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How women are treated during facility-based childbirth in four countries: A cross-sectional study with labour observations and community-based surveys

The Lancet Oct 17, 2019

Bohren MA, Mehrtash H, Fawole B, et al. - Given that mistreatment of women during childbirth has been reported across the world, researchers focused on constructing and implementing evidence-informed, validated instruments to measure mistreatment during childbirth, and recorded outcomes from a cross-sectional investigation in four low-income and middle-income countries. From 12 health facilities (three per country) in Ghana, Guinea, Myanmar, and Nigeria, women aged at least 15 years were prospectively recruited. Women were surveyed up to 8 weeks postpartum. They performed 2,016 labor observations and 2,672 surveys. Findings revealed mistreatment was suffered by more than a third of women and these individuals were especially vulnerable around the time of birth. The most risk was observed in women who were younger and less educated, this implies disparities in how women are treated during childbirth. To make sure that interventions sufficiently account for the broader context, it is important to understand drivers and structural dimensions of mistreatment, incorporating gender and social differences.
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