Obstetric violence

Unsanitary environments and lack of privacy within gynaecology wards leave patients distressed, traumatised

Empathy and adequate support are notably lacking in many public hospitals throughout Pakistan. In addition to these deficiencies, obstetric violence is pervasive, with labouring patients frequently subjected to both physical and verbal mistreatment by healthcare providers. The unsanitary environments and a lack of privacy within the gynaecology wards leave patients distressed and traumatised for the rest of their lives. The WHO identified obstetric violence as a gross violation of the right of women to dignified maternal care. Yet, this misconduct persists in Pakistan, primarily due to underreporting and a broader culture of silencing women about their gynaecological experiences.

Obstetric violence encompasses various forms of mistreatment, like beating, ridiculing, performing surgical procedures without anaesthesia, conducting unconsented procedures and violating patients’ right to bodily privacy during gynaecological exams. It also involves dismissing patients’ pain and concerns or even abandoning care altogether. Unfortunately, government apathy and a general disregard for women’s rights have subjected millions of women from low-income backgrounds to endure this maltreatment repeatedly. Obstetric violence not only impacts the connection between mothers and their newborns but also hinders women’s ability to confront oppression and abuse later in life. Healthcare providers argue that effectively attending to all patients in public hospitals is becoming more challenging due to the overwhelming influx of patients and a lack of sufficient support. Although these claims may hold some validity, any type of violence against patients is unacceptable.

The prevalence of obstetric violence in public hospitals across the country poses a grave threat to women’s well-being and dignity. Urgent measures are required to address this issue. Implementing strict reporting mechanisms, improving healthcare provider training and fostering a culture of empathy and respect are essential steps to safeguard women’s right to dignified maternal care and promote a healthier and more humane healthcare system.

Published in The Express Tribune, January 4^th, 2024.

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