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Obstetrik Şiddet Perspektifinden İntrapartum Bakımda Kanıta Dayalı Uygulamalar

Year 2023, Volume: 4 Issue: 2, 122 - 138, 13.12.2023
https://doi.org/10.59244/ktokusbd.1252085

Abstract

Amaç: Obstetrik şiddet kavramına dikkat çekmek, ebelerin doğum eylemindeki obstetrik şiddete yönelik farkındalığını arttırmak ve doğum eyleminde rutin olarak yapılan ve kanıta dayalı olmayan uygulamaları obstetrik şiddet perspektifinden ele almaktır.
Gereç ve Yöntem: Bu derleme makale Cochrane Library, Google Scholar, Pubmed/Medline arama motorları kullanılarak güncel literatür doğrultusunda hazırlanmıştır.
Bulgular: Obstetrik şiddetin yaygınlığı ülkeye, kullanılan araç ve yönteme, obstetrik şiddetin tanımına, tipine ve doğumun yapıldığı yere bağlı olarak %15-91 arasında değişmektedir. Maternal bakımın sürekliliğinde “Çok erken-çok fazla”, rutin olarak uygulandığında veya aşırı kullanıldığında zararlı olabilecek müdahalelerin kullanımının yanı sıra kanıta dayalı olmayan müdahalelerin gereksiz kullanımına yol açmaktadır. Obstetrik ortamlarda çalışan ebeler, daha fazla müdahaleye maruz kalmakta ve bu da düşük riskli olan kadınların, yüksek riskli olarak algılanmasına neden olmaktadır. Böylece maternal bakımın sağlayıcısı olan ebeler, hastane ortamında müdahaleleri giderek daha fazla normalleştirmektedirler.
Sonuç: Doğumların medikalleşmesiyle rutin olarak yapılan tıbbi müdahale ve uygulamaların birçoğunu WHO önermemektedir. Düşük riskli gebelik ve doğumlarda, doğum eyleminin fizyolojisini korumak amacıyla müdahaleler en aza indirgenmeli, sadece gerektiğinde kullanılmalıdır. Ayrıca ebeler, yapılan birçok müdahale öncesinde, kadınları bilgilendirmeli ve bilgilendirilmiş onamları alınmalıdır. Bir kadın hakları savunucusu olan ebeler, tüm kadınlara doğru ve yeterli bakımı doğru zamanda vermeli, kanıta dayalı, eşit ve saygılı bakım almasını sağlamalıdır. Ebelerin ebeliği teşvik ettiği ve ebelerin olduğu ebelik ortamlarının güçlendirilmesi, doğumların insancıllaştırılmasını sağlayabilir.

Supporting Institution

Herhangi bir kurumdan destek alınmamıştır.

