Disrespect and abuse during labour and birth amongst 12,239 women in the Netherlands: a national survey

Plain language summary Disrespect and abuse during labour and birth is a globally recognized phenomenon and has been linked to traumatic birth experiences and PTSD. In our study, we investigated how often women experience disrespect and abuse during labour and birth in the Netherlands and what propo...

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Main Authors: Marit S. G. van der Pijl, Corine J. M. Verhoeven, Rachel Verweij, Tineke van der Linden, Elselijn Kingma, Martine H. Hollander, Ank de Jonge
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Reproductive Health
Subjects:
Online Access:https://doi.org/10.1186/s12978-022-01460-4
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author Marit S. G. van der Pijl
Corine J. M. Verhoeven
Rachel Verweij
Tineke van der Linden
Elselijn Kingma
Martine H. Hollander
Ank de Jonge
author_facet Marit S. G. van der Pijl
Corine J. M. Verhoeven
Rachel Verweij
Tineke van der Linden
Elselijn Kingma
Martine H. Hollander
Ank de Jonge
author_sort Marit S. G. van der Pijl
collection DOAJ
description Plain language summary Disrespect and abuse during labour and birth is a globally recognized phenomenon and has been linked to traumatic birth experiences and PTSD. In our study, we investigated how often women experience disrespect and abuse during labour and birth in the Netherlands and what proportion of these experiences was found to be upsetting. We also looked at risk factors for experiencing upsetting disrespect and abuse and to what extent upsetting disrespect and abuse influences the overall labour and birth experience. We conducted an online survey, with 12,239 respondents included in the analysis. We found a large variation in how frequently certain types of disrespect and abuse were considered upsetting, with 36.3% of women experiencing at least one situation of disrespect and abuse as upsetting. More subtle forms of disrespect and abuse, such as lack of choice, communication or support, were most prevalent and often considered upsetting. Giving birth for the first time and having a migrant background were risk factors for experiencing upsetting disrespect and abuse. Upsetting disrespect and abuse was found to have a strong impact on the overall labour and birth experience; with every additional experienced category of upsetting disrespect and abuse, the number of (very) positive labour and birth experiences decreases and the number of very negative ones increases. Although disrespect and abuse is a complex issue and its measurement subjective, this study shows that there is still a long way to go before achieving optimal respectful maternity care for all women, even in high income countries.
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spelling doaj.art-8d2b81c2dc454a1eb5fee3d2bc358efc2022-12-22T01:00:02ZengBMCReproductive Health1742-47552022-07-0119111610.1186/s12978-022-01460-4Disrespect and abuse during labour and birth amongst 12,239 women in the Netherlands: a national surveyMarit S. G. van der Pijl0Corine J. M. Verhoeven1Rachel Verweij2Tineke van der Linden3Elselijn Kingma4Martine H. Hollander5Ank de Jonge6Department of Midwifery Science, AVAG/Amsterdam Public Health, Amsterdam University Medical Centre (UMC), Vrije Universiteit AmsterdamDepartment of Midwifery Science, AVAG/Amsterdam Public Health, Amsterdam University Medical Centre (UMC), Vrije Universiteit AmsterdamStichting Geboortebeweging (Birth Movement NL)Stichting Geboortebeweging (Birth Movement NL)Department of Philosophy, King’s College LondonAmalia Children’s Hospital, Department of Obstetrics, Radboud University Medical CenterDepartment of Midwifery Science, AVAG, The Amsterdam Reproduction and Development Research Institute, Amsterdam University Medical Centre (UMC), Vrije Universiteit AmsterdamPlain language summary Disrespect and abuse during labour and birth is a globally recognized phenomenon and has been linked to traumatic birth experiences and PTSD. In our study, we investigated how often women experience disrespect and abuse during labour and birth in the Netherlands and what proportion of these experiences was found to be upsetting. We also looked at risk factors for experiencing upsetting disrespect and abuse and to what extent upsetting disrespect and abuse influences the overall labour and birth experience. We conducted an online survey, with 12,239 respondents included in the analysis. We found a large variation in how frequently certain types of disrespect and abuse were considered upsetting, with 36.3% of women experiencing at least one situation of disrespect and abuse as upsetting. More subtle forms of disrespect and abuse, such as lack of choice, communication or support, were most prevalent and often considered upsetting. Giving birth for the first time and having a migrant background were risk factors for experiencing upsetting disrespect and abuse. Upsetting disrespect and abuse was found to have a strong impact on the overall labour and birth experience; with every additional experienced category of upsetting disrespect and abuse, the number of (very) positive labour and birth experiences decreases and the number of very negative ones increases. Although disrespect and abuse is a complex issue and its measurement subjective, this study shows that there is still a long way to go before achieving optimal respectful maternity care for all women, even in high income countries.https://doi.org/10.1186/s12978-022-01460-4Labour and birthIntrapartum careChildbirth experienceBirth traumaTraumatic childbirthDisrespect and abuse
spellingShingle Marit S. G. van der Pijl
Corine J. M. Verhoeven
Rachel Verweij
Tineke van der Linden
Elselijn Kingma
Martine H. Hollander
Ank de Jonge
Disrespect and abuse during labour and birth amongst 12,239 women in the Netherlands: a national survey
Reproductive Health
Labour and birth
Intrapartum care
Childbirth experience
Birth trauma
Traumatic childbirth
Disrespect and abuse
title Disrespect and abuse during labour and birth amongst 12,239 women in the Netherlands: a national survey
title_full Disrespect and abuse during labour and birth amongst 12,239 women in the Netherlands: a national survey
title_fullStr Disrespect and abuse during labour and birth amongst 12,239 women in the Netherlands: a national survey
title_full_unstemmed Disrespect and abuse during labour and birth amongst 12,239 women in the Netherlands: a national survey
title_short Disrespect and abuse during labour and birth amongst 12,239 women in the Netherlands: a national survey
title_sort disrespect and abuse during labour and birth amongst 12 239 women in the netherlands a national survey
topic Labour and birth
Intrapartum care
Childbirth experience
Birth trauma
Traumatic childbirth
Disrespect and abuse
url https://doi.org/10.1186/s12978-022-01460-4
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