ABSTRACT

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.

中文翻译：

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重新审视坦桑尼亚产科第二产程中不尊重和虐待的规范

摘要

在全球范围内，产科病房中普遍存在的不尊重和虐待 (D&A) 是有据可查的。使用民族志和文化共识分析，我们探讨了如果婴儿的生命似乎处于危险之中，助产士殴打处于第二分娩阶段（推）的妇女的做法如何成为坦桑尼亚当地接受的护理形式。该分析询问了这种情况下出生结果的深度不确定性，这可能会在此期间引发虐待。认真参与当地关于虐待和护理的讨论可以阐明霸权规范和权力动态，对于改善产科服务至关重要。