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Disrespect and abuse during childbirth in fourteen hospitals in nine cities of Peru.

Authors :
Montesinos‐Segura, Reneé
Urrunaga‐Pastor, Diego
Mendoza‐Chuctaya, Giuston
Taype‐Rondan, Alvaro
Helguero‐Santin, Luis M.
Martinez‐Ninanqui, Franklin W.
Centeno, Dercy L.
Jiménez‐Meza, Yanina
Taminche‐Canayo, Ruth C.
Paucar‐Tito, Liz
Villamonte‐Calanche, Wilfredo
Montesinos-Segura, Reneé
Urrunaga-Pastor, Diego
Mendoza-Chuctaya, Giuston
Taype-Rondan, Alvaro
Helguero-Santin, Luis M
Martinez-Ninanqui, Franklin W
Jiménez-Meza, Yanina
Taminche-Canayo, Ruth C
Paucar-Tito, Liz
Source :
International Journal of Gynecology & Obstetrics. Feb2018, Vol. 140 Issue 2, p184-190. 7p.
Publication Year :
2018

Abstract

<bold>Objective: </bold>To assess the prevalence of disrespect and abuse during childbirth and its associated factors in Peru.<bold>Methods: </bold>In an observational cross-sectional study, women were surveyed within 48 hours of live delivery at 14 hospitals located in nine Peruvian cities between April and July 2016. The survey was based on seven categories of disrespect and abuse proposed by Bowser and Hill. To evaluate factors associated with each category, prevalence ratios (PRs) and 95% confidence intervals (CIs) were calculated using adjusted Poisson models with robust variances.<bold>Results: </bold>Among 1528 participants, 1488 (97.4%) had experienced at least one category of disrespect and abuse. Frequency of abandonment of care was increased with cesarean delivery (PR 1.27, 95% CI 1.03-1.57) but decreased in the jungle region (PR 0.27, 0.14-0.53). Discrimination was associated with the jungle region (PR 5.67, 2.32-13.88). Physical abuse was less frequent with cesarean than vaginal delivery (PR 0.23, 0.11-0.49). The prevalences of abandonment of care (PR 0.42, 0.29-0.60), non-consented care (PR 0.70, 0.57-0.85), discrimination (PR 0.40, 0.19-0.85), and non-confidential care (PR 0.71, 0.55-0.93) were decreased among women who had been referred.<bold>Conclusion: </bold>Nearly all participants reported having experienced at least one category of disrespect and abuse during childbirth care, which was associated with type of delivery, being referred, and geographic region. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00207292
Volume :
140
Issue :
2
Database :
Academic Search Index
Journal :
International Journal of Gynecology & Obstetrics
Publication Type :
Academic Journal
Accession number :
127112742
Full Text :
https://doi.org/10.1002/ijgo.12353