TY  - JOUR
PY  - 2017//
TI  - Institutional violence and quality of service in obstetrics are associated with postpartum depression
JO  - Revista de saude publica
A1  - Souza, Karina Junqueira de
A1  - Rattner, Daphne
A1  - Gubert, Muriel Bauermann
SP  - e69
EP  - e69
VL  - 51
IS  - 
N2  - OBJECTIVE: To investigate the association between institutional violence in obstetrics and postpartum depression (PP depression) and the potential effect of race, age, and educational level in this outcome. <br><br>METHODS: This is a cross-sectional study about the health care conditions for the maternal and child population of the Federal District, Brazil, carried out in 2011. The study has used a probabilistic sample of 432 women, whose children were aged up to three months, stratified by clusters. Indicators of institutional violence and demographic characteristics have been used in a logistic regression model to estimate the probability of occurrence of postpartum depression. <br><br>RESULTS: The model has identified a high prevalence of postpartum depression, being it higher among non-white women and adolescent females, besides having a strong positive association between the several indicators of obstetric violence and postpartum depression. Positive interactions on a multiplicative scale have also been observed between: violence by negligence by health care professionals and race and age; physical violence from health care professionals and age; and, verbal violence from health care professionals and race. <br><br>CONCLUSIONS: The indicators adopted to reflect institutional violence in obstetric care are positively associated with postpartum depression, which calls for a reflection on the need to make the health care protocols adequate to the precepts of the Brazilian humanization of childbirth care policies and changes in the obstetric care model.<p />  <p>Language: en</p>
LA  - en
SN  - 0034-8910
UR  - http://dx.doi.org/10.1590/S1518-8787.2017051006549
ID  - ref1
ER  -