Evaluation of Prevalence of Obstetric Violence and its Associated Factors: A Systematic Review and Meta-Analysis

IF 5.4 1区社会学 Q1 CRIMINOLOGY & PENOLOGY

Trauma Violence & Abuse Pub Date : 2025-07-30 DOI:10.1177/15248380251357612

Ebru Küçük, Kıymet Yeşilçiçek Çalik

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引用次数: 0

Abstract

Obstetric violence (OV) begins with a woman’s initial contact with a health institution and can persist throughout pregnancy, labor, and the postpartum period. Despite this, previous research has largely focused on the labor process. This systematic review and meta-analysis aimed to determine the prevalence and associated factors of OV experienced by women during pregnancy, labor, or the postpartum period. We conducted systematic searches in five electronic databases (Web of Science, Scopus, CINAHL Ultimate, MEDLINE Ultimate, and OVID) between April 27 and August 7, 2024. Studies were included if they involved women aged 18 and above who experienced mistreatment, abuse, disrespect, or OV during pregnancy, childbirth, or the postpartum period; employed quantitative cohort, descriptive, or cross-sectional designs; were written in English; reported the prevalence of OV and/or associated factors; and were published between January 1, 2007 and December 31, 2023. Data synthesis involved meta-analysis, meta-regression, and narrative synthesis methods. A total of 41 studies, including 43,977 participants from 17 countries, were included. The meta-analysis revealed that the pooled prevalence of OV was 61.7% (95% CI [0.549, 0.680]; I ²: 99.258%). The meta-regression analysis showed that variables such as the country of study, income level of countries, study setting, study design, and risk of bias had statistically significant effects on OV. In addition, 40 risk factors and 14 protective factors were identified through narrative synthesis. This highlights the high prevalence of OV and the need to address the associated factors.

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评估产科暴力的流行及其相关因素：系统回顾和荟萃分析

产科暴力始于妇女与保健机构的初次接触，并可能在整个怀孕、分娩和产后期间持续存在。尽管如此，之前的研究主要集中在劳动过程上。本系统综述和荟萃分析旨在确定女性在妊娠、分娩或产后经历的OV患病率及其相关因素。我们在2024年4月27日至8月7日期间对Web of Science、Scopus、CINAHL Ultimate、MEDLINE Ultimate和OVID等5个电子数据库进行了系统检索。如果研究涉及18岁及以上在怀孕、分娩或产后期间遭受虐待、虐待、不尊重或OV的女性，则纳入研究；采用定量队列、描述性或横断面设计；都是用英文写的；报告OV患病率及/或相关因素；并在2007年1月1日至2023年12月31日期间发布。数据综合包括元分析、元回归和叙事综合方法。共有41项研究，包括来自17个国家的43,977名参与者。meta分析显示，OV的总患病率为61.7% (95% CI [0.549, 0.680]；I²：99.258%)。meta回归分析显示，研究国家、国家收入水平、研究环境、研究设计、偏倚风险等变量对OV有统计学显著影响。此外，通过叙事综合确定了40个危险因素和14个保护因素。这突出了OV的高患病率和解决相关因素的必要性。

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

Trauma Violence & Abuse Multiple-

CiteScore

13.60

自引率

7.80%

发文量

131

期刊介绍： Trauma, Violence, & Abuse is devoted to organizing, synthesizing, and expanding knowledge on all force of trauma, abuse, and violence. This peer-reviewed journal is practitioner oriented and will publish only reviews of research, conceptual or theoretical articles, and law review articles. Trauma, Violence, & Abuse is dedicated to professionals and advanced students in clinical training who work with any form of trauma, abuse, and violence. It is intended to compile knowledge that clearly affects practice, policy, and research.