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Abuse in hospital-based birth settings?

Susan Hodges1

  • 1SUSAN HODGES, a birth activist for more than 15 years, is President of Citizens for Midwifery, a consumer-based organization promoting the Midwives Model of Care and representing consumer interests regarding midwifery and maternity care.

The Journal of Perinatal Education
|September 3, 2010
PubMed
Summary

Hospitalized laboring and birthing women may face abuse, including bullying and non-consensual medical interventions. Addressing this human rights issue requires recognizing abusive behaviors and implementing systemic changes within healthcare systems.

Keywords:
abuse of childbearing womenbullyinghospital abuseinformed consentrights of childbearing women

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Area of Science:

  • Obstetrics and Gynecology
  • Human Rights in Healthcare
  • Medical Ethics

Background:

  • Laboring and birthing women may experience abuse within hospital settings.
  • Such mistreatment, often unrecognized, includes bullying and medical interventions without proper consent.
  • These issues constitute a violation of basic human rights.

Purpose of the Study:

  • To identify and name the problem of abuse against laboring and birthing women in hospitals.
  • To explore the systemic factors contributing to this abuse.
  • To advocate for recognition and action to end such practices.

Main Methods:

  • Qualitative analysis of patient experiences and healthcare system dynamics.
  • Review of existing literature on patient rights and medical ethics.
  • Examination of hospital policies and hierarchical structures.

Main Results:

  • Hospitals can create environments where abuse thrives due to medical authority, lack of accountability, and compliance expectations.
  • Both patients and staff face obstacles in recognizing and stopping abuse.
  • Informed consent protocols are often inadequately understood or implemented.

Conclusions:

  • Abuse of laboring and birthing women is a significant issue requiring urgent attention.
  • Systemic changes are necessary to dismantle the structures that enable abuse.
  • Educating patients and staff on recognizing abuse and informed consent is crucial but insufficient without broader reform.