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From Home to Hospital: Mistreatment of Childbearing Women and Barriers to Facility-Based Birth in Nicaragua

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Worldwide, women continue to die during childbirth despite efforts to reduce maternal mortality. Nicaragua, particularly the North Atlantic Autonomous Region (RAAN), possesses extremely high rates of maternal mortality. It has been suggested that promoting facility-based birth is an effective method to reduce maternal mortality through providing essential obstetric and emergency obstetric care to the most women. A significant barrier to increasing rates of facility-based birth globally is mistreatment of women patients in health care settings. This case report illustrates the mistreatment of childbearing women during facility-based birth in the RAAN, including verbal abuse, physical abuse, neglect, and use of unnecessary medical interventions.


Document Type: Research Article


Publication date: 2012-03-01

More about this publication?
  • The International Journal of Childbirth is a peer-reviewed, quarterly journal publishing original research, reviews, and case studies concerned with the practice of midwifery, women's health, prenatal care, and the birth process. The journal encourages the exploration of the complex and contextual issues surrounding childbirth provision and outcomes and invites manuscripts from a wide range of clinical, theoretical, political, methodological, psychological, public health, policy, and multicultural and interdisciplinary perspectives.
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