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How Should Trainees Respond in Situations of Obstetric Violence?
Nicholas Rubashkin1, Nicole Minckas2
1An assistant clinical professor of obstetrics, gynecology, and reproductive health sciences at the University of California, San Francisco, where he is also a PhD candidate in global health sciences.
Abstract:
Argentina passed a law for humanized birth in 2004 and another law against obstetric violence in 2009, both of which stipulate the rights of women to achieve respectful maternity care. Clinicians and women might still be unaware of these laws, however. In this article, we discuss the case of a fourth-year medical student who, while visiting Argentina from the United States for his obstetric rotation, witnesses an act of obstetric violence. We show that the student's situation can be understood as one of moral distress and argue that, in this specific instance, it would be appropriate for the student to intervene by providing supportive care to the patient. However, we suggest that medical schools have an obligation to better prepare students for rotations conducted abroad.
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