Escolha sua fonte:
 Arimo
 Merriweather
 Mukta Malar
 Open Sans Condensed
 Rokkitt
 Source Sans Pro
 Login


 Português 
 Français 
 English 
 Español 

[Valid RSS] RSS
bar

Banco de dados - (CIANE)

Descrição deste banco de dados documental (Site da CIANE)
Atualmente 3108 fichas
Canal do YouTube (tutorial)

https://ciane.net/id=2673

Criado em : 12 Mar 2016
Alterado em : 13 Jun 2018

 Modificar esta ficha
Siga este link somente se você tiver um palavra chave de editor!


Compartilhar: Facebook logo   Tweeter logo   Difícil

Nota bibliográfica (sem autor) :

Direct observation of respectful maternity care in five countries: a cross-sectional study of health facilities in East and Southern Africa - BMC Pregnancy and Childbirth - Vol. 15 - ISBN: 1471-2393 - p.306

Autores :

Rosen, Heather E.; Lynam, Pamela F.; Carr, Catherine; Reis, Veronica; Ricca, Jim; Bazant, Eva S.; Bartlett, Linda A.

Ano de publicação :

2015

URL(s) :

http://dx.doi.org/10.1186/s12884-015-0728-4
https://doi.org/10.1186/s12884-015-0728-4

Résumé (français)  :

Abstract (English)  :

Background
Poor quality of care at health facilities is a barrier to pregnant women and their families accessing skilled care. Increasing evidence from low resource countries suggests care women receive during labor and childbirth is sometimes rude, disrespectful, abusive, and not responsive to their needs. However, little is known about how frequently women experience these behaviors. This study is one of the first to report prevalence of respectful maternity care and disrespectful and abusive behavior at facilities in multiple low resource countries.

Methods
Structured, standardized clinical observation checklists were used to directly observe quality of care at facilities in five countries: Ethiopia, Kenya, Madagascar, Rwanda, and the United Republic of Tanzania. Respectful care was represented by 10 items describing actions the provider should take to ensure the client was informed and able to make choices about her care, and that her dignity and privacy were respected. For each country, percentage of women receiving these practices and delivery room privacy conditions were calculated. Clinical
observers’ open-ended comments were also analyzed to identify examples of disrespect and abuse.

Results
A total of 2164 labor and delivery observations were conducted at hospitals and health centers. Encouragingly, women overall were treated with dignity and in a supportive manner by providers, but many women experienced poor interactions with providers and were not well-informed about their care. Both physical and verbal abuse of women were observed during the study. The most frequently mentioned form of disrespect and abuse in the open-ended comments was abandonment and neglect.

Conclusions: Efforts to increase use of facility-based maternity care in low income countries are unlikely to achieve desired gains if there is no improvement in quality of care provided, especially elements of respectful care. This
analysis identified insufficient communication and information sharing by providers as well as delays in care and abandonment of laboring women as deficiencies in respectful care. Failure to adopt a patient-centered approach
and a lack of health system resources are contributing structural factors. Further research is needed to understand these barriers and develop effective interventions to promote respectful care in this context.

Sumário (português)  :

Resumen (español)  :

Texto completo (private) :

 ➡ Acesso requer autorização

Comentários :

Méthode: 10 items qui décrivent les actions
qui doivent être prises par les soignants de façon à assurer le choix informé, la
dignité et la “privacy“ des femmes. + commentaires libres des observateurs

Détail des 10 items observés
A l’accueil
1. accueil initial respectueux (“provider greeted the client in a respectful
manner“
2. encourager la femme à avoir un accompagnant (encouraged her to have a support
person present)
3. expliquer les interventions avant de les effectuer (explained procedures
before
proceeding)
4. informer la femme de ce qui se passe / des résultats (informed client of
findings)
5. demander si elle a des questions (asked if she had any questions)

Pendant l’accouchement
6. est-ce que le soignant explique à la femme ce qui va se passer (“whether the
provider explained what would happen
during labor to the client“)
7. encourage à manger/boire (encouraged the client to consume food or fluids)
8. encourage ou aide à se déplacer/prendre des positions différentes (encouraged
or
assisted the client to ambulate and
assume different positions)
9. accompagner avec bienveillance (supported the client in a friendly way)
10. couvrir la femme (draped the client)

Résultats: 2164 accouchements ont été observés. Les femmes sont le plus souvent
traitées de façon respectueuse et “supportive“, mais beaucoup d’entre elles font
l’expérience de mauvais interactions avec les professionnels, et ne sont pas bien
informées sur les soins. Dans les commentaires libres, ce qui revient le plus
souvent est l’abandon et la négligence

Argument (français) :

5 pays à bas revenus, étude qui mesure la prévalence des soins respectueux et des
soins non respectueux/maltraitants.

Argument (English):

5 low-income countries, a study that measures the prevalence of respectful care and non-respectful care.

Argumento (português):

5 países de baixa renda, um estudo que mede a prevalência de cuidados respeitosos e cuidados não respeitosos.

Argumento (español):

Palavras-chaves :

➡ iatrogenia ; protocolos ; saúde pública ; traumatismos ; violência ginecológica e obstétrica violência obstétrica ; deontologia ; consentimento informado

Autor da esta ficha :

Import 12/03/2016 — 12 Mar 2016
➡ última atualização : Bernard Bel — 13 Jun 2018

Artigos relacionados
Fixado por #3059   Marie-Laure Franeczek (2018). Violence obstétricale : essai de définition à partir de la littérature scientifique. Mémoire de gynécologie et obstétrique. ➡ https://ciane.net/id=3059
Discussão (exibir apenas português)
 
➡ Reservado para usuários identificados



 Li a carta de discussões e aceito as condições (leia as diretrizes)

barre

Efectuar uma nova consulta especialista --- Outro pedido simples

Criação de uma ficha --- Importar registros

Gerenciamento de usuários --- Fazer backup do banco de dados --- Contato

bar

Esta base de dados criada pela Alliance francophone pour l'accouchement respecté (AFAR) é gerida
pela Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
Ele é alimentado pelas contribuições de voluntários interessados ​​em compartilhar informações científicas.
Se você aprovar este projeto, você pode nos ajudar de várias maneiras:
(1) tornar-se um colaborador com base nisso, se você tem um pouco experiência na literatura científica
(2) ou apoio financeiro CIANE (veja abaixo)
(3) ou tornar-se um membro da outra associação afiliada à CIANE.
Faça login ou crie uma conta para seguir as alterações ou se tornar um editor.
Contato bibli(arobase)ciane.net para mais informações.

Valid CSS! Valid HTML!
Doar para a CIANE (clique em “Faire un don”) nos ajudará a manter e desenvolver sites e bancos de dados
públicos para o apoio das decisões informadas dos pais e cuidadores com relação ao parto