Restoring Dignity at Birth: Integrating Gender Sensitivity, Bioethics, and Religious Values to Eliminate Obstetric Violence

Obstetric violence remains a pervasive public health and human rights issue that quietly strips women of their autonomy and dignity during childbirth. Rooted deeply in biomedical power imbalances and institutional paternalism, this mistreatment persists across health systems particularly in under-resourced settings where standard guidelines fail to protect bodily integrity. Despite international efforts to promote respectful maternity care, women routinely endure non-consensual medical interventions, verbal abuse, and non-dignified clinical practices. Systemic resource shortages, provider biases, and a lack of standardized definitions continue to normalize these non-dignified childbirth experiences. To address these challenges, this study examines how synthesizing gender sensitivity, bioethical principles, and religious values can dismantle clinical hierarchies, restore patient rights, and eliminate obstetric violence. Employing a qualitative, library-based document research design grounded in an interpretive paradigm, the study systematically retrieved academic literature, global health policies, and socio-religious texts, focusing particularly on multicultural and Muslim-majority contexts. The collected data were analyzed through thematic analysis using Braun and Clarke’s six-phase framework to identify recurring operational patterns and systemic mechanisms. The analysis reveals that lasting reform depends on a synergistic three-pillar approach: gender awareness dismantles traditional clinical hierarchies, bioethical standards enforce informed consent and autonomy, and spiritual values such as Karamah Insaniyyah (human dignity) and Ihsan (benevolence) cultivate intrinsic moral accountability and empathy among care providers. While implementation is hindered by severe staffing shortages, inadequate ethical training, and entrenched systemic biases, adoption of woman-centered care models, continuous ethics education, and strong policy frameworks serve as primary facilitators. Ultimately, bridging global bioethical standards with local faith values establishes a meaningful sense of moral responsibility, transforming clinical guidelines into compassionate, dignified, and violence-free birth experiences for every woman.

Obstetric Violence, Bioethics, Respectful Maternity Care

1. Amenah, D. B., Bobi, U. A. W., Fu, Y., Lee, E., Oduro, E. B., Akwobugi, M., Robinson, K. N., & Titus-Glover, D. (2026). Barriers and Facilitators to Perinatal Care Access and Utilization among Black Multiparous Women in the United States: A Scoping Review. Journal of Racial and Ethnic Health Disparities. [Google Scholar] [Crossref]

2. Aziato, L., Odai, P., & Omenyo, C. (2016). Religious beliefs and practices in pregnancy and labour: an inductive qualitative study among post-partum women in Ghana. BMC Pregnancy and Childbirth, 16. [Google Scholar] [Crossref]

3. Backes, D., Gomes, E. B., Rangel, R. F., Rolim, K., Arrusul, L. S., & Abaid, J. L. W. (2023). Meaning of the spiritual aspects of health care in pregnancy and childbirth. Revista Latino-Americana de Enfermagem, 30. [Google Scholar] [Crossref]

4. Braun V., Clarke V. (2019). Reflecting on reflexive thematic analysis. Qualitative research in sport, exercise and health, 11(4), 589–597. [Google Scholar] [Crossref]

5. Çamlibel, M. (2025). Experiences of maternity care: Is the perspective of health care professionals respectful care while that of women obstetric violence?: A qualitative study. Medicine (United States), 104(6). [Google Scholar] [Crossref]

6. Chauhan, K., & Sivan, S. (2025). Gender Dysphoria And Obstetric Care: Nursing Challenges. International Journal For Multidisciplinary Research. [Google Scholar] [Crossref]

7. Chinkam, S., Ibrahim, B. B., Diaz, B., Steer-Massaro, C., Kennedy, H. P., & Shorten, A. (2023). Learning from women: Improving experiences of respectful maternity care during unplanned caesarean birth for women with diverse ethnicity and racial backgrounds. Women and Birth, 36(1), e125–e133. [Google Scholar] [Crossref]

8. Collins, E., Burns, E., Keedle, H., & Dahlen, H. (2025). Maternity Care Providers Perspectives and Experiences of Obstetric Violence in Low‐, Middle‐ and High‐Income Countries: An Integrative Review. Journal of Advanced Nursing, 82, 2790–2809. [Google Scholar] [Crossref]

