New Report Reveals Widespread Abuse, Mistreatment of Women During Childbirth

(JOHANNESBURG) — A new report says more than one-third of women in four low-income countries in Africa and Asia were slapped, mocked, forcibly treated or otherwise abused during childbirth in health centers and suggests that such mistreatment occurs worldwide. The study published Wednesday in The Lancet medical journal says women in Nigeria, Myanmar, Ghana and Guinea also experienced high rates of cesarean sections and surgical cuts to the vagina, or episiotomies, without their consent — and often without a painkiller. “Mistreatment during childbirth can amount to a violation of human rights, and could be a powerful disincentive from seeking facility-based maternity care,” the study said in a discussion of similar research. The new study led by the World Health Organization followed more than 2,000 women during labor and interviewed more than 2,600 women after childbirth. Some 42% reported physical or verbal abuse or discrimination during childbirth. Some women were punched, shouted at, scolded or forcibly held down. Younger, less-educated women are at risk of such mistreatment which also includes neglect by health workers or the use of force during procedures, the study said. Most of the abuse occurred in the 15 minutes before and during childbirth. The study cited research that found that “midwives and doctors described women as ‘uncooperative’ during this period and some justified using physical and verbal abuse as ‘punishme...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized health onetime Source Type: news

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Condition:   Pelvic Pain Interventions:   Combination Product: Collagen;   Procedure: Rehabilitation sessions Sponsor:   Althaia Xarxa Assistencial Universitària de Manresa Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionsOur findings confirm that auricular acupuncture therapy may be a valuable adjunct to analgesic therapy in patients undergoing episiotomy during vaginal delivery. The results prompt a question whether our current ‘best practice’ may yet be improved.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
We examined hospital use of low-interventional practices, as well as variation in utilization across hospitals. METHODS: Data came from 185 California hospitals completing a survey of intrapartum care, including 9 questions indicating use of low- versus high-interventional practices (eg, use of intermittent auscultation, nonpharmacologic pain relief, and admission of women in latent labor). We performed a group-based latent class analysis to identify distinct groups of hospitals exhibiting different levels of utilization on these 9 measures. Multivariable logistic regression identified institutional characteristics as...
Source: Pain Physician - Category: Anesthesiology Authors: Tags: J Midwifery Womens Health Source Type: research
We examined hospital use of low‐interventional practices, as well as variation in utilization across hospitals.MethodsData came from 185 California hospitals completing a survey of intrapartum care, including 9 questions indicating use of low ‐ versus high‐interventional practices (eg, use of intermittent auscultation, nonpharmacologic pain relief, and admission of women in latent labor). We performed a group‐based latent class analysis to identify distinct groups of hospitals exhibiting different levels of utilization on these 9 m easures. Multivariable logistic regression identified institutional characteristics ...
Source: Journal of Midwifery and Women's Health - Category: Midwifery Authors: Tags: Original Research Source Type: research
Discussion: There is low to moderate level evidence that combination analgesic products containing low-dose codeine provide small to moderate pain relief for acute and chronic pain conditions in the immediate short term with limited trial data on use beyond 24 hours. Further research examining regular use of these medicines is needed with more emphasis on measuring potential harmful effects.
Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Review Articles Source Type: research
Authors: Ma DM, Hu W, Wang YH, Luo Q Abstract We conducted a large-sample study in six midwifery centres to estimate the effectiveness of Moderate Perineal Protection technique during spontaneous delivery. 31,249 women accepted the traditional technique were selected as control group, and 57,056 women accepted the Moderate Perineal Protection technique as the observation group. There was no significant difference in demographic characteristics between the two groups. The perineal episiotomy rate decreased (22.913% vs. 32.161%, p 
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
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