Kadınların obstetrik şiddet deneyimleri: Sistematik derleme

Amaç: Bu çalışmanın amacı kadınların maruz kaldıkları obstetrik şiddete ilişkin deneyimlerini inceleyen çalışma sonuçlarını değerlendirmektir. Yöntem: Literatür taraması “Pubmed, Scopus, Medline” veri tabanlarında 01-27 Ekim 2019 tarihleri arasında, “obstetric violence” anahtar kelimesi kullanılarak gerçekleştirildi Dahil etme kriterleri doğrultusunda araştırma kapsamına 15 çalışma alındı. Bulgular: Sistematik derleme sonucunda elde edilen bulgular; obstetrik şiddet prevalansı, obstetrik şiddete ilişkin farkındalık, rızasız bakım, onursuz bakım, fiziksel taciz, ihmal edilmiş bakım, mahremiyetsiz bakım, ayrımcılık içeren bakım olmak üzere sekiz başlık altında toplanmıştır. Obstetrik şiddet prevalansının %12-75 arasında değiştiği, kadınların obstetrik şiddete ilişkin bilgi sahibi ve farkındalığının olmadıkları belirlenmiştir. Kadınların %17.1-63.6’sının bakıma ilişkin rızalarının alınmadığını, %19.3-55.3’ünün sağlık personelinin küçümseyici, hakaret içerikli sözlerine maruz kaldığı, %13.4-46.9’unun sağlık personelinin tokat, vurma gibi kötü muamelelerine maruz kaldığı belirlenmiştir. Kadınların %8.5-10.6’sının bakımlarının ihmal edildiği, %3-9.3’ünün bakım alırken negatif ayrımcılığa uğradığı bildirilmiştir. Sonuç: Kadın yaşamının en özel dönemlerinden olan doğum sürecinde kadınların maruz kaldıkları obstetrik şiddet kavramı tanımlanmalı, bu şiddete karşı tüm sağlık profesyonelleri ortak bir hareketle mücadele etmelidirler.

Anahtar Kelimeler:

Gebelik, doğum, obstetrik, şiddet

Obstetric violence experiences of women: A systematic review

Aim: The aim of this study is to evaluate the results of the study examining the experiences of women regarding obstetric violence. Method: The literature search was carried out in “Pubmed, Scopus, Medline” databases between 01-27 October 2019, using the keyword “obstetric violence” 15 studies were included in the scope of the study in line with the inclusion criteria. Results: Results obtained as a result of systematic review has been grouped under eightheadings; the prevalence of obstetric violence, awareness of obstetric violence, non-consented care, non-dignified care, physical abuse, neglected care, non-confidential care, discrimination. It was found that the prevalence of obstetric violence ranged from 12 to 75% and that women did not have knowledge and awareness of obstetric violence. It was determined 17.1-63.6% of women did not give their consent for care, 19.3-55.3% of them were exposed to condescending and insulting words of health personnel, 13.4-46.9% of them were slapped, hitting, etc. were found to have been subjected to such ill-treatment. It was reported that 8.5-10.6% of the women were neglected in their care, and 3-9.3% of them faced negative discrimination while receiving care. Conclusion: In the birth process, which is one of the most special periods of women’s life, the concept of obtstetric violence that women are exposed to should be defined and all health professionals should fight against this violence in a common movement.

Keywords:

Pregnancy, childbirth, obstetric, violence,

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