Based on the article by Swartz and Lappeman, we propose in this commentary to reflect on three central components linked to the concept of obstetric violence: the withdrawal of intentionality as a founding element of its recognition, the preponderant place given to the perspective of women and those affected by it, as well as the recognition of its sexist, gendered, and systemic character. We also discuss the epistemic injustice associated with obstetric violence. We stress the importance of including both health workers and health systems in the equation, even though they may be offended by the use of the term. We conclude by recalling that significant leadership must be exercised by health care workers and institutions to put an end to this form of violence.

根据 Swartz 和 Lappeman 的文章，我们在这篇评论中建议反思与产科暴力概念相关的三个核心组成部分：意向性作为其承认的基本要素的撤回、女性视角的优势地位和受其影响的人，以及对其性别歧视、性别化和系统性特征的认识。我们还讨论了与产科暴力相关的认知不公正。我们强调将卫生工作者和卫生系统纳入等式的重要性，即使他们可能会因使用该术语而受到冒犯。最后，我们回顾说，卫生保健工作者和机构必须发挥重要领导作用，以结束这种形式的暴力。