The first International Congress on Obstetric Violence brings together more than 300 people to demand changes in legislation and healthcare practice



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## The first International Congress on Obstetric Violence brings together more than 300 people to demand changes in legislation and healthcare practice The speakers at the Universitat Jaume I congress insist on the urgent need to introduce the gender perspective and apply up-to-date scientific evidence in gynaecology and obstetrics

26/05/2022 |
SCP

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The first International Congress on Obstetric Violence was inaugurated by the vice-rector for Linguistic Promotion and Equality for the last four years, Pilar Safont; the director of the Predepartmental Unit of Nursing and coordinator of the Nursing research group, Víctor González, and the coordinator of research on obstetric violence and organiser of the congress, Desirée Mena. The meeting, which is also the third edition as a seminar, was attended by more than 300 people from all over the world, including both face-to-face and virtual participants.

The first round table, "Obstetric violence in the 21st century: politics, profession, society and science", highlighted the urgent need to update legislation and healthcare practice. Mònica Àlvaro, deputy for Compromís in the Valencian Parliament, defended the use of this term as a guarantee of respect for women's rights and reviewed the different legislative initiatives that are being promoted around the world. "We must ensure that legislation is passed here in Spain. What is not named, does not exist. And not naming obstetric violence in our laws will make it invisible to those who suffer it".

In the professional sphere, Soledad Carreguí, midwife and supervisor of the Childbirth Service at the La Plana University Hospital, proposes to reclaim the "human" part of childbirth. "We come from an interventionist paradigm and we underestimate the importance of the physiological aspects. We need to move towards a model that is more respectful and communicative with women". On this path, she calls for birth centres attached to hospitals, which are already present in many parts of Europe and in our country with two centres in Catalonia. "The Valencian Community could be a pioneer because there is already a budget allocated to set up this centre in the La Plana Hospital. The Valencian Pariament voted in favour of setting up our birth centre, and it had the support of all political groups except VOX. Its implementation would be essential to guarantee good clinical practices and strengthen the public health system".

The intervention of Susana Fernández, president of the association El Parto es Nuestro, called for women and their experiences to be listened to. "If questionnaires  with technical questions are done immediately after giving birth, they are of no use in assessing the quality of care or our satisfaction. With campaigns such as "La voz es nuestra" we want to recognise and thank good practices and demand that our voice be heard". The round table was completed by Purificación Heras, lecturer of Social Anthropology and director of the Diversity Unit (UMH), who stressed that the hegemonic biomedical model exerts an undeniable social and ideological control: "It is a reflection of hierarchical, asymmetrical and authoritarian social relations, which are legally legitimised. Science is never neutral or universal; medical practice as we know it is a cultural construct and therefore it can be modified. The most up-to-date scientific evidence has shown us that it is possible to do things differently, and even before doing something it is sometimes necessary to consider whether it is better *not to do it*".

At the afternoon round table, "Deconstructing to reconstruct", the professionals Bea Lorente and Laia Pratcorona, gynaecologists; Lucía Pascual, paediatrician; Elena Crespi Asensio, psychologist, and Ruth Tirado, midwife, shared how, from their experience, they lived a process of deconstruction to relearn about women's health and contribute to eradicate gender bias, in general, and obstetric violence, in particular, in the health system.

The congress also awarded Rocío Ramallo-Castillo, Isabel Corrales-Gutiérrez, Eva Domínguez-García and Antonio Zurita-Garrido as best oral communication: La violencia obstétrica: estudio descriptivo sobre las percepciones de los profesionales que atienden partos desde un abordaje multidisciplinar" and Laura Borrego-Cabezas, Celia Pérez-Real and Mª del Socorro Arnedillo-Sánchez as best poster with "Percepción de las matronas ante la violencia obstétrica".

The meeting also included a video forum with the award-winning interactive documentary *Parir en el siglo XXI* by Barret Cooperativa, as well as the narrative for the creation of the congress poster, the work of the artist Sofía Costa. The image on the poster represents, in the form of a visual metaphor, the feelings of women who have had a negative experience of childbirth.

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