Project Number

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Thanks

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References

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  • Baranowska, B., Doroszewska, A., Kubicka-Kraszyńska, U., Pietrusiewicz, J., Adamska-Sala, I., Kajdy, A., Sys, D., Tataj-Puzyna, U., Bączek, G., & Crowther, S. (2019). Is there respectful maternity care in Poland? Women's views about care during labor and birth. BMC pregnancy and childbirth, 19(1), 520. https://doi.org/10.1186/s12884-019-2675-y
  • Begley, C., Sedlicka, N., & Daly, D. (2018). Respectful and disrespectful care in the Czech Republic: an online survey. Reproductive health, 15(1), 198. https://doi.org/10.1186/s12978-018-0648-7
  • Bhattacharya, S., & Sundari Ravindran, T. K. (2018). Silent voices: institutional disrespect and abuse during delivery among women of Varanasi district, northern India. BMC pregnancy and childbirth, 18(1), 338. https://doi.org/10.1186/s12884-018-1970-3
  • Bohren, M. A., Mehrtash, H., Fawole, B., Maung, T. M., Balde, M. D., Maya, E., Thwin, S. S., Aderoba, A. K., Vogel, J. P., Irinyenikan, T. A., Adeyanju, A. O., Mon, N. O., Adu-Bonsaffoh, K., Landoulsi, S., Guure, C., Adanu, R., Diallo, B. A., Gülmezoglu, A. M., Soumah, A. M., Sall, A. O., … Tunçalp, Ö. (2019). How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys. Lancet (London, England), 394(10210), 1750–1763. https://doi.org/10.1016/S0140-6736(19)31992-0
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  • Borges M. T. (2018). A Violent Birth: Reframing Coerced Procedures During Childbirth as Obstetric Violence. Duke law journal, 67(4), 827–862. PMID: 29469554. https://pubmed.ncbi.nlm.nih.gov/29469554/
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  • Ferrão, A. C., Sim-Sim, M., Almeida, V. S., & Zangão, M. O. (2022). Analysis of the concept of obstetric violence: Scoping review protocol. Journal of personalized medicine, 12(7), 1090. https://doi.org/10.3390/jpm12071090
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  • Jardim, D. M. B., & Modena, C. M. (2018). Obstetric violence in the daily routine of care and its characteristics. Revista latino-americana de enfermagem, 26, e3069. https://doi.org/10.1590/1518-8345.2450.3069
  • Jiang, H., Qian, X., Carroli, G., & Garner, P. (2017). Selective versus routine use of episiotomy for vaginal birth. The Cochrane database of systematic reviews, 2(2), CD000081. https://doi.org/10.1002/14651858.CD000081.pub3
  • Lawrence, A., Lewis, L., Hofmeyr, G. J., & Styles, C. (2013). Maternal positions and mobility during first stage labour. The Cochrane database of systematic reviews, (10), CD003934. https://doi.org/10.1002/14651858.CD003934.pub4
  • Liese, K. L., Davis-Floyd, R., Stewart, K., & Cheyney, M. (2021). Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. Anthropology & medicine, 28(2), 188–204. https://doi.org/10.1080/13648470.2021.1938510
  • Martínez-Galiano, J. M., Martinez-Vazquez, S., Rodríguez-Almagro, J., & Hernández-Martinez, A. (2021). The magnitude of the problem of obstetric violence and its associated factors: A cross-sectional study. Women and birth : journal of the Australian College of Midwives, 34(5), e526–e536. https://doi.org/10.1016/j.wombi.2020.10.002
  • Mena-Tudela, D., González-Chordá, V. M., Soriano-Vidal, F. J., Bonanad-Carrasco, T., Centeno-Rico, L., Vila-Candel, R., Castro-Sánchez, E., & Cervera Gasch, Á. (2020a). Changes in health sciences students' perception of obstetric violence after an educational intervention. Nurse education today, 88, 104364. Advance online publication. https://doi.org/10.1016/j.nedt.2020.104364
