Experiences of disrespect and abuse during childbirth in the World Health Organization European region: A mixed‐method study among 22 countries
Rattachement africain : Mozambique, it, no, lv, pt, se, de, pl, gr, si, lt, fr, ch, ba, at, cy, il, us, hr, rs, lu, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: Despite advancements in maternity quality care worldwide, mistreatment of women during childbirth persists. Currently, there is a gap of knowledge on the occurrence of disrespect and abuse during childbirth in the World Health Organization (WHO) European region. METHODS: Within the IMAgiNE EURO (Improving Maternal Newborn Care in the WHO European Region During COVID-19 Pandemic) study, women 18 years and older who gave birth in healthcare facilities in the WHO European region, were invited to complete an online validated questionnaire regarding quality of maternity care. Data were collected between March 2020 and May 2023, declared as the COVID-19 pandemic. A mixed-method analysis was conducted on women's experiences of abuse, involving descriptives and multivariate logistic regression for quantitative data and thematic analysis for qualitative data. RESULTS: Of 50 617 participants among 22 countries, 7683 (15.2%) reported experiences of abuse ranging from 6.4% in Israel to 30.7% in Bosnia-Herzegovina, with significant differences by country, age, and birth mode. Emotional, verbal, and physical abuses were reported by 10.3%, 7.3%, and 2.4%, respectively. The thematic analysis, including 737 responses, identified several shortcomings in care that women perceived as abusive, the experience associated with abuse, and the elicited emotions. Experiences of disrespect and abuse were often linked to a sequence of actions, resulting in women feeling violated and treated as an object. CONCLUSION: Disrespectful maternity care was common during the COVID-19 pandemic in the WHO European region. Efforts are needed to improve communication, implementation of evidence-based practices, and respect for women's rights. Constant monitoring of disrespect and abuse indicators is needed. A paradigm shift must happen, ensuring safe and respectful care for all.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Experiences of disrespect and abuse during childbirth in the World Health Organization European region: A mixed‐method study among 22 countries
- Date Crossref
- 08/09/2025
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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International Centre for Reproductive Health Mozambique (code pays fourni par la source)Structure de recherche
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IRCCS Materno Infantile Burlo Garofolo pays non établi dans la noticeÉtablissement de santé
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Western Norway University of Applied Sciences Department of Health and Caring Science pays non établi dans la noticeUniversité ou école supérieure
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Riga Stradiņš University Department of Obstetrics and Gynecology pays non établi dans la noticeUniversité ou école supérieure
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Universidade do Porto pays non établi dans la noticeUniversité ou école supérieure
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Universidade Lusófona do Porto pays non établi dans la noticeUniversité ou école supérieure
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University of Porto Institute of Public Health pays non établi dans la noticeOrganisation à but non lucratif
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Universidade Lusófona pays non établi dans la noticeUniversité ou école supérieure
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Sahlgrenska University Hospital Region Västra Götaland pays non établi dans la noticeÉtablissement de santé
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Region Västra Götaland pays non établi dans la noticeOrganisme public
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University of Gothenburg pays non établi dans la noticeUniversité ou école supérieure
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Bielefeld University Department of Epidemiology and International Public Health pays non établi dans la noticeUniversité ou école supérieure
International Centre for Reproductive Health (Mozambique), IRCCS Materno Infantile Burlo Garofolo et Department of Health and Caring Science — Western Norway University of Applied Sciences, avec 9 autres affiliations. Pays d’affiliation : Mozambique.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.