ArticleInternational journal of qualitative studies on health and well-being2026
Midwives' lived experiences of obstetric violence: a hermeneutic phenomenological study.
Article in International journal of qualitative studies on health and well-being, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundObstetric violence encompasses harmful practices and care dynamics during pregnancy, childbirth, and postpartum that undermine women's dignity, autonomy, and rights, and is associated with structural, gender, and organisational factors in maternity care.
objectivesTo explore how midwives understand, experience, and interpret obstetric violence in delivery room settings, including its perceived causes and contextual conditions.
methodsA qualitative study based on Gadamerian hermeneutic phenomenology was conducted with ten hospital midwives from two public hospitals in Andalusia and Catalonia. Semi-structured interviews (November 2024-April 2025) were audio-recorded, transcribed verbatim, and analysed iteratively using ATLAS.ti, with researcher triangulation and participant validation.
resultsMidwives described obstetric violence as a multifactorial phenomenon influenced by women's vulnerability, communication, professional practices, and healthcare system conditions. Woman-centred care, communication, and professional autonomy were identified as protective factors, while workload and institutional constraints hindered individualised care. This study contributes an underexplored midwifery perspective to a field mainly focused on women's experiences.
conclusionsPreventing obstetric violence requires strengthening communication, informed consent, women's participation, professional education, and organisational conditions that support respectful, woman-centred maternity care. Obstetric violence should be interpreted not only in relation to individual intent, but also in relation to its relational, structural, and experiential dimensions.
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