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Obstetric Violence in Spain (Part III): Healthcare Professionals Times and Areas

机译:西班牙的产科暴力(第三部分):医疗保健专业人员时代和地区

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摘要

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.
机译:背景:产科暴力是一个全球公共卫生问题,在西班牙似乎更大。由于未发现研究涉及产科暴力的最具代表性的医疗保健专业人员,次数和地区的研究,这项工作的目标是在妇幼保,其中专业人士以及妇女识别产科暴力的地方学习。方法:这一描述性,回顾性和横截面研究于2018年1月至2019年6月。主要变量是该地区(医院,初级保健,两),时间(妊娠,出生,产业ulium)和参加的专业人士对女性。结果:我们的样品包括17,541名参与者。鉴定了不同研究变量的最产科暴力的地区是医院。妇女在出生时确定了更多的产科暴力。缺乏信息和知情同意的调查结果(74.2%),以及对婴儿行为和治疗的批评(87.6%)突出。主要确定的医疗保健专业人员是助产士和妇科医生,“其他”专业人员反复出现。结论:确定了西班牙的专业人士,时代和地区,似乎有必要反思西班牙国家卫生系统的结构和管理,也有必要反思医疗专业人士的培训。

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