Bouveret, Laetitia

Colin, Cyrille

Cortet, Marion

Dupont, Corinne

Ecochard, René

Gaucher, Laurent

Gaucherand, Pascal

Huissoud, Cyril

Rudigoz, Rene-Charles

Touzet, Sandrine

INRIA a CCSD electronic archive server

HAL Id: hal-02507396https://hal.archives-ouvertes.fr/hal-02507396Submitted on 13 Mar 2020HAL is a multi-disciplinary open accessarchive for the deposit and dissemination of sci-entific research documents, whether they are pub-lished or not. The documents may come fromteaching and research institutions in France orabroad, or from public or private research centers.L’archive ouverte pluridisciplinaire HAL, estdestinée au dépôt et à la diffusion de documentsscientifiques de niveau recherche, publiés ou non,émanant des établissements d’enseignement et derecherche français ou étrangers, des laboratoirespublics ou privés.Abusive, inappropriate, and inconsiderate behaviour inobstetric care in France. A cohort study in 25 Frenchmaternity units.Laurent Gaucher, Cyril Huissoud, René Ecochard, Rene-Charles Rudigoz,Marion Cortet, Laetitia Bouveret, Sandrine Touzet, Cyrille Colin, PascalGaucherand, Corinne DupontTo cite this version:Laurent Gaucher, Cyril Huissoud, René Ecochard, Rene-Charles Rudigoz, Marion Cortet, et al.. Abu-sive, inappropriate, and inconsiderate behaviour in obstetric care in France. A cohort study in 25French maternity units.. 24ème Journée Scientifique de l’EDISS, Oct 2019, Villeurbanne, France.￿hal-02507396￿IntroductionIn 2018, abuse and disrespect during childbirth carebecame the object of media attention, labelled as"obstetric violence" in European countries. Among alldimensions of abuse and disrespect behaviour duringcare, we distinguish inappropriate behaviour (e.g.inappropriate attitudes or words) from inconsideratebehaviour (e.g. inadequate or no information).The objective of this study was to quantify in thegeneral population the proportion of women reportingMaterial and methodsDesign: Prospective multicentre cohort study by self-administered questionnaire in the week after childbirthand again two months afterwards.Setting: 25 French maternity units in a contiguousgeographic region, with around 43 000 births per year.Participants: The study included 642 French-speakingadult women who gave birth to a live born child. Weestimated the inclusion period at one week.Primary and secondary outcome measures: Theprimary outcome measure was theproportion of women reporting one ormore inappropriate behaviours byhealthcare professionals duringchildbirth, and the secondary outcomemeasure the proportion reportinginconsiderate behaviour duringchildbirth.Results (2)The proportion of women who perceivedinappropriate behaviours during deliveryincreased significantly, rising from 3.3%(n=4/123) just after birth to 9.8%(n=12/123) two months afterwards(P=0.043).Results (1)Abusive, inappropriate, and inconsiderate behaviour in obstetric care in France.A cohort study in 25 French maternity units.Laurent GAUCHER, Cyril HUISSOUD, René ECOCHARD, René-Charles RUDIGOZ, Marion CORTET,Laetitia BOUVERET, Sandrine TOUZET, Cyrille COLIN, Pascal GAUCHERAND, Corinne DUPONT.EXCLUDEDRefusal to participate (n=144)Minor (n=5)Non-French-speaking (n=7)Home delivery (n=2)Fetal or neonatal death (n=3)Included mothers(n=642)LOST TO FOLLOW UPWomen lost to follow-up (n= 14)Early post-partum interview(n=628)Two months post-partum interview(n=123)LOST TO FOLLOW UPWomen lost to follow-up (n= 504)New-born death (n=1)Births during one week(n=803)EA7425ConclusionOur study showed that 1 woman in 20 reported inappropriate behaviour byprofessionals during their delivery and twice as many described inconsideratebehaviour. Action to promote more individualised care must be proposed, and studiesmust be performed to assess its impact on women's experience.Details of ethics approvalIndividual consent has been obtained. The study has been report to the Frenchcommission for information technology and civil liberties (CNIL; registered number: HCL18-165), and approved by the French ethical research(approval number: CPP 1084RNI). The study was also registered on the ClinicalTrials website (ID NCT03687879).Table 1 – Women's assessment of obstetrics professionals' behaviour during delivery (n=628).Totally Adequately Inadequately Not at allAppropriateness of the behaviourAppropriate attitude or behaviour, % 82 16 1.9 0.16Respect for privacy, % 80 19 0.96 0.32Appropriate vocabulary, % 80 18 1.9 0.16Gentleness care, % 76 22 2.1 0.16Considerateness of the behaviourClear and appropriate information, % 77 19 3.5 0.64Consideration of pain, % 73 22 4.6 0.48Participation in decision-making, % 73 22 4.3 0.48Of the 628 women who responded to theinitial self-administered questionnaire,5.6% (95% compatibility interval 3.9 to 7.7)reported one or more inappropriatebehaviours and 9.8% (95% compatibilityinterval 7.6 to 12) inconsideratebehaviours during childbirth.this behaviours during their delivery withinthe Aurore perinatal network of facilities.We will then explore each woman's abilityto report these inappropriate orinconsiderate behaviours, over time andaccording to her intrinsic characteristics.Statue d’Artémis à la biche, dite Diane de Versailles, Le Louvre, Paris. ISNI: 0000 0001 2260 177XThe best linear unbiasedpredictor (BLUP) methodidentified women intrinsicpropensity as to be 7.54times greater (p<0.01) thanthe effect of mother-childseparation (OR=2.89) ontheir capacity to report ofinappropriate behaviour.

Abusive, inappropriate, and inconsiderate behaviour in obstetric care in France.A cohort study in 25 French maternity units.

HAL-HCL

HAL Descartes

https://hal.archives-ouvertes.fr/hal-02507396/document

Abusive, inappropriate, and inconsiderate behaviour in obstetric care in France.A cohort study in 25 French maternity units.

Abstract

Similar works

Full text

Available Versions

INRIA a CCSD electronic archive server

HAL-HCL

HAL Descartes