wow-inequalities/02-data/intermediate/wos_sample/0aad05fddb8ee6f51ee97a2ce3bd35e6-bohren-meghan-a.-an/info.yaml

abstract: 'Background Women across the world are mistreated during childbirth. We

  aimed to develop and implement evidence-informed, validated tools to

  measure mistreatment during childbirth, and report results from a

  cross-sectional study in four low-income and middle-income countries.

  Methods We prospectively recruited women aged at least 15 years in

  twelve health facilities (three per country) in Ghana, Guinea, Myanmar,

  and Nigeria between Sept 19, 2016, and Jan 18, 2018. Continuous

  observations of labour and childbirth were done from admission up to 2 h

  post partum. Surveys were administered by interviewers in the community

  to women up to 8 weeks post partum. Labour observations were not done in

  Myanmar. Data were collected on sociodemographics, obstetric history,

  and experiences of mistreatment.

  Findings 2016 labour observations and 2672 surveys were done. 838

  (41.6\%) of 2016 observed women and 945 (35.4\%) of 2672 surveyed women

  experienced physical or verbal abuse, or stigma or discrimination.

  Physical and verbal abuse peaked 30 min before birth until 15 min after

  birth (observation). Many women did not consent for episiotomy

  (observation: 190 {[}75.1\%] of 253; survey: 295 {[}56.1\%] of 526) or

  caesarean section (observation: 35 {[}13.4\%] of 261; survey: 52

  {[}10.8\%] of 483), despite receiving these procedures. 133 (5.0\%) of

  2672 women or their babies were detained in the facility because they

  were unable to pay the bill (survey). Younger age (15-19 years) and lack

  of education were the primary determinants of mistreatment (survey). For

  example, younger women with no education (odds ratio {[}OR] 3.6, 95\% CI

  1 .6-8.0) and younger women with some education (OR 1.6, 1.1-2.3) were

  more likely to experience verbal abuse, compared with older women (>= 30

  years), adjusting for marital status and parity.

  Interpretation More than a third of women experienced mistreatment and

  were particularly vulnerable around the time of birth. Women who were

  younger and less educated were most at risk, suggesting inequalities in

  how women are treated during childbirth. Understanding drivers and

  structural dimensions of mistreatment, including gender and social

  inequalities, is essential to ensure that interventions adequately

  account for the broader context. Copyright (C) 2019 This is an Open

  Access article published under the CC BY 3.0 IGO license which permits

  unrestricted use, distribution, and reproduction in any medium, provided

  the original work is properly cited.'
affiliation: 'Bohren, MA (Corresponding Author), Univ Melbourne, Melbourne Sch Populat
  \& Global Hlth, Ctr Hlth Equ, Gender \& Womens Hlth Unit, Carlton, Vic 3053, Australia.

  Bohren, Meghan A., Univ Melbourne, Melbourne Sch Populat \& Global Hlth, Ctr Hlth
  Equ, Gender \& Womens Hlth Unit, Carlton, Vic 3053, Australia.

  Bohren, Meghan A.; Mehrtash, Hedieh; Thwin, Soe Soe; Landoulsi, Sihem; Gulmezoglu,
  A. Metin; Tuncalp, Ozge, WHO, UNDP UNFPA UNICEF WHO World Bank Special Programm,
  Dept Reprod Hlth \& Res, Geneva, Switzerland.

  Fawole, Bukola, Univ Ibadan, Dept Obstet \& Gynaecol, Natl Inst Maternal \& Child
  Hlth, Coll Med, Ibadan, Nigeria.

  Maung, Thae Maung; Mon, Nwe Oo, Dept Med Res, Yangon, Myanmar.

  Balde, Mamadou Dioulde; Diallo, Boubacar Alpha; Soumah, Anne-Marie; Sall, Alpha
  Oumar, Cellule Rech Sante Reprod Guinee CERREGUI, Conakry, Guinea.

  Maya, Ernest, Univ Ghana, Sch Publ Hlth, Dept Populat Family \& Reprod Hlth, Legon,
  Ghana.

  Aderoba, Adeniyi K., Mother \& Child Hosp, Dept Obstet \& Gynaecol, Akure, Ondo
  State, Nigeria.

  Vogel, Joshua P., Burnet Inst, Maternal \& Child Hlth Program, Melbourne, Vic, Australia.

  Irinyenikan, Theresa Azonima, Univ Med Sci Ondo, Fac Clin Sci, Dept Obstet \& Gynaecol,
  Ondo, Ondo State, Nigeria.

