{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:05:40Z","timestamp":1787169940646,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite reduced maternity mortality rates in India, the quality of maternal healthcare during childbirth remains underexplored. This study aimed to determine the prevalence and factors associated with abuse during childbirth in East Delhi and to explore community perceptions related to this.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A mixed-method study was conducted from September 2022 to February 2024, involving quantitative surveys of 204 postnatal women and qualitative in-depth interviews with community stakeholders such as ASHA workers, ANMs, and medical practitioners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Quantitative findings revealed that 58.82% of women experienced some form of abuse during childbirth, with 42.60% facing verbal abuse and 40.70% encountering physical abuse. Key predictors of abuse included delivering at government health facilities, unknown delivery personnel, and type of delivery, with a higher prevalence of abuse during normal vaginal deliveries compared to Caesarean sections. Logistic regression identified the type of healthcare facility (adjusted odd\u2019s ratio = 4.220 (95% CI = 1.306-13.635)) as an independent predictor of abuse. Qualitative findings showed that abuse during childbirth is often normalized within the community, with women and stakeholders viewing it as a routine part of the process. Many women attributed the abuse to their characteristics, such as illiteracy and poverty, and rationalized it as necessary for their and their babies\u2019 well-being. Community stakeholders noted that abuse is more prevalent in government hospitals due to higher patient loads and overworked staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The study highlights the need for targeted interventions to improve the quality of maternal care. This includes training healthcare providers in Respectful Maternity Care, effectively implementing government initiatives like LaQshya and SUMAN, and raising awareness about the rights of pregnant women. Addressing these issues is crucial to ensuring that childbirth experiences are safe, dignified, and respectful, ultimately encouraging more women to seek institutional deliveries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijcm.ijcm_662_24","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T16:00:25Z","timestamp":1753804825000},"page":"90-96","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of Abuse during Childbirth in an Urbanized Village of Delhi: A Mixed-Method Study"],"prefix":"10.4103","volume":"51","author":[{"given":"Aditi","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of Community Medicine, University College of Medical Sciences and GTB Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somdatta","family":"Patra","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, University College of Medical Sciences and GTB Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khan Amir","family":"Maroof","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, University College of Medical Sciences and GTB Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"key":"R1-20260416","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1111\/1471-0528.16888","article-title":"Trends in maternal mortality in India over two decades in nationally representative surveys","volume":"129","author":"Meh","year":"2022","journal-title":"BJOG"},{"key":"R5-20260416","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12978-017-0409-z","article-title":"Discordance in self-report and observation data on mistreatment of women by providers during childbirth in Uttar Pradesh, India","volume":"14","author":"Dey","year":"2017","journal-title":"Reprod Health"},{"key":"R6-20260416","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12884-018-1970-3","article-title":"Silent voices: Institutional disrespect and abuse during delivery among women of Varanasi district, northern India","volume":"18","author":"Bhattacharya","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"key":"R7-20260416","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1186\/s12884-016-1124-4","article-title":"Women\u2019s status and experiences of mistreatment during childbirth in Uttar Pradesh: A mixed methods study using cultural health capital theory","volume":"16","author":"Sudhinaraset","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"key":"R8-20260416","doi-asserted-by":"crossref","first-page":"1750","DOI":"10.1016\/S0140-6736(19)31992-0","article-title":"How women are treated during facility-based childbirth in four countries: A cross-sectional 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sub-Saharan Africa: A systematic review and meta-analysis","volume":"20","author":"Kassa","year":"2020","journal-title":"BMC Int Health Hum Rights"},{"key":"R16-20260416","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12978-019-0668-y","article-title":"An investigation into mistreatment of women during labour and childbirth in maternity care facilities in Uttar Pradesh, India: A mixed methods study","volume":"16","author":"Sharma","year":"2019","journal-title":"Reprod Health"},{"key":"R17-20260416","doi-asserted-by":"crossref","first-page":"e2018029","DOI":"10.4178\/epih.e2018029","article-title":"Prevalence of disrespect and abuse of women during child birth and associated factors in Bahir Dar town, Ethiopia","volume":"40","author":"Wassihun","year":"2018","journal-title":"Epidemiol Health"},{"key":"R18-20260416","doi-asserted-by":"crossref","first-page":"2004634","DOI":"10.1080\/26410397.2021.2004634","article-title":"The nature of obstetric violence and the organisational context of its manifestation in India: A systematic review","volume":"29","author":"Faheem","year":"2022","journal-title":"Sex Reprod Health Matters"},{"key":"R19-20260416","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12913-015-1077-8","article-title":"\u201cNeither we are satisfied nor they \u2018\u2019-users and provider\u2019s perspective: A qualitative study of maternity care in secondary level public health facilities, Uttar Pradesh, India","volume":"15","author":"Bhattacharyya","year":"2015","journal-title":"BMC Health Serv Res"},{"key":"R20-20260416","first-page":"1","article-title":"Perceptions and experiences of the mistreatment of women during childbirth in health facilities in Guinea: A qualitative study with women and service providers","volume":"14","author":"Balde","year":"2017","journal-title":"Reprod Health"}],"container-title":["Indian Journal of Community 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