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Development of an instrument to measure mistreatment of women during childbirth through item response theory

The objective of this study was to structure a proposal for an instrument to measure the mistreatment level of women during childbirth, through item response theory, based on the birth experience of postpartum women. A cross-sectional study was conducted, with the inclusion of 287 women who did not...

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Autores principales: Paiz, Janini Cristina, de Jezus Castro, Stela Maris, Giugliani, Elsa Regina Justo, dos Santos Ahne, Sarah Maria, Aqua, Camila Bonalume Dall’, Souto, Alice Steglich, Giugliani, Camila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275678/
https://www.ncbi.nlm.nih.gov/pubmed/35819960
http://dx.doi.org/10.1371/journal.pone.0271278
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author Paiz, Janini Cristina
de Jezus Castro, Stela Maris
Giugliani, Elsa Regina Justo
dos Santos Ahne, Sarah Maria
Aqua, Camila Bonalume Dall’
Souto, Alice Steglich
Giugliani, Camila
author_facet Paiz, Janini Cristina
de Jezus Castro, Stela Maris
Giugliani, Elsa Regina Justo
dos Santos Ahne, Sarah Maria
Aqua, Camila Bonalume Dall’
Souto, Alice Steglich
Giugliani, Camila
author_sort Paiz, Janini Cristina
collection PubMed
description The objective of this study was to structure a proposal for an instrument to measure the mistreatment level of women during childbirth, through item response theory, based on the birth experience of postpartum women. A cross-sectional study was conducted, with the inclusion of 287 women who did not suffer complications during childbirth, randomly selected from two maternity hospitals in the capital of Rio Grande do Sul—Brazil, in 2016. Approximately 30 days after delivery, the women answered questions in a face-to-face interview about their birth experience (practices and interventions applied) and were inquired about their perception of having suffered disrespect, mistreatment or humiliation by health professionals. The set of practices was included in the item response theory model to design the instrument. Of the 36 items included in the model, 21 dealt with practices applied exclusively to women who went into labor, therefore two instruments were developed. The instrument including all women, containing 09 items, identified 23.7% prevalence of mistreatment to women during childbirth, while the instrument for women going into labor included 11 items and identified 22% prevalence. The items with the highest discrimination were: not having had a companion during labor (2.05; and 1.26), not feeling welcome (1.81; and 1.58), and not feeling safe (1.59; and 1.70), for all women and for those who went into labor, respectively. For those who went into labor, the items, did not have a companion during labor (1.22; PE 0.88) and did not feel comfortable asking questions and participating in decisions (1.20; PE 0.43) also showed greater discrimination. In contrast, when directly questioned, only 12.5% of women said they had experienced disrespect or mistreatment, suggesting that harmful practices are often not recognized as violent. Standardizing the measurement of mistreatment of women during childbirth can create more accurate estimates of its prevalence and contribute to the proposal of strategies to eliminate obstetric violence.
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spelling pubmed-92756782022-07-13 Development of an instrument to measure mistreatment of women during childbirth through item response theory Paiz, Janini Cristina de Jezus Castro, Stela Maris Giugliani, Elsa Regina Justo dos Santos Ahne, Sarah Maria Aqua, Camila Bonalume Dall’ Souto, Alice Steglich Giugliani, Camila PLoS One Research Article The objective of this study was to structure a proposal for an instrument to measure the mistreatment level of women during childbirth, through item response theory, based on the birth experience of postpartum women. A cross-sectional study was conducted, with the inclusion of 287 women who did not suffer complications during childbirth, randomly selected from two maternity hospitals in the capital of Rio Grande do Sul—Brazil, in 2016. Approximately 30 days after delivery, the women answered questions in a face-to-face interview about their birth experience (practices and interventions applied) and were inquired about their perception of having suffered disrespect, mistreatment or humiliation by health professionals. The set of practices was included in the item response theory model to design the instrument. Of the 36 items included in the model, 21 dealt with practices applied exclusively to women who went into labor, therefore two instruments were developed. The instrument including all women, containing 09 items, identified 23.7% prevalence of mistreatment to women during childbirth, while the instrument for women going into labor included 11 items and identified 22% prevalence. The items with the highest discrimination were: not having had a companion during labor (2.05; and 1.26), not feeling welcome (1.81; and 1.58), and not feeling safe (1.59; and 1.70), for all women and for those who went into labor, respectively. For those who went into labor, the items, did not have a companion during labor (1.22; PE 0.88) and did not feel comfortable asking questions and participating in decisions (1.20; PE 0.43) also showed greater discrimination. In contrast, when directly questioned, only 12.5% of women said they had experienced disrespect or mistreatment, suggesting that harmful practices are often not recognized as violent. Standardizing the measurement of mistreatment of women during childbirth can create more accurate estimates of its prevalence and contribute to the proposal of strategies to eliminate obstetric violence. Public Library of Science 2022-07-12 /pmc/articles/PMC9275678/ /pubmed/35819960 http://dx.doi.org/10.1371/journal.pone.0271278 Text en © 2022 Paiz et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Paiz, Janini Cristina
de Jezus Castro, Stela Maris
Giugliani, Elsa Regina Justo
dos Santos Ahne, Sarah Maria
Aqua, Camila Bonalume Dall’
Souto, Alice Steglich
Giugliani, Camila
Development of an instrument to measure mistreatment of women during childbirth through item response theory
title Development of an instrument to measure mistreatment of women during childbirth through item response theory
title_full Development of an instrument to measure mistreatment of women during childbirth through item response theory
title_fullStr Development of an instrument to measure mistreatment of women during childbirth through item response theory
title_full_unstemmed Development of an instrument to measure mistreatment of women during childbirth through item response theory
title_short Development of an instrument to measure mistreatment of women during childbirth through item response theory
title_sort development of an instrument to measure mistreatment of women during childbirth through item response theory
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275678/
https://www.ncbi.nlm.nih.gov/pubmed/35819960
http://dx.doi.org/10.1371/journal.pone.0271278
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