{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T14:24:39Z","timestamp":1782915879530,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T00:00:00Z","timestamp":1510185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T00:00:00Z","timestamp":1510185600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"name":"Sociedad Cient\u00edfica M\u00e9dico Estudiantil Peruana"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the prevalence of disrespect and abuse during childbirth and its associated factors in Peru.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In an observational cross\u2010sectional study, women were surveyed within 48\u00a0hours of live delivery at 14 hospitals located in nine Peruvian cities between April and July 2016. The survey was based on seven categories of disrespect and abuse proposed by Bowser and Hill. To evaluate factors associated with each category, prevalence ratios (PRs) and 95% confidence intervals (CIs) were calculated using adjusted Poisson models with robust variances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 1528 participants, 1488 (97.4%) had experienced at least one category of disrespect and abuse. Frequency of abandonment of care was increased with cesarean delivery (PR 1.27, 95% CI 1.03\u20131.57) but decreased in the jungle region (PR 0.27, 0.14\u20130.53). Discrimination was associated with the jungle region (PR 5.67, 2.32\u201313.88). Physical abuse was less frequent with cesarean than vaginal delivery (PR 0.23, 0.11\u20130.49). The prevalences of abandonment of care (PR 0.42, 0.29\u20130.60), non\u2010consented care (PR 0.70, 0.57\u20130.85), discrimination (PR 0.40, 0.19\u20130.85), and non\u2010confidential care (PR 0.71, 0.55\u20130.93) were decreased among women who had been referred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nearly all participants reported having experienced at least one category of disrespect and abuse during childbirth care, which was associated with type of delivery, being referred, and geographic region.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.12353","type":"journal-article","created":{"date-parts":[[2017,10,17]],"date-time":"2017-10-17T11:02:37Z","timestamp":1508238157000},"page":"184-190","source":"Crossref","is-referenced-by-count":50,"title":["Disrespect and abuse during childbirth in fourteen hospitals in nine cities of Peru"],"prefix":"10.1002","volume":"140","author":[{"given":"Rene\u00e9","family":"Montesinos\u2010Segura","sequence":"first","affiliation":[{"name":"Escuela Profesional de Medicina Humana Universidad Nacional de San Antonio Abad del Cusco  Cusco Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Urrunaga\u2010Pastor","sequence":"additional","affiliation":[{"name":"Sociedad Cient\u00edfica de Estudiantes de Medicina de la Universidad de San Martin de Porres Facultad de Medicina Humana Universidad de San Martin de Porres  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuston","family":"Mendoza\u2010Chuctaya","sequence":"additional","affiliation":[{"name":"Escuela Profesional de Medicina Humana Universidad Nacional de San Antonio Abad del Cusco  Cusco Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvaro","family":"Taype\u2010Rondan","sequence":"additional","affiliation":[{"name":"CRONICAS Center of Excellence in Chronic Diseases Universidad Peruana Cayetano Heredia  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis M.","family":"Helguero\u2010Santin","sequence":"additional","affiliation":[{"name":"Sociedad Cient\u00edfica de Estudiantes de Medicina de la Universidad Nacional de Piura Facultad de Medicina Humana Universidad Nacional de Piura  Piura Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franklin W.","family":"Martinez\u2010Ninanqui","sequence":"additional","affiliation":[{"name":"Escuela Profesional de Medicina Humana Universidad Nacional de San Antonio Abad del Cusco  Cusco Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dercy L.","family":"Centeno","sequence":"additional","affiliation":[{"name":"Sociedad Cient\u00edfica Medico Estudiantil San Cristobal Escuela Profesional de Medicina Humana Universidad Nacional de San Crist\u00f3bal de Huamanga  Ayacucho Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanina","family":"Jim\u00e9nez\u2010Meza","sequence":"additional","affiliation":[{"name":"Sociedad Cient\u00edfica M\u00e9dico Estudiantil Continental Facultad de Medicina Humana Universidad Continental  Jun\u00edn Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth C.","family":"Taminche\u2010Canayo","sequence":"additional","affiliation":[{"name":"Sociedad Cient\u00edfica de estudiantes de Medicina de la Amazon\u00eda Peruana Escuela Profesional de Medicina Humana Universidad Nacional de la Amazon\u00eda Peruana  Iquitos Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Paucar\u2010Tito","sequence":"additional","affiliation":[{"name":"Escuela Profesional de Medicina Humana Universidad Nacional de San Antonio Abad del Cusco  Cusco Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilfredo","family":"Villamonte\u2010Calanche","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n de Medicina Materno Fetal de Altura Servicios de Salud CENIMFA SAC  Cusco Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,9]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organization.Prevention and elimination of disrespect and abuse during childbirth.http:\/\/www.who.int\/reproductivehealth\/topics\/maternal_perinatal\/statement-childbirth\/en\/. 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