European Association of Perinatal Medicine (EAPM), European Board and College of Obstetricians and Gynaecologists (EBCOG), European Midwives Association (EMA). Joint position statement: Substandard and disrespectful care in labour - because words matter.

Autor: Ayres-de-Campos D; Medical School, Santa Maria University Hospital, University of Lisbon, Portugal. Electronic address: dayresdecampos@gmail.com., Louwen F; Department of Obstetrics and Gynecology and Obstetrics, Goethe University Frankfurt/Main and University Hospital, Germany., Vivilaki V; Department of Midwifery, University of West Attica, Greece., Benedetto C; Department of Gynecology and Obstetrics, University Division at St. Anna Hospital, Torino, Italy., Modi N; Section of Neonatal Medicine, School of Public Health, Imperial College London, London, UK., Wielgos M; Department of Obstetrics and Perinatology, National Medical Institute of the Ministry of Interior and Administration, Medical Faculty, Lazarski University, Warsaw, Poland., Tudose MP; Obstetrics Department, Emergency Hospital, Buzau, Carol Davila University of Medicine and Pharmacy, Faculty of Midwifery and Nursing, Bucharest, Romania., Timonen S; Turku University Hospital, Turku, Finland., Reyns M; Independent Midwife, Ghent, Belgium., Yli B; Delivery Department, Oslo University Hospital, Oslo, Norway., Stenback P; Arcada University of Applied Sciences, Helsinki, Finland., Nunes I; Department of Obstetrics and Gynecology, Unidade Local de Saúde de Gaia/Espinho, Faculty of Medicine, University of Porto, Portugal., Yurtsal B; Department of Midwifery, Sivas Cumhuriyet University, Turkey., Vayssière C; Department of Obstetrics-Gynecology-Reproduction, Paule de Viguier Hospital, CHU Toulouse, Toulouse III University, France., Roth GE; Department of Obstetrics and Gynecology, CHU Strasbourg, France, University of Strasbourg, France., Jonsson M; Department of Women's and Children's Health, Uppsala University, Sweden., Bakker P; Department of Obstetrics and Gynecology, Amsterdam UMC, Location VU Medical Center, Amsterdam, the Netherlands., Lopriore E; Department of Neonatology, Leiden University Medical Center, Netherlands., Verlohren S; Department of Obstetrics, Charité - Universitätsmedizin Berlin, Germany., Jacobsson B; Department of Obstetrics and Gynecology, Sahlgrenska Academy, Gothenburg University, Sahlgrenska University Hospital, Gothenburg, Sweden.
Jazyk: angličtina
Zdroj: European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2024 May; Vol. 296, pp. 205-207. Date of Electronic Publication: 2024 Feb 29.
DOI: 10.1016/j.ejogrb.2024.02.048
Abstrakt: Substandard or disrespectful care during labour should be of serious concern for healthcare professionals, as it can affect one of the most important events in a woman's life. Substandard care refers to the use of interventions that are not considered best-practice, to the inadequate execution of interventions, to situations where best-practice interventions are withheld from patients, or there is lack of adequate informed consent. Disrespectful care refers to forms of verbal and non-verbal communication that affect patients' dignity, individuality, privacy, intimacy, or personal beliefs. There are many possible underlying causes for substandard and disrespectful care in labour, including difficulties in modifying behaviours, judgmental or paternalistic attitudes, personal interests and individualism, and a human tendency to make less arduous, less difficult, or less stressful clinical decisions. The term "obstetric violence" is used in some parts of the world to describe various forms of substandard and disrespectful care in labour, but suggests that it is mainly carried out by obstetricians and is a serious form of aggression, carried out with the intent to cause harm. We believe that this term should not be used, as it does not help to identify the underlying problem, its causes, or its correction. In addition, it is generally seen by obstetricians and other healthcare professionals as an unjust and offensive term, generating a defensive and less collaborative mindset. We reach out to all individuals and institutions sharing the common goal of improving women's experience during labour, to work together to address the underlying causes of substandard and disrespectful care, and to develop common strategies to deal with this problem, based on mutual comprehension, trust and respect.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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