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[哥伦比亚巴耶杜帕尔地区分娩女性对产科暴力的认知与经历]

[Obstetric violence from the perception and experiences of women in labor, Valledupar, Colombia].

作者信息

Corzo-Contreras Margareth, Polo-Payares Esther P, Murgas-Quintero María C, Hurtado-Luján Luz A, Cuesta-Morato Belkis V

机构信息

MC: Enf. M. Sc. Salud Sexual y Reproductiva. Universidad Popular del Cesar. Valledupar, Colombia.

EP: Enf. Esp. Materno Infantil. M. Sc. Estudios de Género Área Mujer y Desarrollo. Universidad de Cartagena, Cartagena, Colombia.

出版信息

Rev Salud Publica (Bogota). 2024 Nov 1;26(6):115923. doi: 10.15446/rsap.V26n6.115923. eCollection 2024 Dec.

Abstract

UNLABELLED

Obstetric violence has been defined by Latin American legislatures as all actions or omissions that health personnel exercise on the body and reproductive processes of women, consisting of dehumanizing treatment, abuse of medicalization, pathologization and affecting their childbirth experience.

OBJECTIVE

To make visible from the women's voices their perception of the violation of sexual and reproductive rights generated by obstetric violence.

METHODOLOGY

Qualitative, descriptive exploratory study. Intentional sample of 30 women who met the inclusion criteria, users of health institutions in Valledupar, Colombia, between 2020-2021; in-depth interview and oral accounts were used, theoretical and emergent categorization. Theoretical sample with saturation principle, internal and external validation by triangulation and consideration of ethical aspects.

RESULTS

The participants' narratives show their perception of actions that violate their rights reflected in expressions that are interpreted in the light of the recommendations of the World Health Organization (WHO), respected childbirth, as abuse of medicalization and non-recommended routines, in addition to reflecting hegemonic and non-therapeutic relationships, silencing and invasion of their corporeality and risks to their health and that of their child.

CONCLUSION

Submission, lack of warmth, experienced in a moment of vulnerability of women, produces in their psychological sphere the memory of their deliveries as negative experiences.

摘要

未标注

拉丁美洲立法机构将产科暴力定义为卫生人员对女性身体和生殖过程采取的所有行为或不作为,包括非人性化待遇、滥用医疗化、病态化以及影响她们的分娩体验。

目的

从女性的声音中了解她们对产科暴力所导致的性权利和生殖权利侵犯的认知。

方法

定性、描述性探索性研究。对2020年至2021年间符合纳入标准的30名女性进行有意抽样,她们均为哥伦比亚巴耶杜帕尔市医疗机构的使用者;采用深度访谈和口头叙述,进行理论和新出现的分类。基于饱和原则的理论抽样,通过三角验证进行内部和外部验证,并考虑伦理方面。

结果

参与者的叙述表明,她们认为侵犯其权利的行为体现在一些表述中,这些表述根据世界卫生组织(WHO)的建议来解读,即尊重分娩,却存在滥用医疗化和不推荐的常规做法,此外还反映出霸权和非治疗性的关系、对她们身体的沉默和侵犯以及对她们自身和孩子健康的风险。

结论

在女性脆弱时刻所经历的顺从、缺乏温情,在她们的心理层面将分娩记忆留存为负面经历。

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本文引用的文献

1
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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