  • Mena-Tudela, D., Iglesias-Casás, S., González-Chordá, V. M., Cervera-Gasch, Á., Andreu-Pejó, L., & Valero-Chilleron, M. J. (2020b). Obstetric Violence in Spain (Part II): Interventionism and Medicalization during Birth. International journal of environmental research and public health, 18(1), 199. https://doi.org/10.3390/ijerph18010199
  • Mena-Tudela, D., Iglesias-Casás, S., González-Chordá, V. M., Cervera-Gasch, Á., Andreu-Pejó, L., & Valero-Chilleron, M. J. (2020c). Obstetric Violence in Spain (Part I): Women's Perception and Interterritorial Differences. International journal of environmental research and public health, 17(21), 7726. https://doi.org/10.3390/ijerph17217726
  • Mesenburg, M. A., Victora, C. G., Jacob Serruya, S., Ponce de León, R., Damaso, A. H., Domingues, M. R., & da Silveira, M. F. (2018). Disrespect and abuse of women during the process of childbirth in the 2015 Pelotas birth cohort. Reproductive health, 15(1), 54. https://doi.org/10.1186/s12978-018-0495-6
  • Mihret M. S. (2019). Obstetric violence and its associated factors among postnatal women in a Specialized Comprehensive Hospital, Amhara Region, Northwest Ethiopia. BMC research notes, 12(1), 600. https://doi.org/10.1186/s13104-019-4614-4
  • Miller, S., Abalos, E., Chamillard, M., Ciapponi, A., Colaci, D., Comandé, D., Diaz, V., Geller, S., Hanson, C., Langer, A., Manuelli, V., Millar, K., Morhason-Bello, I., Castro, C. P., Pileggi, V. N., Robinson, N., Skaer, M., Souza, J. P., Vogel, J. P., & Althabe, F. (2016). Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide. Lancet (London, England), 388(10056), 2176–2192. https://doi.org/10.1016/S0140-6736(16)31472-6
  • Nash, K. (2020). Physiology's role in labour assessment. British Journal of Midwifery, 28(9), 630-632. https://doi.org/10.12968/bjom.2020.28.9.630
  • Opiyo, N., Kingdon, C., Oladapo, O. T., Souza, J. P., Vogel, J. P., Bonet, M., Bucagu, M., Portela, A., McConville, F., Downe, S., Gülmezoglu, A. M., & Betrán, A. P. (2020). Non-clinical interventions to reduce unnecessary caesarean sections: WHO recommendations. Bulletin of the World Health Organization, 98(1), 66–68. https://doi.org/10.2471/BLT.19.236729
  • Reveiz, L., Gaitán, H. G., & Cuervo, L. G. (2013). Enemas during labour. The Cochrane database of systematic reviews, 2013(7), CD000330. https://doi.org/10.1002/14651858.CD000330.pub4
  • Rygh, A. B., Skjeldestad, F. E., Körner, H., & Eggebø, T. M. (2014). Assessing the association of oxytocin augmentation with obstetric anal sphincter injury in nulliparous women: a population-based, case-control study. BMJ open, 4(7), e004592. https://doi.org/10.1136/bmjopen-2013-004592
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  • Serati, M., Salvatore, S., & Rizk, D. (2019). Episiotomy in modern clinical practice: friend or foe?. International urogynecology journal, 30(5), 669–671. https://doi.org/10.1007/s00192-019-03912-1
  • Singata, M., Tranmer, J., & Gyte, G. M. (2013). Restricting oral fluid and food intake during labour. The Cochrane database of systematic reviews, 2013(8), CD003930. https://doi.org/10.1002/14651858.CD003930.pub3
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Year 2023, Volume: 4 Issue: 2, 122 - 138, 13.12.2023
https://doi.org/10.59244/ktokusbd.1252085

