况与早育的决定因素:基于人口与健康调查数据的分析。
Pan Afr Med J. 2021 Dec 14;40:222. doi: 10.11604/pamj.2021.40.222.25348. eCollection 2021.
7
Sexual Violence Against Persons With Disabilities: A Meta-Analysis.性暴力侵害残疾人:一项荟萃分析。
Trauma Violence Abuse. 2022 Oct;23(4):1330-1343. doi: 10.1177/1524838021995975. Epub 2021 Mar 4.
8
Child Protection, Disability and Obstetric Violence: Three Case Studies from Iceland.儿童保护、残疾和产科暴力:来自冰岛的三个案例研究。
Int J Environ Res Public Health. 2020 Dec 28;18(1):158. doi: 10.3390/ijerph18010158.
9
A concept analysis of obstetric violence in the United States of America.美国产科暴力概念分析。
Nurs Forum. 2020 Nov;55(4):654-663. doi: 10.1111/nuf.12482. Epub 2020 Jul 7.
10
[Hegemonic medical model: Possible trends, and more or less imaginary trends].[霸权主义医学模式:可能的趋势,以及或多或少的虚构趋势]
Salud Colect. 2020 May 5;16:e2615. doi: 10.18294/sc.2020.2615.