Universidad Peruana Cayetano Heredia

Disrespect and abuse during childbirth in fourteen hospitals in nine cities of Peru

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dc.contributor.author Montesinos-Segura, Reneé
dc.contributor.author Urrunaga-Pastor, Diego
dc.contributor.author Mendoza-Chuctaya, Giuston
dc.contributor.author Taype-Rondan, Alvaro
dc.contributor.author Helguero-Santin, Luis M.
dc.contributor.author Martinez-Ninanqui, Franklin W.
dc.contributor.author Centeno, Dercy L.
dc.contributor.author Jiménez-Meza, Yanina
dc.contributor.author Taminche-Canayo, Ruth C.
dc.contributor.author Paucar-Tito, Liz
dc.contributor.author Villamonte-Calanche, Wilfredo
dc.date.accessioned 2018-11-30T03:10:44Z
dc.date.available 2018-11-30T03:10:44Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/4045
dc.description.abstract OBJECTIVE: To assess the prevalence of disrespect and abuse during childbirth and its associated factors in Peru. METHODS: In an observational cross-sectional study, women were surveyed within 48 hours of live delivery at 14 hospitals located in nine Peruvian cities between April and July 2016. The survey was based on seven categories of disrespect and abuse proposed by Bowser and Hill. To evaluate factors associated with each category, prevalence ratios (PRs) and 95% confidence intervals (CIs) were calculated using adjusted Poisson models with robust variances. RESULTS: Among 1528 participants, 1488 (97.4%) had experienced at least one category of disrespect and abuse. Frequency of abandonment of care was increased with cesarean delivery (PR 1.27, 95% CI 1.03-1.57) but decreased in the jungle region (PR 0.27, 0.14-0.53). Discrimination was associated with the jungle region (PR 5.67, 2.32-13.88). Physical abuse was less frequent with cesarean than vaginal delivery (PR 0.23, 0.11-0.49). The prevalences of abandonment of care (PR 0.42, 0.29-0.60), non-consented care (PR 0.70, 0.57-0.85), discrimination (PR 0.40, 0.19-0.85), and non-confidential care (PR 0.71, 0.55-0.93) were decreased among women who had been referred. CONCLUSION: Nearly all participants reported having experienced at least one category of disrespect and abuse during childbirth care, which was associated with type of delivery, being referred, and geographic region. en_US
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartofseries International Journal of Gynecology and Obstetrics
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Young Adult en_US
dc.subject Pregnancy en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Attitude of Health Personnel en_US
dc.subject Battered Women en_US
dc.subject Delivery, Obstetric en_US
dc.subject Disrespect en_US
dc.subject Health Care Surveys en_US
dc.subject Hospitals en_US
dc.subject Human rights abuse en_US
dc.subject Maternal Health Services en_US
dc.subject Obstetric delivery en_US
dc.subject Obstetric labor en_US
dc.subject Parturition en_US
dc.subject Patient advocacy en_US
dc.subject Patient rights en_US
dc.subject Physical Abuse en_US
dc.subject Professional-Patient Relations en_US
dc.subject Quality of Health Care en_US
dc.subject Reproductive rights en_US
dc.title Disrespect and abuse during childbirth in fourteen hospitals in nine cities of Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1002/ijgo.12353
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.02
dc.relation.issn 1879-3479


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