Re-examining Norms of Disrespect and Abuse in the Second Stage of Labor in Tanzanian Maternity Care.
Globally, the widespread occurrence of disrespect and abuse (D&A) on maternity wards is well-documented. Using ethnography and cultural consensus analysis we explore how the practice of midwives hitting women who are in the second stage of labor (pushing) has become a locally accepted form of care in Tanzania if a baby's life appears to be at risk. This analysis interrogates the deep uncertainty of birth outcomes in this setting that may motivate abuse during this time. Seriously engaging with local discourses on abuse and care sheds light on hegemonic norms and power dynamics and is critical for improving maternity services.
['Strong|Adrienne E|AE|', 'White|Tara L|TL|']
D000328:Adult D060432:Anthropology, Medical D001291:Attitude of Health Personnel D005260:Female D006801:Humans D007748:Labor Stage, Second D008427:Maternal Health Services D000066550:Physical Abuse D011247:Pregnancy D011369:Professional-Patient Relations D013636:Tanzania
disrespect and abuse care cultural consensus analysis Tanzania United Republic of obstetric violence respectful maternity care