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Reframing Obstetric Violence Culture: A Concept Analysis.
Maggie C Runyon1, Mandy N Irby2, Paula Rojas Landivar3
1Your BIRTH Partners, Villanova University, Doylestown, Pennsylvania, USA.
Journal of Advanced Nursing
|October 23, 2025
Summary
Obstetric violence culture is a pervasive issue in perinatal care, rooted in historical inequities and normalized mistreatment. Dismantling this culture requires systemic changes, education, and accountability to protect birthing individuals.
Area of Science:
- Perinatal Care Research
- Sociology of Health
- Healthcare Ethics
Background:
- Obstetric violence culture is a significant concern in perinatal care.
- Existing literature lacks a clear, actionable definition for this phenomenon.
- Understanding its roots and manifestations is crucial for improving patient outcomes.
Purpose of the Study:
- To define obstetric violence culture using concept analysis.
- To establish a working definition applicable to practice, research, and policy.
- To provide a framework for addressing mistreatment in perinatal care.
Main Methods:
- Concept analysis utilizing Rodgers' evolutionary method.
- Systematic literature search in CINAHL and PubMed databases.
- Inclusion of 62 articles published between November 2020 and December 2024.
Main Results:
- Antecedents include medicalization of birth, professional hierarchies, and structural inequities.
- Attributes such as disbelief of harm, victim blaming, and disempowerment mirror rape culture.
- Consequences involve mistrust, moral distress, and institutional silence impacting patients, clinicians, and systems.
Conclusions:
- Obstetric violence culture is an embedded, normalized system of mistreatment, not an isolated incident.
- Systematic dismantling is necessary to address pervasive issues in perinatal care.
- Nurses must recognize and disrupt this culture to uphold patient dignity and autonomy.
Keywords:
birth equityconcept analysisgender‐based violencenursingnursing ethicsobstetric violenceperinatal carereproductive justiceMore Related Videos
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