Nursing students' knowledge about obstetric violence
Main Article Content
Introduction: Obstetric violence is a worldwide multifactorial phenomenon. It is characterized by the disrespectful treatment of women at health institutions, during the pregnancy-puerperal period. Identifying future health professionals´ knowledge on this theme can be useful to design teaching strategies that support professional training for the prevention and coping of obstetric violence. Objective: To evaluate the knowledge of nursing undergraduate students on Obstetric Violence. Methods: This is descriptive and exploratory research with a quantitative approach and a sample of 115 students from a public university. The data were collected by a structured questionnaire. The questions were analyzed by applying statistical tests and Poisson regression models with robust variance. Results: About 99.1% of the students stated some approach to the theme, and 56.3% know someone who suffered obstetric violence. The university and social media were cited as the main sources of information. Only 10.5% were able to estimate how many women currently suffer from obstetric violence; 13% know the available legislation and 33.04% said they know how to make a report of violence. Conclusion: The findings indicate that students have superficial knowledge about the investigated topic, ignoring epidemiological aspects, as well as related legislation in Brazil and available instances for reporting. These results justify the teaching improvement about obstetric violence in the educational process of these future professionals, as a strategy to prevent and struggle with obstetric violence.
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Coelho EBS, Silva ACLG, Lindner SR. Violência: definições e tipologias. Florianópolis: Universidade Federal de Santa Catarina, 2014.
World Health Organization (WHO). Global plan of action to strengthen the role of the health system within a national multisectoral response to address interpersonal violence, in particular against women and girls, and against children. Geneva: WHO, 2016.
World Health Organization (WHO). World report on violence and health: violence and injury prevention. Available from: https://www.who.int/violence_injury_prevention/violence/world_report/en/.
Tesser CD, Knobel R, Andrezzo HFA, Diniz SG. Violência obstétrica e prevenção quaternária: o que é e o que fazer. Rev Bras Med Fam Comunidade. 2015;10(35):1-12. http://dx.doi.org/10.5712/rbmfc10(35)1013
Williams CR, Meier BM. Ending the abuse: the human rights implications of obstetric violence and the promise of rights-based policy to realise respectful maternity care. Sex Reprod Health Matters. 2019;27(1):9-11. https://doi.org/10.1080/26410397.2019.1691899
Bohren M, Mehrtash H, Fawole B, Maung TM, Balde MD, Maya E, et al. How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys. Lancet. 2019;394(10210):1750-63. https://doi.org/10.1016/S0140-6736(19)31992-0
Coll C, Mesemburg M, Domingues M, Bertoldi A, Silveira M. The influence of mistreatment during childbirth on postpartum depression: Findings from the 2015 Pelotas (Brazil) birth cohort study. Rev Epidemiol Sante Publique. 2018;66(5): S312. https://doi.org/10.1016/j.respe.2018.05.198
McGarry J, Hinsliff-Smith K, Watts K, McCloskey P, Evans C. Experiences and impact of mistreatment and obstetric violence on women during childbearing: a systematic review protocol. JBI Database System Rev Implement Rep. 2017;15(3):620-7. http://doi.org/10.11124/JBISRIR-2016-002950
Diniz SG, Salgado HO, Andrezzo HFA, Carvalho PGC, Carvalho PCA, Aguiar CA, et al. Abuse and disrespect in childbirth care as a public health issue in Brazil: origins, definitions, impacts on maternal health, and proposals for its prevention. J Hum Growth Dev. 2015;25(3):377-84. http://dx.doi.org/10.7322/jhgd.106080
World Health Organization (WHO). The prevention and elimination of disrespect and abuse during facility-based childbirth. Geneva: WHO, 2014.
World Health Organization (WHO). WHO recommendations: intrapartum care for a positive childbirth experience. Geneva: WHO, 2018.
Montesinos-Segura R, Urrunaga-Pastor D, Mendoza-Chuctaya G, Taype-Rondan A, Helguero-Santin LM, Martinez-Ninanqui FW, et al. Disrespect and abuse during childbirth in fourteen hospitals in nine cities of Peru. Int J Gynaecol Obstet. 2018;140(2):184-90. https://doi.org/10.1002/ijgo.12353
Mesenburg MA, Victora CG, Serruya SJ, León RP, Damaso AH, Domingues MR, et al. Disrespect and abuse of women during the process of childbirth in the 2015 Pelotas birth cohort. Reprod Health. 2018;15(1):54. http://doi.org/10.1186/s12978-018-0495-6
Ijadunola MY, Olotu EA, Oyedun OO, Eferakeya SO, Ilesanmi F, Fagbemi AT, et al. Lifting the veil on disrespect and abuse in facility-based child birth care: findings from South West Nigeria. BMC Pregnancy Childbirth. 2019;19:39. http://doi.org/10.1186/s12884-019-2188-8
Azhar Z, Oyebode O, Masud H. Disrespect and abuse during childbirth in district Gujrat, Pakistan: a quest for respectful maternity care. PLoS One. 2018;13(7):e0200318. https://doi.org/10.1371/journal.pone.0200318
Fundação Perseu Abramo (FPA). Mulheres brasileiras e gênero nos espaços público e privado. Available from: https://fpabramo.org.br/publicacoes/publicacao/pesquisa-mulheres-brasileiras-e-genero-nos-espacos-publico-e-privado-2010/.
Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, et al. The mistreatment of women during childbirth in health facilities globally. A mixed-methods systematic review. PLoS Med. 2015;12(6):1-32. https://doi.org/10.1371/journal.pmed.1001847
Betron ML, McClair TL, Currie S, Banerjee J. Expanding the agenda for addressing mistreatment in maternity care: a mapping review and gender analysis. Reprod Health. 2018;15(1):143. http://doi.org/10.1186/s12978-018-0584-6
Jardim DMB, Modena CM. A violência obstétrica no cotidiano assistencial e suas características. Rev Latino-Am Enfermagem. 2018;26:e3069. https://doi.org/10.1590/1518-8345.2450.3069
Rodrigues VP, Machado JC, Santos WS, Santos MFS, Diniz NMF. Gender violence: social representations of relatives. Texto Contexto Enferm. 2016;25(4):e2770015. https://doi.org/10.1590/0104-07072016002770015
Medronho R, Carvalho D, Bloch K. Epidemiologia. 2ed. Rio de Janeiro: Atheneu, 2008.
Cochran WG. Técnicas de Amostragem. 2ed. Portugal: Fundo de Cultura, 1963.
Zou G. A Modified Poisson Regression Approach to Prospective Studies with Binary Data. Am J Epidemiol. 2004;159 (7):702-6. http://doi.org/10.1093/aje/kwh090
Sena LM, Tesser CD. Violência obstétrica no Brasil e o ciberativismo de mulheres mães: relato de duas experiências. Interface (Botucatu). 2017;21(60):209-20. https://doi.org/10.1590/1807-57622015.0896
Dias Sobrinho J. Responsabilidade social da Universidade em questão. Avaliação (Campinas). 2018;23(03):586-89. https://doi.org/10.1590/s1414-40772018000300001
Mattar LD, Diniz SG. Reproductive hierarchies: motherhood and inequalities in women’s exercising of human rights. Interface (Botucatu). 2012;16(40):107-20. http://doi.org/10.1590/S1414-32832012005000001
Diniz CSG, Niy DY, Andrezzo HFA, Carvalho PCA, Salgado HO. A vagina-escola: seminário interdisciplinar sobre violência contra a mulher no ensino das profissões de saúde. Interface. 2016;20(56):253-9. https://doi.org/10.1590/1807-57622015.0736
Sanfelice CFO, Tiburcio CA, Anastácio JV, Barros GM. Curso de aprimoramento para enfermeiras obstétricas do Projeto Apice On: relato de experiência. Esc Anna Nery. 2020;24(2):e20190212. https://doi.org/10.1590/2177-9465-ean-2019-0212
Dey A, Shakya HB, Chandurkar D, Kumar S, Das AK, Anthony J, et al. Discordance in self-report and observation data on mistreatment of women by providers during childbirth in Uttar Pradesh, India. Reprod Health. 2017;14(1):149. http://doi.org/10.1186/s12978-017-0409-z
Oliveira VJ, Penna CMM. O discurso da violência obstétrica na voz das mulheres e dos profissionais de saúde. Texto Contexto Enferm. 2017;26(2):e06500015. https://doi.org/10.1590/0104-07072017006500015
Lansky S, Souza KV, Peixoto ERM, Oliveira BJ, Diniz CSG, Vieira NF, et al. Violência obstétrica: influência da Exposição Sentidos do Nascer na vivência das gestantes. Cienc Saude Coletiva 2019;24(8):2811-24. http://dx.doi.org/10.1590/1413-81232018248.30102017
Defensoria Pública do Estado de São Paulo (DPESP). Conversando sobre violência obstétrica. São Paulo: Núcleo Especializado de Promoção e Defesa dos Direitos da Mulher, 2018.
Terán P, Castellanos C, Blanco MG, Ramos D. Violencia obstétrica: percepción de las usuarias. Rev Obstet Ginecol Venez. 2013;73(3):171-80.
Santa Catarina. Câmara dos Deputados. Lei Nº 17.097, de 17 de janeiro de 2017. Dispõe sobre a implantação de medidas de informação e proteção à gestante e a parturiente contra a violência obstétrica no estado de Santa Catarina. Available from: http://leis.alesc.sc.gov.br/html/2017/17097_2017_lei.html.
Sadler M, Santos MJDS, Ruiz-Berdún D, Rojas GL, Skoko E, Gillen P, et al. Moving beyond disrespect and abuse: addressing the structural dimensions of obstetric violence. Reprod Health Matters. 2016;24(47):47-55. https://doi.org/10.1016/j.rhm.2016.04.002