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Obstetric Violence in Spain (Part I): Women's Perception and Interterritorial Differences
Desirée Mena-Tudela1, Susana Iglesias-Casás2, Víctor Manuel González-Chordá1
1Department of Nursing, Faculty of Health Sciences, Universitat Jaume I, Avda. Sos I Baynat s/n, 12071 Castellón, Spain.
International Journal of Environmental Research and Public Health
|October 27, 2020
Summary
Obstetric violence is a significant issue in Spain, affecting nearly 40% of women surveyed. Lack of informed consent and unnecessary procedures highlight critical gaps in maternity care equity.
Area of Science:
- Public Health
- Maternal Health
- Healthcare Equity
Background:
- Decentralization of health systems impacts maternity care.
- Inequalities in health outcomes, such as neonatal and child mortality, are observed in Spain.
- Obstetric violence is a concern within Spanish maternity services.
Purpose of the Study:
- To identify and quantify obstetric violence in Spain.
- To analyze obstetric violence as a criterion for interterritorial health equity.
- To assess the prevalence of unnecessary procedures and lack of informed consent.
Main Methods:
- Descriptive, retrospective, cross-sectional study.
- Sample size of 17,541 questionnaires.
- Data collected from all Spanish Autonomous Communities between January 2018 and June 2019.
Main Results:
- 38.3% of women perceived experiencing obstetric violence.
- 44.4% underwent unnecessary/painful procedures, with 83.4% lacking informed consent.
- Mean satisfaction scores were significantly lower for perceived victims (4.85) vs. general sample (6.94).
Conclusions:
- Spain faces significant challenges regarding public health and human rights in obstetric care.
- Informed consent and patient information are inadequately practiced.
- Profound reflection on obstetric practices and mandatory informed consent are necessary.
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