This podcast episode explores the topic of obstetric violence and its impact on women’s birthing experiences.
The guest, Dr. Hazel Keedle, discusses the definition of obstetric violence and provides examples of mistreatment and neglect by healthcare providers.
The conversation highlights the importance of informed consent and the need for clinicians to engage in open and honest communication with women.
The role of different models of care in reducing obstetric violence is also explored, with a focus on the strengths and limitations of each model.
The episode concludes with a discussion on the importance of consumer demand in driving change in the healthcare system.
This episode discusses the New South Wales birth inquiry and the submission made by the birth experience study.
The inquiry was a result of multiple factors, including the work of consumer organizations and the acceptance of the Obstetric Violence paper.
Emma Hurst, a psychologist and politician, played a significant role in initiating the inquiry. The hearings for the inquiry have taken place in Sydney and Wollongong, with more to come.
The select committee is working on the recommendations, which are expected to be released in February. The impact of the inquiry has been felt internationally, with interest from other countries.
- Obstetric violence is a form of mistreatment and neglect by healthcare providers during the perinatal period.
- Informed consent is crucial in ensuring women have agency and control over their birthing experiences.
- Building trust and open communication between clinicians and women is essential in reducing obstetric violence.
- Different models of care have varying rates of obstetric violence, with continuity of care models showing lower rates.
- Consumer demand plays a significant role in driving change and improving the birthing experience for women. The birth inquiry in New South Wales was initiated by multiple factors, including the work of consumer organizations and the acceptance of the Obstetric Violence paper.
- Emma Hurst, a psychologist and politician, played a significant role in initiating the inquiry and has shown a genuine interest in addressing birth trauma.
- The hearings for the inquiry have taken place in Sydney and Wollongong, with more to come in Wagga. The select committee is working on recommendations, which are expected to be released in February.
- The impact of the inquiry has been felt internationally, with interest from other countries in conducting similar inquiries.
Resources and Links:
What women want if they were to have another baby: the Australian Birth Experience Study (BESt) cross-sectional national survey – Read here
A content analysis of women’s experiences of different models of maternity care: the Birth Experience Study (BESt) – Read here
More on Hazel Keedle:
05:12: Guest Introduction
07:27: Understanding Obstetric Violence
10:18: Examples of Obstetric Violence
12:11: Birth Trauma and Obstetric Violence
13:37: Challenges in Identifying Obstetric Violence
14:57: The Impact of Language and Communication
17:44: The Importance of Informed Consent
19:07: Engaging with Clinicians
21:34: Promoting Safe Practices
23:55:The Disconnect in Healthcare
26:20:The Impact of Fear and Risk-Based Care
27:45:The Need for Individual Reflection
29:10: Empowering Women to Advocate for Themselves
32:25 Building Trust in Healthcare
35:25 The Role of Model of Care
38:12 The Lack of Informed Consent
41:31: The Challenges in the System
44:00 The Strengths and Limitations of Different Models of Care
48:41 The Importance of Consumer Demand
51:57 The Additional Layers of Obstetric Violence
52:56 The Birth Inquiry and Submission
53:25 The New South Wales Birth Inquiry
54:24 Multiple Factors Leading to the Inquiry
Collaboration with Emma Hurst
54:53 Change of Government and Different Ears Listening
55:24 Agreement for an Inquiry
55:53 Political Considerations
56:22 Excitement and Hope for the Inquiry
57:18 Encouraging Submissions and Media Coverage
57:46 Submission Closing and Hearings Begin
58:45 The Work of the Inquiry Team
59:41 Hearings in Wollongong and Adelaide
01:00:38 Sharing Stories of Trauma and Loss
01:01:36 Upcoming Hearings and Report of Recommendations
01:02:06 International Interest in the Inquiry
01:04:02 The Altruistic Act of Sharing Stories
01:06:01 The Snowball Effect and Planting Seeds
01:07:28 Different Perspectives in the Select Committee
01:09:25 The Process and Impact of the Inquiry
01:10:22 Supporting the Process and Open Communication
01:12:14 The Obstetric Violence Paper and Submission
01:13:09 The Birth Experience Study and International Collaboration
01:14:08 Healing and Hope