Cargando…

The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review

BACKGROUND: Despite growing recognition of neglectful, abusive, and disrespectful treatment of women during childbirth in health facilities, there is no consensus at a global level on how these occurrences are defined and measured. This mixed-methods systematic review aims to synthesize qualitative...

Descripción completa

Detalles Bibliográficos
Autores principales: Bohren, Meghan A., Vogel, Joshua P., Hunter, Erin C., Lutsiv, Olha, Makh, Suprita K., Souza, João Paulo, Aguiar, Carolina, Saraiva Coneglian, Fernando, Diniz, Alex Luíz Araújo, Tunçalp, Özge, Javadi, Dena, Oladapo, Olufemi T., Khosla, Rajat, Hindin, Michelle J., Gülmezoglu, A. Metin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488322/
https://www.ncbi.nlm.nih.gov/pubmed/26126110
http://dx.doi.org/10.1371/journal.pmed.1001847
_version_ 1782379133228023808
author Bohren, Meghan A.
Vogel, Joshua P.
Hunter, Erin C.
Lutsiv, Olha
Makh, Suprita K.
Souza, João Paulo
Aguiar, Carolina
Saraiva Coneglian, Fernando
Diniz, Alex Luíz Araújo
Tunçalp, Özge
Javadi, Dena
Oladapo, Olufemi T.
Khosla, Rajat
Hindin, Michelle J.
Gülmezoglu, A. Metin
author_facet Bohren, Meghan A.
Vogel, Joshua P.
Hunter, Erin C.
Lutsiv, Olha
Makh, Suprita K.
Souza, João Paulo
Aguiar, Carolina
Saraiva Coneglian, Fernando
Diniz, Alex Luíz Araújo
Tunçalp, Özge
Javadi, Dena
Oladapo, Olufemi T.
Khosla, Rajat
Hindin, Michelle J.
Gülmezoglu, A. Metin
author_sort Bohren, Meghan A.
collection PubMed
description BACKGROUND: Despite growing recognition of neglectful, abusive, and disrespectful treatment of women during childbirth in health facilities, there is no consensus at a global level on how these occurrences are defined and measured. This mixed-methods systematic review aims to synthesize qualitative and quantitative evidence on the mistreatment of women during childbirth in health facilities to inform the development of an evidence-based typology of the phenomenon. METHODS AND FINDINGS: We searched PubMed, CINAHL, and Embase databases and grey literature using a predetermined search strategy to identify qualitative, quantitative, and mixed-methods studies on the mistreatment of women during childbirth across all geographical and income-level settings. We used a thematic synthesis approach to synthesize the qualitative evidence and assessed the confidence in the qualitative review findings using the CERQual approach. In total, 65 studies were included from 34 countries. Qualitative findings were organized under seven domains: (1) physical abuse, (2) sexual abuse, (3) verbal abuse, (4) stigma and discrimination, (5) failure to meet professional standards of care, (6) poor rapport between women and providers, and (7) health system conditions and constraints. Due to high heterogeneity of the quantitative data, we were unable to conduct a meta-analysis; instead, we present descriptions of study characteristics, outcome measures, and results. Additional themes identified in the quantitative studies are integrated into the typology. CONCLUSIONS: This systematic review presents a comprehensive, evidence-based typology of the mistreatment of women during childbirth in health facilities, and demonstrates that mistreatment can occur at the level of interaction between the woman and provider, as well as through systemic failures at the health facility and health system levels. We propose this typology be adopted to describe the phenomenon and be used to develop measurement tools and inform future research, programs, and interventions.
format Online
Article
Text
id pubmed-4488322
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-44883222015-07-02 The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review Bohren, Meghan A. Vogel, Joshua P. Hunter, Erin C. Lutsiv, Olha Makh, Suprita K. Souza, João Paulo Aguiar, Carolina Saraiva Coneglian, Fernando Diniz, Alex Luíz Araújo Tunçalp, Özge Javadi, Dena Oladapo, Olufemi T. Khosla, Rajat Hindin, Michelle J. Gülmezoglu, A. Metin PLoS Med Research Article BACKGROUND: Despite growing recognition of neglectful, abusive, and disrespectful treatment of women during childbirth in health facilities, there is no consensus at a global level on how these occurrences are defined and measured. This mixed-methods systematic review aims to synthesize qualitative and quantitative evidence on the mistreatment of women during childbirth in health facilities to inform the development of an evidence-based typology of the phenomenon. METHODS AND FINDINGS: We searched PubMed, CINAHL, and Embase databases and grey literature using a predetermined search strategy to identify qualitative, quantitative, and mixed-methods studies on the mistreatment of women during childbirth across all geographical and income-level settings. We used a thematic synthesis approach to synthesize the qualitative evidence and assessed the confidence in the qualitative review findings using the CERQual approach. In total, 65 studies were included from 34 countries. Qualitative findings were organized under seven domains: (1) physical abuse, (2) sexual abuse, (3) verbal abuse, (4) stigma and discrimination, (5) failure to meet professional standards of care, (6) poor rapport between women and providers, and (7) health system conditions and constraints. Due to high heterogeneity of the quantitative data, we were unable to conduct a meta-analysis; instead, we present descriptions of study characteristics, outcome measures, and results. Additional themes identified in the quantitative studies are integrated into the typology. CONCLUSIONS: This systematic review presents a comprehensive, evidence-based typology of the mistreatment of women during childbirth in health facilities, and demonstrates that mistreatment can occur at the level of interaction between the woman and provider, as well as through systemic failures at the health facility and health system levels. We propose this typology be adopted to describe the phenomenon and be used to develop measurement tools and inform future research, programs, and interventions. Public Library of Science 2015-06-30 /pmc/articles/PMC4488322/ /pubmed/26126110 http://dx.doi.org/10.1371/journal.pmed.1001847 Text en © 2015 Bohren et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Bohren, Meghan A.
Vogel, Joshua P.
Hunter, Erin C.
Lutsiv, Olha
Makh, Suprita K.
Souza, João Paulo
Aguiar, Carolina
Saraiva Coneglian, Fernando
Diniz, Alex Luíz Araújo
Tunçalp, Özge
Javadi, Dena
Oladapo, Olufemi T.
Khosla, Rajat
Hindin, Michelle J.
Gülmezoglu, A. Metin
The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review
title The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review
title_full The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review
title_fullStr The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review
title_full_unstemmed The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review
title_short The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review
title_sort mistreatment of women during childbirth in health facilities globally: a mixed-methods systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488322/
https://www.ncbi.nlm.nih.gov/pubmed/26126110
http://dx.doi.org/10.1371/journal.pmed.1001847
work_keys_str_mv AT bohrenmeghana themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT vogeljoshuap themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT huntererinc themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT lutsivolha themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT makhsupritak themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT souzajoaopaulo themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT aguiarcarolina themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT saraivaconeglianfernando themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT dinizalexluizaraujo themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT tuncalpozge themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT javadidena themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT oladapoolufemit themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT khoslarajat themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT hindinmichellej themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT gulmezogluametin themistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT bohrenmeghana mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT vogeljoshuap mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT huntererinc mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT lutsivolha mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT makhsupritak mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT souzajoaopaulo mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT aguiarcarolina mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT saraivaconeglianfernando mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT dinizalexluizaraujo mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT tuncalpozge mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT javadidena mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT oladapoolufemit mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT khoslarajat mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT hindinmichellej mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview
AT gulmezogluametin mistreatmentofwomenduringchildbirthinhealthfacilitiesgloballyamixedmethodssystematicreview