@article{e1a325cf15bf47a79efd77e37a683e96,
title = "Re-examining Norms of Disrespect and Abuse in the Second Stage of Labor in Tanzanian Maternity Care",
abstract = "Globally, the widespread occurrence of disrespect and abuse (D&A) on maternity wards is well-documented. Using ethnography and cultural consensus analysis we explore how the practice of midwives hitting women who are in the second stage of labor (pushing) has become a locally accepted form of care in Tanzania if a baby{\textquoteright}s life appears to be at risk. This analysis interrogates the deep uncertainty of birth outcomes in this setting that may motivate abuse during this time. Seriously engaging with local discourses on abuse and care sheds light on hegemonic norms and power dynamics and is critical for improving maternity services.",
keywords = "Tanzania, United Republic of, care, cultural consensus analysis, disrespect and abuse, obstetric violence, respectful maternity care",
author = "Strong, {Adrienne E.} and White, {Tara L.}",
note = "Funding Information: The research was made possible by funding from a National Science Foundation Postdoctoral Research Fellowship, grant no. 1714358. We thank Sarah Charles for her work as research assistant in Kigoma, and Dr. Paul Chaote for support of the fieldwork in Kigoma region. The Tanzanian National Institute for Medical Research, the Tanzanian Commission on Science and Technology, Columbia University?s, and the University of Florida?s Institutional Review Boards in the United States granted ethical approval. Many thanks to the anonymous reviewers for their helpful suggestions. Publisher Copyright: {\textcopyright} 2021 Taylor & Francis Group, LLC. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2021",
doi = "10.1080/01459740.2021.1884075",
language = "English",
volume = "40",
pages = "307--321",
journal = "Medical Anthropology: Cross Cultural Studies in Health and Illness",
issn = "0145-9740",
publisher = "Taylor and Francis Ltd.",
number = "4",
}