- #I GIVE ALL MY PATIENTS EPISITOMIES MANUAL#
- #I GIVE ALL MY PATIENTS EPISITOMIES PROFESSIONAL#
- #I GIVE ALL MY PATIENTS EPISITOMIES FREE#
“In obstetric violence, there is the concept of ‘Crocodile Syndrome’. Ghukasyan, if a doctor intervenes during childbirth, then they have to complete the process to the end. “In medical practice, unnecessary amniotomy, inducing labor, stimulations are being carried out, when a doctor decides that a patient has to give birth that day because it is convenient for them.”Īccording to Dr. Norayr Ghukasyan, Deputy Director of the Maternity Hospital at Erebuni Medical Center. “Obstetric violence is an actual problem,” says Dr.
The proceedings of 29 cases were terminated (20 cases due to the absence of elements of a crime, five cases due to the absence of an incident of a crime, two cases exceeding the statute of limitations, one case due to the death of the perpetrator, one case due to the adoption of an amnesty law), the proceedings in 36 cases were suspended on the grounds that the perpetrator was unknown, the preliminary investigation of six criminal cases continues.
#I GIVE ALL MY PATIENTS EPISITOMIES PROFESSIONAL#
Two of these cases resulted in an indictment and were sent to court, 11 of them were dismissed (ten due to lack of evidence, one due to exceeding the statute of limitations), three of them were suspended because the person who committed the crime could not be identified.ĭuring the same period, 73 criminal cases were investigated for negligent death of a woman or her newborn child due to non-fulfillment or improper performance of professional duties by a service provider, two of which resulted in indictments. When the family refused to pay, he denied medical assistance to the pregnant woman.Īccording to the Investigative Committee of Armenia, 16 cases have been investigated since 2017 concerning damage to the health of a woman or newborn child due to a medical service provider not carrying out their duties completely or correctly. He was sentenced to 1.5 years in prison because he demanded money from the mother-in-law of a pregnant woman to carry out a cesarean section. For example, according to Datalex, an online judicial database, a verdict was passed against OBGYN Nshan Gevorgyan in 2015. For example, when sexist and offensive remarks are made to a woman during medical care.įinancial obstetric violence describes when medical personnel refuse medical care to a woman due to an inability to pay. Psychological forms of obstetric violence describe when a woman is subjected to degrading, disrespectful and/or discriminatory treatment.
#I GIVE ALL MY PATIENTS EPISITOMIES MANUAL#
These include refusing interventions such as episiotomy, Kristeller maneuver (the application of manual fundal pressure to facilitate childbirth), amniotomy, limiting the use of oxytocin, limiting the number of cesarean sections to 10-15% of general births, etc. The WHO has several recommendations for avoiding obstetric violence. The UN General Assembly’s report on violence against women in reproductive health services states that there are many manifestations of obstetric violence however, they are mainly divided into three groups: physical, psychological and financial.įorms of physical violence include unnecessary medical intervention and prescription of medicine, not upholding the normal course of childbirth, denying a woman her preferred birthing position, etc. Nevertheless, many women are subjected to obstetric violence, which not only violates their right to receive dignified and respectful health care but can also seriously threaten their life and health.Īccording to the WHO, obstetric violence (or aggression) is characterized by acts such as “outright physical abuse, profound humiliation and verbal abuse, coercive or unconsented medical procedures (including sterilization), lack of confidentiality, failure to get fully informed consent, refusal to give pain medication, gross violations of privacy, refusal of admission to health facilities and providing medical care due to an inability to pay.”
#I GIVE ALL MY PATIENTS EPISITOMIES FREE#
Say ‘It’s necessary to…’ and that’s it,” she explains.Īccording to the World Health Organization (WHO), “Every woman has the right to the highest attainable standard of health care, which includes the right to dignified, respectful health care throughout pregnancy and childbirth, as well as the right to be free from violence and discrimination.” “It’s enough to tell her that she is hurting her child, for example. Khalatyan says that women are vulnerable during childbirth, and it’s easy to convince them that the violence they are being subjected to is in the best interest of their child and themselves. Khalatyan was one of the first women in Armenia to share her experience of obstetric violence. “It is not acceptable to discuss this type of violence, or even name and perceive it as such.” “When I was 24 years old, I was a victim of obstetric violence,” says Arpi Khalatyan.
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