Role of Obstetric Violence and Patient Choice: Factors Associated With Episiotomy

Author:

Polavarapu Mounika1ORCID,Odems Dorian S.12,Banks Sativa1,Singh Shipra1

Affiliation:

1. Department of Population Health The University of Toledo Toledo Ohio

2. Department of Human Ecology University of California Davis California

Abstract

IntroductionIn the United States, 1 in 6 women reports obstetric violence in the form of physical and verbal abuse, coercion, and lack of informed consent. Despite recommendations against routine episiotomy, its use in the United States remains notable and varies considerably. This study aimed to analyze the various forms of obstetric violence associated with undergoing an episiotomy and having a choice in undergoing an episiotomy.MethodsData from the cross‐sectional Listening to Mothers in California survey were analyzed using weighted sample. Logistic regression models were conducted to compute adjusted odds ratios (aORs) and 95% CIs for undergoing episiotomy and having a choice in it.ResultsOverall, 21% of the respondents reported undergoing an episiotomy, and 75% of them reported not having a choice in undergoing this procedure. After adjusting for covariates, feeling pressured to induce labor (aOR, 1.31; 95% CI, 1.28‐1.35) and to use an epidural analgesia (aOR, 1.82; 95% CI, 1.77‐1.88) increased the odds of undergoing an episiotomy. Having a midwife during childbirth significantly reduced the odds of an episiotomy. Respondents who indicated being handled roughly by health care providers were 95% less likely to have a choice in receiving an episiotomy (aOR, 0.05; 95% CI, 0.04‐0.06).DiscussionThis is the first study to examine other forms of obstetric violence as correlates of episiotomy and having a choice in it. Standardized institutional measures against obstetric violence, patients’ ability to make autonomous decisions through informed consent, and engaging midwives could decrease medically unnecessary labor procedures and associated complications.

Publisher

Wiley

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Obstetric violence: if you can recognize it, you can prevent it;Archives of Gynecology and Obstetrics;2024-09-04

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