Mistreatment in healthcare: peripartum experience in a Tunisian maternity

AJOG global reports Pub Date : 2024-11-01 DOI:10.1016/j.xagr.2024.100410

Haithem Aloui MD, Hatem Frikha MD, Rami Hammami MD, Amal Chermiti MD, Hassine Saber Abouda MD, Mohamed Badis Channoufi PhD, Abir Karoui PhD

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Abstract

Background

Mistreatment in healthcare is defined by the set of behaviors, acts, and omissions committed by the healthcare providers on patients. Pregnant women can be exposed to this behavior during pregnancy, childbirth, and the postpartum period. It can have several aspects and affects the women's mental health, social and professional life, and also their newborns and families.

Objective

This study was made to estimate the frequency of mistreatment during the peripartum period in a Tunisian maternity unit, determine its impact on the parturient and her entourage, and draw up recommendations for the prevention of this public health problem.

Study Design

We conducted a cross-sectional survey in Department C of the Tunis Maternity and Neonatology Center from July 2022 to September 30, 2022. Our questionnaire encompassed verbal and physical abuse, patient information, consent, unprofessional conduct, poor communication, and discrimination.

Results

This study included 400 patients. The average age was 29.3+–5.65. Single women represented 12.3% of the cases. Seventy-five percent of women reported having been victims of at least one type of violence during childbirth. Verbal abuse was the most frequent type observed. Eighty-two percent of women reported verbal abuse, while 23.25% underwent physical violence. After the delivery, 391 women (97.8%) stated that the delivery was a source of anxiety and that they were not ready to repeat the experience. Six of them were followed up in psychiatry. Mistreatment was expressed by a lack of information and/or respect for consent, unprofessional conduct, or poor communication between the caregiver and the patient.

Conclusion

This study emphasizes the significance of including women in decision-making processes regarding their care. Establishing systematic approaches for providing information and obtaining consent is crucial, ensuring a dynamic approach that promotes women's freedom of choice.

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医疗保健中的虐待：突尼斯一家产科医院的围产期经历

背景医疗中的虐待是指医疗服务提供者对患者实施的一系列行为、作为和不作为。孕妇在怀孕、分娩和产后期间都可能受到这种行为的影响。本研究旨在估算突尼斯产科围产期虐待行为的发生频率，确定其对产妇及其随行人员的影响，并为预防这一公共卫生问题提出建议。研究设计我们于 2022 年 7 月至 2022 年 9 月 30 日在突尼斯产科和新生儿科中心 C 部进行了一项横断面调查。我们的调查问卷包括言语和身体虐待、患者信息、同意、不专业行为、沟通不畅和歧视。平均年龄为 29.3+-5.65 岁。单身女性占 12.3%。75%的妇女表示在分娩过程中至少遭受过一种暴力。辱骂是最常见的暴力类型。82%的妇女报告遭受过口头虐待，23.25%的妇女遭受过身体暴力。分娩后，有 391 名妇女（97.8%）表示分娩是焦虑的根源，她们不愿意再重复这种经历。其中 6 人接受了精神科的随访。虐待表现为缺乏信息和/或不尊重同意、不专业的行为或护理人员与患者之间沟通不畅。建立提供信息和征得同意的系统方法至关重要，可确保采取一种促进妇女自由选择的动态方法。

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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来源期刊

AJOG global reports Endocrinology, Diabetes and Metabolism, Obstetrics, Gynecology and Women's Health, Perinatology, Pediatrics and Child Health, Urology

CiteScore

1.20

自引率

0.00%

发文量