助产士的产科暴力生活经历：一项解释学现象学研究
Midwives' lived experiences of obstetric violence: a hermeneutic phenomenological study.
摘要(中文译文)
产科暴力包括妊娠、分娩及产后期间损害女性尊严、自主权和权利的有害实践与照护动态，并与产科照护中的结构性、性别及组织性因素相关。探讨助产士如何理解、经历和诠释产房环境中的产科暴力，包括其感知到的原因和情境条件。采用基于伽达默尔诠释现象学的质性研究，对来自安达卢西亚和加泰罗尼亚两家公立医院的十名医院助产士进行研究。半结构化访谈（2024年11月至2025年4月）经录音、逐字转录，并使用ATLAS.ti进行迭代分析，同时采用研究者三角互证和参与者验证。助产士将产科暴力描述为一种多因素现象，受女性脆弱性、沟通、专业实践和医疗系统条件的影响。以女性为中心的照护、沟通和专业自主权被确定为保护性因素，而工作负荷和制度性约束则阻碍了个体化照护。本研究为一个主要聚焦于女性经历的领域贡献了尚未被充分探讨的助产士视角。预防产科暴力需要加强沟通、知情同意、女性参与、专业教育，以及支持尊重性、以女性为中心的产科照护的组织条件。产科暴力不仅应结合个体意图来理解，还应结合其关系性、结构性和体验性维度来加以诠释。
Abstract
Obstetric 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. To explore how midwives understand, experience, and interpret obstetric violence in delivery room settings, including its perceived causes and contextual conditions. A 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. Midwives 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. Preventing 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.
如何引用
AMA
Irene Antúnez-Calvente, Juana María Vázquez-Lara, Luciano Rodríguez-Díaz, Azahara Ruger-Navarrete, Beatriz Mérida-Yáñez, Juan Gómez-Salgado, et al. Midwives' lived experiences of obstetric violence: a hermeneutic phenomenological study.. International journal of qualitative studies on health and well-being. 2026; doi:10.1080/17482631.2026.2673288.
APA
Irene Antúnez-Calvente, Juana María Vázquez-Lara, Luciano Rodríguez-Díaz, Azahara Ruger-Navarrete, Beatriz Mérida-Yáñez, Juan Gómez-Salgado, et al (2026). Midwives' lived experiences of obstetric violence: a hermeneutic phenomenological study.. International journal of qualitative studies on health and well-being. https://doi.org/10.1080/17482631.2026.2673288
GB/T 7714
Irene Antúnez-Calvente, Juana María Vázquez-Lara, Luciano Rodríguez-Díaz, Azahara Ruger-Navarrete, Beatriz Mérida-Yáñez, Juan Gómez-Salgado, et al. Midwives' lived experiences of obstetric violence: a hermeneutic phenomenological study.[J]. International journal of qualitative studies on health and well-being, 2026 doi:10.1080/17482631.2026.2673288.
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