Report spotlights abuse of women

JOHANNESBURG — A new report says more than onethird of women in four lowincome countries in Africa and Asia were slapped, mocked, forcibly treated or otherwise abused during childbirth in health centers and suggests that such mistreatment occurs worldwide.

The study published Wednesday in the Lancet medical journal says women in Nigeria, Myanmar, Ghana and Guinea also experienced high rates of cesarean sections and surgical cuts to the vagina, or episiotomies, without their consent — and often without a painkiller.

“Mistreatment during childbirth can amount to a violation of human rights, and could be a powerful disincentive from seeking facilitybased maternity care,” the study said in a discussion of similar research.

The new study led by the World Health Organization followed more than 2,000 women during labor and interviewed more than 2,600 women after childbirth.

Some 42% reported physical or verbal abuse or discrimination during childbirth. Some women were punched, shouted at, scolded or forcibly held down. Younger, lesseducated women are at risk of such mistreatment, which also includes neglect by health workers or the use of force during procedures, the study said.

Most of the abuse occurred in the 15 minutes before and during childbirth. The study cited research that found that “midwives and doctors described women as ‘uncooperative’ during this period and some justified using physical and verbal abuse as ‘punishment.’ ”