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揭开十字路口:在厄瓜多尔COVID-19时代探索产科暴力
Martha Fors1, Paloma González2, Santiago Jacho2
1One Health Group, Universidad de Las Américas, Avenida de los Granados, Vía a Nayón, Quito, Ecuador. martha.fors@udla.edu.ec.
BMC public health
|December 22, 2023
概括
在厄瓜多尔,产妇暴力仍然很高,超过70%的妇女经历了这种情况. 虽然COVID-19期间一些有害做法有所减少,可能是由于感染恐惧,但整体率没有显示出与大流行有关的重大变化.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- COVID-19大流行改变了医疗保健的提供,可能会增加对孕妇的产科暴力.
- 产妇暴力是厄瓜多尔的一个重要问题,影响到30-70%的妇女.
研究的目的:
- 检查COVID-19大流行之前和期间产科特征之间的关系.
- 在COVID-19大流行期间评估厄瓜多尔产科暴力的流行和变化.
主要方法:
- 一项涉及1298名在2021年6月至2022年1月期间完成EPREVO问卷调查的妇女的横截面研究.
- 在COVID-19之前和期间使用费舍尔精确测试分析产科特征.
主要成果:
- 在1598名受访者中,有80.4%的受访者在2020年3月之前分娩.
- 73.6%的参与者在分娩期间经历了产科暴力.
- 在疫情期间,阴道检查,阴囊,生殖器剃须,皮切割和剖腹产显著减少. 与新生儿共住的房间也减少了. 在直接母乳养率方面没有发现统计学上显著的差异.
结论:
- 厄瓜多尔的产科暴力水平仍然很高,没有直接归因于COVID-19大流行的重大变化.
- 某些有害的医疗实践,被认为是产科暴力,在疫情期间减少,可能是由于医疗保健提供者对病毒传播的恐惧.
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