9. Dilmen, S., Dilmen, İ., & Özbek, H. (2025). A Contemporary Perspective on Spirituality During Pregnancy: A Bibliometric Analysis. Journal of Religion and Health, 64, 2832–2857. [Google Scholar] [Crossref]

10. Faheem, A. (2021). The nature of obstetric violence and the organisational context of its manifestation in India: a systematic review. Sexual and Reproductive Health Matters, 29. [Google Scholar] [Crossref]

11. Fares, K. K., Ahmed, H. M., Mahmood, K. A., Ahmed, S. K., Ahmad, H. A., & Rony, M. K. K. (2026). Perspectives of Kurdish Postnatal Women on Respectful Maternity Care: A Qualitative Study. Health Science Reports, 9(3). [Google Scholar] [Crossref]

12. Ferrão, A. C., Sim-Sim, M., Almeida, V. S., & Zangão, M. O. (2022). Analysis of the Concept of Obstetric Violence: Scoping Review Protocol. Journal of Personalized Medicine, 12(7). [Google Scholar] [Crossref]

13. Ferreira, G. I., Barbosa, K. H., Di Carlo Duarte, A., de Oliveira, C., & Guilhem, D. (2021). Bioethics in childbirth care: Protocol for a scoping review. JMIR Research Protocols, 10(7). [Google Scholar] [Crossref]

14. Haseli, A., Khosravi, S., Hajimirzaie, S. S., Feli, R., & Rasoal, D. (2024). Midwifery students’ experiences: Violations of dignity during childbirth. Nursing Ethics, 31(2–3), 296–310. [Google Scholar] [Crossref]

15. Iparraguirre, M., Mendoza, J., Cóndor, M., & Muñoz, R. (2023). Obstetric Violence as Biopower: On the Dignity of Women. Encuentros (Maracaibo), 17, 411–423. [Google Scholar] [Crossref]

16. Khalil, M., Carasso, K., & Kabakian-Khasholian, T. (2022). Exposing Obstetric Violence in the Eastern Mediterranean Region: A Review of Women’s Narratives of Disrespect and Abuse in Childbirth. Frontiers in Global Women’s Health, 3. [Google Scholar] [Crossref]

17. Mayra, K., Sandall, J., Matthews, Z., & Padmadas, S. (2022). Breaking the silence about obstetric violence: Body mapping women’s narratives of respect, disrespect and abuse during childbirth in Bihar, India. BMC Pregnancy and Childbirth, 22. [Google Scholar] [Crossref]

18. Mengesha, M. B., Kidanemariam Berhe, A., Oyetunji, T. P., & Teka, H. (2025). Obstetric violence across the maternal care continuum and its impact on women’s perinatal mental health in low- and middle-income countries: A systematic review and meta-analysis protocol. BMJ Open , 15(11). [Google Scholar] [Crossref]

19. Michaels, P. A., Sutton, E., & Highet, N. (2020). Violence and trauma in australian birth. In Australian Mothering: Historical and Sociological Perspectives (pp. 239–255). [Google Scholar] [Crossref]

20. Mohammadrezayi, Z., Hajian, S., Enjoo, S. A., Alavi Majd, H., & Masoodi, N. (2026). Barriers and Facilitators of Respectful Maternal Care during Childbirth in Iran: A Scoping Review. Journal of Midwifery and Reproductive Health, 14(3), 5455–5476. [Google Scholar] [Crossref]

21. Moridi, M., Pazandeh, F., Hajian, S., & Potrata, B. (2019). Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study. PLoS ONE, 15. [Google Scholar] [Crossref]

22. Moridi, M., Pazandeh, F., Hajian, S., & Potrata, B. (2020). Midwives’ perspectives of respectful maternity care during childbirth: A qualitative study. PLoS ONE, 15(3). [Google Scholar] [Crossref]

23. Ng, J. Q. X., Mikhaylov, A., Msheik-El Khoury, F., Ng, B. J., Lalor, J. G., Tan, R. K. J., & Shorey, S. (2026). Beyond Training: A Qualitative Meta-Synthesis of Healthcare Professionals’ Experiences Providing Culturally Competent Antepartum and Intrapartum Care to Ethnic Minoritized Women. Journal of Advanced Nursing, 82(4), 2630–2658. [Google Scholar] [Crossref]

