ArticleJournal of affective disorders2019
The association between disrespect and abuse of women during childbirth and postpartum depression: Findings from the 2015 Pelotas birth cohort study.
Article in Journal of affective disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 5 of them syntheses that pooled it.
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Who cites it
52 citing papers in PubMed, 5 syntheses or guidelines pooled it, 137 citations in OpenAlex.
- Prevalence of mistreatment and disrespect of women during childbirth in the world: a systematic review and meta-analysis.Reproductive health · 2025Pooled it
- Global prevalence and risk factors of obstetric violence: A systematic review and meta-analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Pooled it
- The roles of multi-component interventions in reducing mistreatment of women and enhancing respectful maternity care: a systematic review.BMC pregnancy and childbirth · 2023Pooled it
- Women's experiences throughout the birthing process in health facilities in Arab countries: a systematic review.Reproductive health · 2022Pooled it
- Disrespect and abuse as a predictor of postnatal care utilisation and maternal-newborn well-being: a mixed-methods systematic review.BMJ global health · 2021Pooled it
- Strengthening Teamwork and Respect (STAR): nurses' perspectives and experiences of disrespectful maternity care in rural district hospitals in KwaZulu-Natal, South Africa.Global health action · 2026Article
- Womens experiences of disrespectful maternity care and its consequences during childbirth in Spain.Scientific reports · 2026Article
- Disrespectful Maternity Care and Postpartum Depression at 2 Months: A Population-Based Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Unraveling the link between the mistreatment of women during childbirth and postpartum depression: a prospective longitudinal study in Ethiopia and Guinea.EClinicalMedicine · 2026Article
- Communication barriers in perinatal care for autistic women: A qualitative study using the hermeneutic-dialectic circle in Brazil.PloS one · 2026Article
- Pre-gestational BMI, obstetric violence, and perinatal mental health: a retrospective cohort study.EClinicalMedicine · 2026Article
- "A traumatic path to the profession" obstetric violence through the eyes of student nurses: a qualitative study.Revista da Escola de Enfermagem da U S P · 2026Article
- Life events and postpartum depressive symptoms among Black and Latina mothers: The role of protective factors.The American journal of orthopsychiatry · 2026Article
- Interplay of traumatic birth experiences and postnatal depression in Pakistani women.Scientific reports · 2025Article
- FIGO statement on respectful care: Addressing disrespectful maternity care.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Development and validation of the birth integrity questionnaire for measuring attitudes, maternity care, and perceptions of birth.BMC pregnancy and childbirth · 2025Article
- Status and influencing factors of obstetric violence: a mixed study.BMC public health · 2025Article
- Exploring the relationship between obstetric violence, postpartum depression, and breastfeeding through structural equation modelling: evidence from 2015 Pelotas birth cohort.BMC public health · 2025Article
- Obstetric violence informed by theories of intersectionality, oppression, and power dynamics-a Ghanaian's perspectives.AJOG global reports · 2025Article
- Influence of abuse and disrespect during childbirth on early initiation of breastfeeding.International breastfeeding journal · 2025Observational
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundThis study examined the association between disrespect and abuse of women during facility-based childbirth and postpartum depression (PD) occurrence.
methodsWe used data from the 2015 Pelotas (Brazil) Birth Cohort, a population-based cohort of all live births in the city. We assessed 3065 mothers at pregnancy and 3-months after birth. Self-reported disrespect and abuse experiences included physical abuse, verbal abuse, denial of care, and undesired procedures. We estimate the occurrence of each disrespect and abuse type, one or more types and disrespect and abuse score. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess PD. EPDS scores ≥13 and ≥15 indicated at least moderate PD and marked/severe. Odds ratios (OR) were calculated by logistic regression.
resultsThe prevalence of at least moderate PD and marked/severe PD was 9.4% and 5.7%, respectively. 18% of the women experienced at least one type of disrespect and abuse. Verbal abuse increased the odds of having at least moderate PD (OR = 1.58; 95%CI 1.06-2.33) and marked/severe PD (OR = 1.69; 95%CI 1.06-2.70) and the effect among women who did not experience antenatal depressive symptoms was greater in comparison to those who did (OR = 2.51; 95%CI 1.26-5.04 and OR = 4.27; 95%CI 1.80-10.12). Physical abuse increased the odds of having marked/severe PD (OR = 2.28; 95%CI 1.26-4.12). Having experienced three or more mistreatment types increased the odds of at least moderate PD (OR = 2.90; 95%CI 1.30 - 35.74) and marked/severe PD (OR=3.86; 95%CI 1.58-9.42). LIMITATIONS: Disrespect and abuse experiences during childbirth were self-reported.
conclusionsDisrespect and abuse during childbirth increased the odds of PD three months after birth. Strategies to promote high quality and respectful maternal health care are needed to prevent mother-child adverse outcomes.
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