西班牙SARS-CoV-2大流行期间的产科暴力：描述性研究

IF 0.7 Q4 NURSING

Enfermeria Clinica Pub Date : 2025-03-01 DOI:10.1016/j.enfcli.2024.10.003

Desirée Mena-Tudela , Susana Iglesias-Casás , María Jesús Valero-Chillerón , Irene Llagostera-Reverter , Julián Mahiques-Llopis

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引用次数: 0

摘要

本研究的目的是描述在SARS-CoV-2大流行期间西班牙妇女对分娩时的产科暴力、医疗化和干预主义的看法。方法采用横断面设计。在数据收集方面，我们设计了一份带有封闭式问题的在线问卷，并通过社交媒体分发。研究人员招募了2020年3月至2021年4月在西班牙分娩的女性。结果共收集问卷6060份。62%的答复者认为所采取的措施是武断的，在遏制大流行方面没有效果。对于以下变量，与母体SARS-CoV-2诊断相关的组间差异有统计学意义：对疑似阳性的SARS-CoV-2状态感到排斥(p <；0.001)，鼓励母乳喂养（p = 0.048），未经同意提供奶瓶(p <；0.001)，不允许陪同(p <；0.001)，以及在出生时将健康婴儿与母亲分开（p = 0.009）。检测呈阳性的女性对她们的护理也不太满意，感觉自己的权力也更小。33.5%的妇女（n = 2,030）报告曾遭受产科暴力。其中，67.8% （n = 1,376）认为，这种产科暴力不能以流行病为理由。讨论了解大流行期间的这些经验，可以为今后发生健康危机时制定针对妇女的具体保护政策提供机会。

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Violencia obstétrica durante la pandemia del SARS-CoV-2 en España: estudio descriptivo

Aim

The aim of this study was to describe women's perceptions of obstetric violence, medicalisation, and interventionism at childbirth in Spain during the SARS-CoV-2 pandemic.

Method

A cross-sectional design was used. For data collection, an online questionnaire with closed questions was designed and distributed via social media. Women who gave birth between March 2020 and April 2021 in Spain were recruited.

Results

The sample consisted of 6,060 questionnaires. Sixty-two percent of respondents thought that the measures taken were arbitrary and ineffective in curbing the pandemic. For the following variables, statistically significant differences were found between groups related to maternal SARS-CoV-2 diagnosis: feeling rejected for suspected positive SARS-CoV-2 status (p < 0.001), being encouraged to breastfeed (p = 0.048), offering bottles without consent (p < 0.001), not being allowed to be accompanied (p < 0.001), and separating the healthy baby from the mother at birth (p = 0.009). Women who tested positive were also less satisfied with their care and felt less empowered. Thirty-three point five percent of women (n = 2,030) report having suffered obstetric violence. Of these, 67.8% (n = 1,376) believe that such obstetric violence is not justified by the pandemic.

Discussion

Understanding these experiences during a pandemic provides an opportunity to develop specific protection policies for women in the event of future health crises.

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来源期刊

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.