B1 Vertaisarvioimaton kirjoitus tieteellisessä lehdessä
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
Tekijät: Ayres-de-Campos Diogo, Louwen Frank, Vivilaki Victoria, Benedetto Chiara, Modi Neena, Wielgos Miroslaw, Pop Tudose Melania-Elena, Timonen Susanna, Reyns Marlene, Yli Branka, Stenback Pernilla, Nunes Inês, Yurtsal Burcu, Vayssière Christophe, Roth Georges-Emmanuel, Jonsson Maria, Bakker Petra, Lopriore Enrico, Verlohren Stefan, Jacobsson Bo
Kustantaja: Elsevier
Julkaisuvuosi: 2024
Journal: European Journal of Obstetrics and Gynecology and Reproductive Biology
Tietokannassa oleva lehden nimi: European Journal of Obstetrics & Gynecology and Reproductive Biology
Vuosikerta: 296
Aloitussivu: 205
Lopetussivu: 207
ISSN: 0301-2115
eISSN: 1872-7654
DOI: https://doi.org/10.1016/j.ejogrb.2024.02.048
Verkko-osoite: https://doi.org/10.1016/j.ejogrb.2024.02.048
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/387111588
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.
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