Evidence map›Paper›PMID 34872466›Full record

SynthesisSexual and reproductive health matters2021

The nature of obstetric violence and the organisational context of its manifestation in India: a systematic review.

Abid Faheem

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Sexual and reproductive health matters, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. 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 · 2025
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  20. Prevalence of Abuse during Childbirth in an Urbanized Village of Delhi: A Mixed-Method Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Abid FaheemPhD Scholar, Centre of Social Medicine and Community Health, Jawaharlal Nehru University (JNU), New Delhi, India. Correspondence: abid061@gmail.com.
Jawaharlal Nehru University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the last decades, the Indian government has adopted several strategies and programmes to encourage institutional childbirth and reduce maternal mortality. However, ensuring institutional delivery does not of itself ensure safe and dignified delivery and there are frequently episodes of violence during childbirth. Obstetric violence has long-term adverse effects on the health and well-being of women. The present study attempts to understand the nature of obstetric violence and the organisational contexts in which patterns of violent behaviours and actions emerge and are reproduced, contributing to obstetric violence. A database search for literature was conducted on PubMed and studies on women's experience during childbirth in health facilities in India were selected, based on the inclusion criteria. The present review's findings show that the most prevalent form of obstetric violence is verbal abuse followed by physical abuse and other dehumanising behaviour. Women from lower castes, Muslim communities, and low-income families were shown to be more likely to encounter dehumanising and neglectful behaviour from care providers in public health facilities. Obstetric violence during childbirth arises from encounters between care providers and women at an individual level, health system failures, and an abusive institutional atmosphere and culture. The abusive environment in health facilities fosters fear about facility care among women, contributes to worsened health outcomes, and deters women from further utilisation of health care services. Therefore, along with expanding institutional births and access to emergency obstetric care, measures should be taken to ensure dignified and caring treatment of women during childbirth.

Indexed as

Delivery, ObstetricParturitionFemaleHealth FacilitiesHumansMaternal MortalityPregnancyViolencechildbirthdisrespect and abuseIndiamistreatmentobstetric violence

Identifiers

PMID34872466
PMCPMC8654405
OpenAlexW4200476353

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.