Episiotomy

“That’s a good girl”: how women are infantilised during obstetric care and labour

Retrieved on: 
Vendredi, février 16, 2024

She referred to Kate as a “silly girl” and told her she needed to calm down.

Key Points: 
  • She referred to Kate as a “silly girl” and told her she needed to calm down.
  • He asked if this was “the silly girl” he’d heard about, and then told her to control herself.
  • Nevertheless, everyday sexism, particularly in the form of paternalistic and patronising language, remains common throughout UK obstetric care, according to our research.

No respect

  • In our study exploring birth experiences, many participants told stories of interventions during childbirth, including surgery, that were performed without consent, or adequate pain relief.
  • Participants also discussed experiences of their own views or knowledge about what was happening to their bodies, being ignored.

Language matters

  • The language used about and to pregnant women matters because it sets the context for the way in which they are treated and the extent to which they are valued as experts in what is happening to their own bodies.
  • This may be because paternalistic language can be difficult to call out.
  • For these contributors to the discussion, the language used by health care professionals wasn’t as important as the quality of the healthcare they were providing.

“Good girls” don’t complain

  • This concern prevented many of them from putting in a complaint.
  • Our findings suggest that the extent of experiences of sexist language, and more overt discriminatory or poor practice, may be significantly under reported.


Nadia von Benzon does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

The Leapfrog Group's 2023 Maternity Care Report Finds Increased Cesarean Delivery Rates During COVID-19 Pandemic

Retrieved on: 
Mardi, mai 23, 2023

WASHINGTON, May 23, 2023 /PRNewswire/ -- The Leapfrog Group, a national nonprofit upholding the standard of patient safety in hospitals and ambulatory surgery centers, today released its 2023 Maternity Care Report, which measures hospitals on three maternity medical interventions: cesarean sections (C-sections), episiotomies and early elective deliveries. While hospitals are making significant improvements in reducing episiotomies and steadily reducing early elective deliveries, the average rate of Nulliparous, Term, Singleton, Vertex (NTSV) C-sections increased significantly during the COVID-19 pandemic. The report uses final data from the voluntary 2022 Leapfrog Hospital Survey and is the only source to publicly report these measures by hospital.

Key Points: 
  • WASHINGTON, May 23, 2023 /PRNewswire/ -- The Leapfrog Group, a national nonprofit upholding the standard of patient safety in hospitals and ambulatory surgery centers, today released its 2023 Maternity Care Report, which measures hospitals on three maternity medical interventions: cesarean sections (C-sections), episiotomies and early elective deliveries.
  • The report uses final data from the voluntary 2022 Leapfrog Hospital Survey and is the only source to publicly report these measures by hospital.
  • From 2015, when Leapfrog first publicly reported this measure, to 2020, progress on reducing C-section rates was slow and showed limited improvement.
  • As the U.S. faces a growing maternity care crisis, improving quality, access, data collection and publicly available information will improve maternity care within hospitals.

Analysis Reveals OB Hospitalists Deliver Unbiased Care

Retrieved on: 
Jeudi, mai 4, 2023

No differences in racial disparities were observed in clinical outcomes associated with OB hospitalist involved care, according to a new analysis of patient reported racial identification from 31,000 deliveries and 319,000 patient encounters.

Key Points: 
  • No differences in racial disparities were observed in clinical outcomes associated with OB hospitalist involved care, according to a new analysis of patient reported racial identification from 31,000 deliveries and 319,000 patient encounters.
  • These results suggest the company’s approach to maternal care is effective in addressing racial bias in care and improving maternal outcomes.
  • “Maternal mortality is a problem long in search of solutions and OB hospitalists are a key ingredient in addressing this national health issue,” said Dr. Mark Simon, Chief Medical Officer, OBHG.
  • OBHG believes that every woman in America should have access to immediate, unbiased care through all stages of pregnancy.

U.S. News & World Report Reveals the 2022-2023 Best Hospitals for Maternity Care

Retrieved on: 
Mardi, décembre 6, 2022

WASHINGTON, Dec. 6, 2022 /PRNewswire/ -- U.S. News & World Report, the global authority in hospital rankings and consumer advice, today revealed the 2022-2023 Best Hospitals for Maternity Care evaluation to assist expectant parents, in consultation with their doctors, in making informed decisions about where to receive maternity care.

Key Points: 
  • WASHINGTON, Dec. 6, 2022 /PRNewswire/ --U.S. News & World Report, the global authority in hospital rankings and consumer advice, today revealed the 2022-2023 Best Hospitals for Maternity Care evaluation to assist expectant parents, in consultation with their doctors, in making informed decisions about where to receive maternity care.
  • U.S. News evaluated nearly 650 hospitals that provide labor and delivery services and submitted detailed data to the publication for analysis.
  • Fewer than 300 hospitals received a High Performing designation, which is the highest award a hospital can earn in maternity care.
  • For more information, visit Best Hospitals for Maternity Care and use #BestMaternityHospitals on Facebook and Twitter.

Medical Board and Malpractice Cap Deny Women Who Are Sexually Assaulted and Abused by Doctors Justice, says Consumer Watchdog

Retrieved on: 
Mardi, décembre 21, 2021

The cap disproportionately harms women, who are more likely to suffer injuries capped by the law.

Key Points: 
  • The cap disproportionately harms women, who are more likely to suffer injuries capped by the law.
  • The malpractice cap is not supposed to apply to sexual abuse or assault, however, which are considered battery in the state of California.
  • The California Medical Association (CMA), the doctor lobbying group long opposed adjusting the cap, is responsible for preventing reform of the Medical Board.
  • From its inception, CMA has prevented the Board from filling the accountability gap," said Carmen Balber, executive director of Consumer Watchdog.

New Report on Maternity Care in the U.S. Shows Encouraging Progress Reducing Episiotomies, but None Reducing C-Sections

Retrieved on: 
Mardi, mai 15, 2018

Nonetheless, the use of these usually unnecessary incisions remains well above Leapfrog's standard, determined by its Maternity Care Expert Panel, of 5 percent or less.

Key Points: 
  • Nonetheless, the use of these usually unnecessary incisions remains well above Leapfrog's standard, determined by its Maternity Care Expert Panel, of 5 percent or less.
  • According to the data, two in five reporting hospitals fully met Leapfrog's standard for NTSV C-sections of 23.9 percent or less.
  • This represents no improvement, and instead a slight decline in performance since the 2016 Leapfrog Hospital Survey.
  • For both episiotomies and C-sections, survey data shows significant variation between hospitals, even in the same geographic region.