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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Patient and Provider Perspectives of Disrespect and Abuse during Childbirth in Tanzania: A Literature Review
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Patient and Provider Perspectives of Disrespect and Abuse during Childbirth in Tanzania: A Literature Review

机译：在坦桑尼亚分娩期间不尊重和滥用的患者和提供者的观点：文献综述

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Objective: Disrespectful and abusive (D&A) maternity care is a deterrent to facility childbirth and can thus contribute to child and maternal mortality. This study will review existing literature on D&A in Tanzania to better understand and contextualize the issue. Methods: A comprehensive literature search was conducted to find relevant publications on D&A during childbirth in Tanzania. The search was conducted on the National Center for Biotechnology Information (NCBI) and PubMed (U.S. National Library of Medicine at the National Institutes of Health). The inclusion criteria were as follows: qualitative, quantitative, and ethnographic studies conducted in Tanzania on obstetrical violence; published in English; focused on prevalence, incidence, root causes, historical trends, interventions, and policy recommendations for obstetrical violence in Tanzania. Results: Twenty-one studies were selected for this literature review. Up to 73.1% of women reported experiencing at least one form of D&A during labor. Commonly reported D&A events include non-dignified care, non-confidential care, and physical abuse. Other forms of D&A, including detention in facilities and asking for unofficial payments, are also reported. Ninety-six percent of nurses, midwives, and nursing assistants in Tanzania self-reported engaging in at least one form of D&A. Lack of training and provider support, long work hours, fear of blame, and limited infrastructure were reported as factors leading to D&A by providers. Conclusions: In Tanzania, D&A during childbirth is prevalent in healthcare systems. The direct relationship between D&A and poor maternal and fetal health is well-documented. Individual and systemic factors influence both provider and patient perspectives of D&A, providing a window into a complex and sensitive phenomenon. It is important that D&A in Tanzania be viewed holistically, and that interventions target the multifaceted nature of the issue.
机译：目的：不尊重和虐待（D＆amp; a）产妇护理是一种威慑设施分娩，因此可以为儿童和孕产妇死亡率做出贡献。本研究将审查D＆amp的现有文学;在坦桑尼亚的一个人，以更好地了解和上下文化问题。 方法：进行了全面的文学搜索，以查找D＆amp的相关出版物;在坦桑尼亚的分娩期间。搜索是在国家生物技术信息中心（NCBI）和PUBMED（美国国家卫生研究院国家医学图书馆）进行。纳入标准如下：在坦桑尼亚对产科暴力进行的定性，定量和民族志研究;用英语发布;坦桑尼亚产科暴力的普遍存在，发病率，根本原因，历史趋势，干预措施和政策建议。 结果：选择了二十一项研究，为此文献综述。高达73.1％的妇女报告至少在劳动期间至少一种形式的D＆amp;常见的D＆amp;活动包括非尊严的护理，非机密护理和身体虐待。还报告了其他形式的D＆amp; a，包括设施拘留和要求非官方付款。坦桑尼亚护士，助理和护理助理的百分之九十六名百分之一，自我报告的乐于D＆amp的一种形式的参与。缺乏培训和提供者支持，长期工作时间，担心责任，有限的基础设施被报告为导致D＆amp的因素。一个由提供者提供。 结论：在坦桑尼亚，D＆amp;在分娩期间在医疗保健系统中普遍存在。 D＆amp之间的直接关系;妇幼的孕产妇和胎儿健康状况良好。个人和系统性因素会影响D＆amp的提供者和患者观点;一个，提供窗户复杂和敏感的现象。重要的是，D＆amp;坦桑尼亚的一个全面地看待，并且干预措施瞄准问题的多方面性质。

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