Learning from obstetric violence in UK births at home: reaffirming and challenging current understanding of abuse during the maternity period

Gemma McKenzie
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Abstract

Current understanding and conceptualisations of obstetric violence typically focus on abuse carried out on pregnant women during births in medical facilities. However, data from an empirical study of freebirthing in the UK (intentionally giving birth without health care professionals present) inadvertently exposed examples of obstetric violence during births at home. This is an under-researched area and such empirical examples are rare. The article introduces the literature on obstetric violence, highlighting some of its limitations with regards to understanding the phenomenon within the home setting. Using archival examples, it also demonstrates how obstetric violence in the home is not a new phenomenon, thus problematising any presumption that this type of violence is rooted in the hospital as institution. Further, data from The Freebirth Study both reaffirms and challenges current understanding of obstetric violence, particularly around consent, the temporal nature of the abuse and the ways it can manifest. Finally, with recent moves towards legislating against obstetric violence, the article argues for legislative change to recognise abuse in the home.
从英国家庭分娩中的产科暴力中汲取教训:重申并质疑当前对产期虐待的理解
目前对产科暴力的理解和概念通常侧重于孕妇在医疗机构分娩时遭受的虐待。然而,一项关于英国自由分娩(有意在没有医护人员在场的情况下分娩)的实证研究数据无意中揭露了在家中分娩时的产科暴力事件。这是一个研究不足的领域,这样的实证案例很少见。文章介绍了有关产科暴力的文献,强调了这些文献在理解家庭环境中的产科暴力现象方面存在的一些局限性。文章还利用档案实例说明了家庭中的产科暴力并不是一种新现象,从而对任何认为此类暴力植根于医院这一机构的假设提出了质疑。此外,"自由分娩研究 "中的数据既重申了当前对产科暴力的理解,也对其提出了挑战,特别是关于同意、虐待的时间性及其表现形式。最后,随着最近针对产科暴力的立法行动,文章主张修改立法,承认家庭中的虐待行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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