Abstract

Project Number

-

References

  • Alfirevic, Z., Devane, D., Gyte, G. M., & Cuthbert, A. (2017). Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. The Cochrane database of systematic reviews, 2(2), CD006066. https://doi.org/10.1002/14651858.CD006066.pub3
  • Baranowska, B., Doroszewska, A., Kubicka-Kraszyńska, U., Pietrusiewicz, J., Adamska-Sala, I., Kajdy, A., Sys, D., Tataj-Puzyna, U., Bączek, G., & Crowther, S. (2019). Is there respectful maternity care in Poland? Women's views about care during labor and birth. BMC pregnancy and childbirth, 19(1), 520. https://doi.org/10.1186/s12884-019-2675-y
  • Begley, C., Sedlicka, N., & Daly, D. (2018). Respectful and disrespectful care in the Czech Republic: an online survey. Reproductive health, 15(1), 198. https://doi.org/10.1186/s12978-018-0648-7
  • Bhattacharya, S., & Sundari Ravindran, T. K. (2018). Silent voices: institutional disrespect and abuse during delivery among women of Varanasi district, northern India. BMC pregnancy and childbirth, 18(1), 338. https://doi.org/10.1186/s12884-018-1970-3
  • Bohren, M. A., Mehrtash, H., Fawole, B., Maung, T. M., Balde, M. D., Maya, E., Thwin, S. S., Aderoba, A. K., Vogel, J. P., Irinyenikan, T. A., Adeyanju, A. O., Mon, N. O., Adu-Bonsaffoh, K., Landoulsi, S., Guure, C., Adanu, R., Diallo, B. A., Gülmezoglu, A. M., Soumah, A. M., Sall, A. O., … Tunçalp, Ö. (2019). How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys. Lancet (London, England), 394(10210), 1750–1763. https://doi.org/10.1016/S0140-6736(19)31992-0
  • Bohren, M. A., Tunçalp, Ö., & Miller, S. (2020). Transforming intrapartum care: Respectful maternity care. Best practice & research. Clinical obstetrics & gynaecology, 67, 113–126. https://doi.org/10.1016/j.bpobgyn.2020.02.005
  • Borges M. T. (2018). A Violent Birth: Reframing Coerced Procedures During Childbirth as Obstetric Violence. Duke law journal, 67(4), 827–862. PMID: 29469554. https://pubmed.ncbi.nlm.nih.gov/29469554/
  • Cohain J. S. (2013). The less studied effects of Amniotomy. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 26(17), 1687–1690. https://doi.org/10.3109/14767058.2013.798286
  • Dahlen, H., Downe, S., Duff, M., & Gyte, G. (2013). Vaginal examination during normal labor: Routine examination or routine intervention? International Journal of Childbirth, 3(3), 142. https://connect.springerpub.com/content/sgrijc/3/3/142
  • Davis-Floyd, R., Barclay, L., Davis, B.A., Tritten, J. (2009). Birth model that work. University of Calefornia Press.
  • Downe, S., Gyte, G. M., Dahlen, H. G., & Singata, M. (2013). Routine vaginal examinations for assessing progress of labour to improve outcomes for women and babies at term. The Cochrane database of systematic reviews, (7), CD010088. https://doi.org/10.1002/14651858.CD010088.pub2
  • Ferrão, A. C., Sim-Sim, M., Almeida, V. S., & Zangão, M. O. (2022). Analysis of the concept of obstetric violence: Scoping review protocol. Journal of personalized medicine, 12(7), 1090. https://doi.org/10.3390/jpm12071090
  • Garcia L. M. (2020). A concept analysis of obstetric violence in the United States of America. Nursing forum, 55(4), 654–663. https://doi.org/10.1111/nuf.12482
  • Garcia L. M. (2021). Theory analysis of social justice in nursing: Applications to obstetric violence research. Nursing ethics, 28(7-8), 1375–1388. https://doi.org/10.1177/0969733021999767
  • Healy, S., Humphreys, E., & Kennedy, C. (2016). Midwives' and obstetricians' perceptions of risk and its impact on clinical practice and decision-making in labour: An integrative review. Women and birth : journal of the Australian College of Midwives, 29(2), 107–116. https://doi.org/10.1016/j.wombi.2015.08.010
  • Hofmeyr, G. J., Vogel, J. P., Cuthbert, A., & Singata, M. (2017). Fundal pressure during the second stage of labour. The Cochrane database of systematic reviews, 3(3), CD006067. https://doi.org/10.1002/14651858.CD006067.pub3
  • Jardim, D. M. B., & Modena, C. M. (2018). Obstetric violence in the daily routine of care and its characteristics. Revista latino-americana de enfermagem, 26, e3069. https://doi.org/10.1590/1518-8345.2450.3069
  • Jiang, H., Qian, X., Carroli, G., & Garner, P. (2017). Selective versus routine use of episiotomy for vaginal birth. The Cochrane database of systematic reviews, 2(2), CD000081. https://doi.org/10.1002/14651858.CD000081.pub3
  • Lawrence, A., Lewis, L., Hofmeyr, G. J., & Styles, C. (2013). Maternal positions and mobility during first stage labour. The Cochrane database of systematic reviews, (10), CD003934. https://doi.org/10.1002/14651858.CD003934.pub4
  • Liese, K. L., Davis-Floyd, R., Stewart, K., & Cheyney, M. (2021). Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. Anthropology & medicine, 28(2), 188–204. https://doi.org/10.1080/13648470.2021.1938510
