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Obstetric violence is a misnomer.

Frank A Chervenak1, Renee McLeod-Sordjan2, Susan L Pollet1

  • 1Department of Obstetrics and Gynecology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, New York, NY.

American Journal of Obstetrics and Gynecology
|October 8, 2023
PubMed
Summary

The term "obstetric violence" is emotionally charged and may obscure systemic issues. "Obstetric mistreatment" is a more accurate term to address a broader range of abusive reproductive practices in healthcare.

Keywords:
abuseabuse in healthcareanesthesiacesarean deliveryepiduralepisiotomyethicsinduction of labormistreatmentobstetric racismobstetric violencepain reliefpelvic examinationprofessional practiceprofessionalismviolence

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Area of Science:

  • Medical Ethics
  • Reproductive Health
  • Healthcare Quality

Background:

  • The term "obstetric violence" is legislatively used to protect mothers but can be misconstrued as intentional harm.
  • This term may obscure systemic issues, lack of training, or misunderstandings leading to mistreatment.
  • Existing discourse often uses "obstetric violence" for procedures like induction, episiotomy, and cesarean delivery.

Purpose of the Study:

  • To advocate for a more comprehensive term than "obstetric violence" to better describe patient mistreatment.
  • To highlight the need to address structural dimensions of abusive reproductive practices.
  • To promote unbiased, respectful, and patient-centered professional care in obstetrics and healthcare overall.

Main Methods:

  • Conceptual analysis of the term "obstetric violence" and its implications.
  • Comparison of "violence" versus "mistreatment" in a healthcare context.
  • Literature review on abusive reproductive practices and healthcare provider conduct.

Main Results:

  • "Obstetric mistreatment" is proposed as a more encompassing term for various forms of abuse, including nonconsensual procedures, verbal abuse, discrimination, and neglect.
  • The term "violence" implies intentional harm, which may not accurately reflect all instances of mistreatment in obstetrics.
  • Mistreatment in healthcare, encompassing all specialties, is a more appropriate framework than "obstetric violence".

Conclusions:

  • Shifting from "obstetric violence" to "obstetric mistreatment" or "mistreatment in healthcare" allows for a broader understanding and better addressal of systemic issues.
  • Healthcare providers must foster an ethical framework and systemic changes to prevent all forms of mistreatment and abuse.
  • Raising awareness about mistreatment in obstetric care is crucial within the broader context of abuse against women.