  Irinyenikan, Theresa Azonima, Univ Med Sci, Teaching Hosp, Akure, Ondo State, Nigeria.

  Adeyanju, A. Olusoji, Adeoyo Matern Teaching Hosp, Ibadan, Oyo State, Nigeria.

  Adu-Bonsaffoh, Kwame, Univ Ghana, Sch Med \& Dent, Dept Obstet \& Gynaecol, Accra,
  Ghana.

  Guure, Chris, Univ Ghana, Sch Publ Hlth, Dept Biostat, Legon, Ghana.

  Adanu, Richard, Univ Ghana, Sch Publ Hlth, Legon, Ghana.'
author: Bohren, Meghan A. and Mehrtash, Hedieh and Fawole, Bukola and Maung, Thae
  Maung and Balde, Mamadou Dioulde and Maya, Ernest and Thwin, Soe Soe and Aderoba,
  Adeniyi K. and Vogel, Joshua P. and Irinyenikan, Theresa Azonima and Adeyanju, A.
  Olusoji and Mon, Nwe Oo and Adu-Bonsaffoh, Kwame and Landoulsi, Sihem and Guure,
  Chris and Adanu, Richard and Diallo, Boubacar Alpha and Gulmezoglu, A. Metin and
  Soumah, Anne-Marie and Sall, Alpha Oumar and Tuncalp, Ozge
author-email: meghan.bohren@unimelb.edu.au
author_list:
- family: Bohren
  given: Meghan A.
- family: Mehrtash
  given: Hedieh
- family: Fawole
  given: Bukola
- family: Maung
  given: Thae Maung
- family: Balde
  given: Mamadou Dioulde
- family: Maya
  given: Ernest
- family: Thwin
  given: Soe Soe
- family: Aderoba
  given: Adeniyi K.
- family: Vogel
  given: Joshua P.
- family: Irinyenikan
  given: Theresa Azonima
- family: Adeyanju
  given: A. Olusoji
- family: Mon
  given: Nwe Oo
- family: Adu-Bonsaffoh
  given: Kwame
- family: Landoulsi
  given: Sihem
- family: Guure
  given: Chris
- family: Adanu
  given: Richard
- family: Diallo
  given: Boubacar Alpha
- family: Gulmezoglu
  given: A. Metin
- family: Soumah
  given: Anne-Marie
- family: Sall
  given: Alpha Oumar
- family: Tuncalp
  given: Ozge
da: '2023-09-28'
doi: 10.1016/S0140-6736(19)31992-0
eissn: 1474-547X
esi-highly-cited-paper: Y
esi-hot-paper: N
files: []
issn: 0140-6736
journal: LANCET
keywords-plus: DISRESPECT; ABUSE; CARE; MISTREATMENT; QUALITY
language: English
month: NOV 9
number: '10210'
number-of-cited-references: '49'
orcid-numbers: 'Maya, Ernest Tei/0000-0001-6050-6837

  Adu-Bonsaffoh, Kwame/0000-0002-3741-6646

  ADEROBA, Adeniyi Kolade/0000-0002-4333-9093

  Vogel, Joshua/0000-0002-3214-7096

  Maung, Thae Maung/0000-0002-1265-3813

  Tunçalp, Ӧzge/0000-0002-5370-682X

  Mehrtash, Hedieh/0000-0003-4991-616X

  Mon, Nwe Oo/0000-0001-5432-6880

  Bohren, Meghan/0000-0002-4179-4682'
pages: 1750-1763
papis_id: 073e13aaf56790ea6edfad7ec9d57cfd
ref: Bohren2019howwomen
researcherid-numbers: 'Maya, Ernest Tei/T-2576-2019

  Adu-Bonsaffoh, Kwame/AAH-5560-2020

  ADEROBA, Adeniyi Kolade/AAU-1426-2021

  Vogel, Joshua/K-7649-2019

  Maung, Thae Maung/S-2495-2018

  Tunçalp, Ӧzge/Y-2724-2018

  '
times-cited: '203'
title: 'How women are treated during facility-based childbirth in four countries:
  a cross-sectional study with labour observations and community-based surveys'
type: article
unique-id: WOS:000496920300030
usage-count-last-180-days: '3'
usage-count-since-2013: '37'
volume: '394'
web-of-science-categories: Medicine, General \& Internal
year: '2019'