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“分娩的无形创伤”;女性遭遇产科暴力的经历:一项现象学质性研究

"Invisible wounds of childbirth"; women's experiences of obstetric violence: a phenomenological qualitative study.

作者信息

Özer Esra, Sevimli Güler Döndü

机构信息

Faculty of Health Sciences, Midwifery Department, Ankara Medipol University, Ankara, Turkey.

Faculty of Health Sciences, Department of Obstetrics and Gynecology Nursing, Sakaya University of Applied Sciences, Sakarya, Turkey.

出版信息

Reprod Health. 2025 Aug 22;22(1):148. doi: 10.1186/s12978-025-02109-8.

Abstract

INTRODUCTION AND AIM

Obstetric violence includes physical, verbal, emotional and sexual abuse against women during on labor process, and other negative practices such as violation of privacy, non-consensual interventions and discriminatory care. There are few studies on women's experiences of obstetric violence during on labor process. The aim of this study is to investigate the feelings, thoughts and experiences of women who reported being exposed to obstetric violence at any stage of labor.

METHODS

Data were collected using a constructivist qualitative research design. The interview data were transcribed and then subjected to qualitative content analysis in accordance with Standards for Qualitative Research Reporting (SRQR) using Graneheim and Lundman's content analysis method. The qualitative research software package ATLAS.ti 9 was used for the analysis.

RESULTS

The study interviewed 21 women. The analysis of the interviewees' narratives revealed four distinct categories and 13 sub-categories. The four categories were obstetric violence, prevention of participation on labor process, inability to meet professional standards of care, and the woman's emotional state after obstetric violence.

CONCLUSION

The study revealed that women in Turkey are exposed to obstetric violence during the the labor process and that this experience can be addressed in various dimensions. Having experienced obstetric violence, the women reported postpartum emotional reactions such as trauma, fear, anger and frustration. However, despite these negative experiences, some women expressed the joy of motherhood and the happiness and gratitude of being reunited with their baby. Better quality assurance is needed to protect the rights of women in labor and ensure a positive birth experience.

摘要

引言与目的

产科暴力包括在分娩过程中对女性的身体、言语、情感和性虐待,以及其他负面行为,如侵犯隐私、未经同意的干预和歧视性护理。关于女性在分娩过程中遭受产科暴力经历的研究较少。本研究的目的是调查在分娩任何阶段报告遭受产科暴力的女性的感受、想法和经历。

方法

采用建构主义定性研究设计收集数据。访谈数据被转录,然后根据定性研究报告标准(SRQR),使用格兰内海姆和伦德曼的内容分析法进行定性内容分析。使用定性研究软件包ATLAS.ti 9进行分析。

结果

该研究采访了21名女性。对受访者叙述的分析揭示了四个不同的类别和13个子类别。这四个类别是产科暴力、妨碍参与分娩过程、无法达到专业护理标准以及产科暴力后女性的情绪状态。

结论

该研究表明,土耳其女性在分娩过程中遭受产科暴力,这种经历可以从多个层面来探讨。经历过产科暴力的女性报告了产后的情绪反应,如创伤、恐惧、愤怒和沮丧。然而,尽管有这些负面经历,一些女性表达了为人母的喜悦以及与宝宝团聚的幸福和感激之情。需要更好的质量保证来保护分娩女性的权利,并确保有一个积极的分娩体验。

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