Prevalence and characteristics of mistreatment during childbirth in two Israeli hospitals

Objective: This study aimed to investigate the prevalence and characteristics of mistreatment during childbirth in Israeli medical centers, addressing gaps in quantitative data within developed countries. Study design: A new questionnaire, incorporating demographic, obstetric, and mistreatment-related questions, was developed and distributed to postpartum women in two Israeli hospitals. Mistreatment categories included physical, sexual, and verbal abuse, failure to meet professional standards, poor rapport between women and providers, and health system conditions. Statistical analysis examined associations with clinical and demographic variables. Results: Of 422 analyzed questionnaires, most prevalent categories associated with mistreatment during childbirth were failure to meet professional standards (51.9%) and poor rapport between women and providers (33.2%). Cesarean section, complications during childbirth, and planned birth mode were significantly associated with mistreatment. Painful vaginal examinations, inadequate pain relief, and lack of explanations were common concerns. Factors like educational preparation, previous vaginal delivery, and doula support were linked to specific mistreatment subcategories. Conclusions: This study revealed a considerable prevalence of mistreatment during childbirth in Israeli medical centers, emphasizing the urgent need for reform in maternity care. Addressing specific issues, such as improving communication, consent procedures, and pain management during childbirth, is crucial for enhancing the overall birthing experience. The findings contribute valuable insights to promote respectful maternity care practices in Israel.