Fors Martha, Falcón Kirsten, Brandao Thais, López Maria, Mena-Tudela Desirée
Medical School, Universidad de Las Américas, Quito 170503, Ecuador.
Facultad de Ciencias Médicas, Universidad de Las Américas, Quito 170503, Ecuador.
Healthcare (Basel). 2024 Jul 26;12(15):1480. doi: 10.3390/healthcare12151480.
This pilot cross-sectional study was designed to determine the profile of obstetric violence in Ecuador in recent years. An online survey was conducted between March 2022 and April 2022, including women over 18 years who granted their informed consent to participate (n = 1598). We used non-probabilistic sampling to obtain our sample. Fisher's exact test was performed to assess the association between violence and type of birth, healthcare facility, and education level. Out of the women who participated in the study, 89.2% (n = 1426) identified themselves as Mestiza. Additionally, 88.3% (n = 1411) had completed university-level education. The majority of the participants, specifically 63.6% (n = 1017), received their care in public institutions, and 98.2% (n = 1569) reported structural negligence, while 74.5% (n = 1190) reported violation of their right to information. The entire sample affirmed to have experienced violation of the right of presence. This report shows that obstetric violence is present in Ecuador in different ways and that women experience negligence and violation of their right to receive ethical healthcare during childbirth.
这项试点横断面研究旨在确定近年来厄瓜多尔产科暴力的情况。2022年3月至2022年4月期间进行了一项在线调查，调查对象为18岁以上且已签署知情同意书参与调查的女性（n = 1598）。我们采用非概率抽样来获取样本。采用Fisher精确检验来评估暴力与分娩类型、医疗机构及教育水平之间的关联。参与研究的女性中，89.2%（n = 1426）称自己为梅斯蒂索人。此外，88.3%（n = 1411）完成了大学教育。大多数参与者，具体为63.6%（n = 1017），在公共机构接受护理，98.2%（n = 1569）报告存在结构性疏忽，74.5%（n = 1190）报告其知情权受到侵犯。整个样本均确认经历了在场权受到侵犯的情况。本报告表明，厄瓜多尔存在不同形式的产科暴力，女性在分娩期间遭受疏忽，其接受符合伦理的医疗保健的权利受到侵犯。
