Tatiana Henriques Leite1, Ana Paula Esteves Pereira2, Maria do Carmo Leal2, Antônio Augusto Moura da Silva3. 1. Oswaldo Cruz Foundation, National School of Public Health. Leopoldo Bulhões Street, 951, 8° floor, Bonsucesso, Rio de Janeiro, RJ 21041210, Brazil. Electronic address: henriques.tatiana@gmail.com. 2. Oswaldo Cruz Foundation, National School of Public Health. Leopoldo Bulhões Street, 951, 8° floor, Bonsucesso, Rio de Janeiro, RJ 21041210, Brazil. 3. Federal University of Maranhão, Public Health Departament, Barão de Itapary Street, 155, centro, São Luiz, Ma 65020070, Brazil.
Abstract
BACKGROUND: Many women are victims of disrespect and abuse during childbirth period. In Brazil, the prevalence of these acts has varied between 11.3% and 18.3%. Despite the high prevalence and grave consequences of mistreatment of women during birth care, women's mental health during this period, and its determining factors, are still poorly understood. The main objective is to investigate the association between mistreatment of women during childbirth and postpartum depression. METHODS: national survey in childbirth care carried out between 2011 and 2012. The sample was composed of 23,378 puerperal women. Disrespect and abuse was composed by seven indicator.We assessed postpartum depression using Edinburgh Postnatal Depression Scale screening questions. We applied multigroup structural equation modelling (childbirth payment source), considering different theoretical models for vaginal births and C-sections. RESULTS: Disrespect and abuse towards women during childbirth were associated with postpartum depression both in the public and private sectors, for both vaginal births and C-sections. In the public healthcare sector, disrespect and abuse were associated with maternal hospitalization. Presence of fundal pressure manoeuvre, not be white, and not receiving the desired mode of birth (only for C-sections). In the private sector, for both vaginal births and C-sections, not having the desired mode of birth was the only characteristic associated with disrespect and abuse. CONCLUSION: Disrespect and abuse towards women during childbirth may contribute to the development of postpartum depression. Identifying its causes may help prevent the problem and strengthen public policies that favor the good quality of childbirth care.
BACKGROUND: Many women are victims of disrespect and abuse during childbirth period. In Brazil, the prevalence of these acts has varied between 11.3% and 18.3%. Despite the high prevalence and grave consequences of mistreatment of women during birth care, women's mental health during this period, and its determining factors, are still poorly understood. The main objective is to investigate the association between mistreatment of women during childbirth and postpartum depression. METHODS: national survey in childbirth care carried out between 2011 and 2012. The sample was composed of 23,378 puerperal women. Disrespect and abuse was composed by seven indicator.We assessed postpartum depression using Edinburgh Postnatal Depression Scale screening questions. We applied multigroup structural equation modelling (childbirth payment source), considering different theoretical models for vaginal births and C-sections. RESULTS: Disrespect and abuse towards women during childbirth were associated with postpartum depression both in the public and private sectors, for both vaginal births and C-sections. In the public healthcare sector, disrespect and abuse were associated with maternal hospitalization. Presence of fundal pressure manoeuvre, not be white, and not receiving the desired mode of birth (only for C-sections). In the private sector, for both vaginal births and C-sections, not having the desired mode of birth was the only characteristic associated with disrespect and abuse. CONCLUSION: Disrespect and abuse towards women during childbirth may contribute to the development of postpartum depression. Identifying its causes may help prevent the problem and strengthen public policies that favor the good quality of childbirth care.
Authors: Marit S G van der Pijl; Corine J M Verhoeven; Rachel Verweij; Tineke van der Linden; Elselijn Kingma; Martine H Hollander; Ank de Jonge Journal: Reprod Health Date: 2022-07-08 Impact factor: 3.355