  • Martínez-Galiano, J. M., Martinez-Vazquez, S., Rodríguez-Almagro, J., & Hernández-Martinez, A. (2021). The magnitude of the problem of obstetric violence and its associated factors: A cross-sectional study. Women and birth : journal of the Australian College of Midwives, 34(5), e526–e536. https://doi.org/10.1016/j.wombi.2020.10.002
  • Mena-Tudela, D., González-Chordá, V. M., Soriano-Vidal, F. J., Bonanad-Carrasco, T., Centeno-Rico, L., Vila-Candel, R., Castro-Sánchez, E., & Cervera Gasch, Á. (2020a). Changes in health sciences students' perception of obstetric violence after an educational intervention. Nurse education today, 88, 104364. Advance online publication. https://doi.org/10.1016/j.nedt.2020.104364
  • Mena-Tudela, D., Iglesias-Casás, S., González-Chordá, V. M., Cervera-Gasch, Á., Andreu-Pejó, L., & Valero-Chilleron, M. J. (2020b). Obstetric Violence in Spain (Part II): Interventionism and Medicalization during Birth. International journal of environmental research and public health, 18(1), 199. https://doi.org/10.3390/ijerph18010199
  • Mena-Tudela, D., Iglesias-Casás, S., González-Chordá, V. M., Cervera-Gasch, Á., Andreu-Pejó, L., & Valero-Chilleron, M. J. (2020c). Obstetric Violence in Spain (Part I): Women's Perception and Interterritorial Differences. International journal of environmental research and public health, 17(21), 7726. https://doi.org/10.3390/ijerph17217726
  • Mesenburg, M. A., Victora, C. G., Jacob Serruya, S., Ponce de León, R., Damaso, A. H., Domingues, M. R., & da Silveira, M. F. (2018). Disrespect and abuse of women during the process of childbirth in the 2015 Pelotas birth cohort. Reproductive health, 15(1), 54. https://doi.org/10.1186/s12978-018-0495-6
  • Mihret M. S. (2019). Obstetric violence and its associated factors among postnatal women in a Specialized Comprehensive Hospital, Amhara Region, Northwest Ethiopia. BMC research notes, 12(1), 600. https://doi.org/10.1186/s13104-019-4614-4
  • Miller, S., Abalos, E., Chamillard, M., Ciapponi, A., Colaci, D., Comandé, D., Diaz, V., Geller, S., Hanson, C., Langer, A., Manuelli, V., Millar, K., Morhason-Bello, I., Castro, C. P., Pileggi, V. N., Robinson, N., Skaer, M., Souza, J. P., Vogel, J. P., & Althabe, F. (2016). Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide. Lancet (London, England), 388(10056), 2176–2192. https://doi.org/10.1016/S0140-6736(16)31472-6
  • Nash, K. (2020). Physiology's role in labour assessment. British Journal of Midwifery, 28(9), 630-632. https://doi.org/10.12968/bjom.2020.28.9.630
  • Opiyo, N., Kingdon, C., Oladapo, O. T., Souza, J. P., Vogel, J. P., Bonet, M., Bucagu, M., Portela, A., McConville, F., Downe, S., Gülmezoglu, A. M., & Betrán, A. P. (2020). Non-clinical interventions to reduce unnecessary caesarean sections: WHO recommendations. Bulletin of the World Health Organization, 98(1), 66–68. https://doi.org/10.2471/BLT.19.236729
  • Reveiz, L., Gaitán, H. G., & Cuervo, L. G. (2013). Enemas during labour. The Cochrane database of systematic reviews, 2013(7), CD000330. https://doi.org/10.1002/14651858.CD000330.pub4
  • Rygh, A. B., Skjeldestad, F. E., Körner, H., & Eggebø, T. M. (2014). Assessing the association of oxytocin augmentation with obstetric anal sphincter injury in nulliparous women: a population-based, case-control study. BMJ open, 4(7), e004592. https://doi.org/10.1136/bmjopen-2013-004592
  • Sandall, J., Tribe, R. M., Avery, L., Mola, G., Visser, G. H., Homer, C. S., Gibbons, D., Kelly, N. M., Kennedy, H. P., Kidanto, H., Taylor, P., & Temmerman, M. (2018). Short-term and long-term effects of caesarean section on the health of women and children. Lancet (London, England), 392(10155), 1349–1357. https://doi.org/10.1016/S0140-6736(18)31930-5
  • Serati, M., Salvatore, S., & Rizk, D. (2019). Episiotomy in modern clinical practice: friend or foe?. International urogynecology journal, 30(5), 669–671. https://doi.org/10.1007/s00192-019-03912-1
  • Singata, M., Tranmer, J., & Gyte, G. M. (2013). Restricting oral fluid and food intake during labour. The Cochrane database of systematic reviews, 2013(8), CD003930. https://doi.org/10.1002/14651858.CD003930.pub3
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There are 41 citations in total.

Details

Primary Language Turkish
Subjects Obstetrics and Gynaecology
Journal Section Derleme
Authors

Hanife Nurseven Şimşek 0000-0002-8307-6865

Hülya Demirci 0000-0003-3712-6013

Project Number -
Early Pub Date December 13, 2023
Publication Date December 13, 2023
Submission Date February 17, 2023
Acceptance Date August 7, 2023
Published in Issue Year 2023 Volume: 4 Issue: 2

Cite

APA Şimşek, H. N., & Demirci, H. (2023). Obstetrik Şiddet Perspektifinden İntrapartum Bakımda Kanıta Dayalı Uygulamalar. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi, 4(2), 122-138. https://doi.org/10.59244/ktokusbd.1252085