24. Ohaja, M., Murphy-Lawless, J., & Dunlea, M. (2019). Religion and Spirituality in Pregnancy and Birth: The Views of Birth Practitioners in Southeast Nigeria. Religions. [Google Scholar] [Crossref]

25. Olajide, A., & Duma, S. (2026). Midwives preventing obstetric violence by facilitating respectful maternity care. Nursing Ethics. [Google Scholar] [Crossref]

26. Perrotte, V., Chaudhary, A., & Goodman, A. (2020). “At Least Your Baby Is Healthy” Obstetric Violence or Disrespect and Abuse in Childbirth Occurrence Worldwide: A Literature Review. Open Journal of Obstetrics and Gynecology, 10, 1544–1562. [Google Scholar] [Crossref]

27. Pickles, C. (2025). Emerging human rights standards on obstetric violence and abuse during childbirth. International Journal of Gynecology and Obstetrics, 170(1), 508–514. [Google Scholar] [Crossref]

28. Raesi, R., Saghari, S., Tabatabaee, S. S., Mirzaei, S., & Hushmandi, K. (2023). A Survey of Women giving Birth regarding Respect for the Human Dignity of the Mother and the Newborn. Open Public Health Journal, 16(1). [Google Scholar] [Crossref]

29. Reyes-Amargant, Z., Fuentes-Pumarola, C., Roqueta-Vall-Llosera, M., Garre-Olmo, J., Ballester-Ferrando, D., & Rascón-Hernán, C. (2025). Obstetric violence: perspectives from mothers, midwives, and obstetricians. Frontiers in Global Women’s Health, 6. [Google Scholar] [Crossref]

30. Rusu, M. H., Nogueira, C., & Topa, J. B. (2025). Obstetric Violence: Reproductive and Sexual Health Trajectories of Racialised Brazilian Women in Portugal. Social Sciences, 14(2). [Google Scholar] [Crossref]

31. Shabot, S. C. (2026). Obstetric Violence and the Birthing Body: A Reading from Feminist Philosophy. In Obstetric Violence and the Birthing Body: A Reading from Feminist Philosophy. [Google Scholar] [Crossref]

32. Sharon, D., & Alnabilsy, R. (2025). Obstetric Violence (OV) Consequences and Coping Strategies: Insights Through the Voices of Arab and Jewish Women in Israel. Violence Against Women, 31(15–16), 3838–3861. [Google Scholar] [Crossref]

33. Showkat, H. (2025). Faith and Motherhood: Understanding Cultural Practices in Pregnancy and Childbirth Among Kashmiri Women. Journal of Religion and Health, 65, 1991–2011. [Google Scholar] [Crossref]

34. Strazzeri, I., & Spagnolo, M. C. (2025). Fiducia e trasformazioni: dall’antico rituale del partorire alle radici della violenza ostetrica. Sociologia (Italy), 59(2), 42–47. [Google Scholar] [Crossref]

35. Tajvar, M., Shakibazadeh, E., Alipor, S., & Khaledian, Z. (2022). Challenges and barriers in moving toward respectful maternity care (RMC) in labor and childbirth: A phenomenology study. Payesh, 21(2), 151–161. [Google Scholar] [Crossref]

36. Trisiani, D., Ferina, F., Indrayani, D., & Abdul-Mumin, K. (2024). Spiritual Aspects of Pregnancy and Childbirth Based on an Islamic Perspective. Jurnal Kajian Peradaban Islam. [Google Scholar] [Crossref]

37. Tuyisenge, G. (2021). Access to Maternal Health in Regions of Rwanda: A Qualitative Study. In Global Perspectives on Health Geography: Vol. Part F7866 (pp. 105–114). [Google Scholar] [Crossref]

38. Van der Waal, R., & Mayra, K. (2023). Obstetric Violence. In Gender-Based Violence: A Comprehensive Guide (pp. 413–425). [Google Scholar] [Crossref]

39. Vargas-Machado, C. A., & Roncancio Bedoya, A. F. (2025). Development of the principle of autonomy for overcoming obstetric violence. Revista Bioetica, 33. [Google Scholar] [Crossref]

40. Yalley, A. A., Jarašiūnaitė-Fedosejeva, G., Kömürcü-Akik, B., & De Abreu, L. (2024). Addressing obstetric violence: a scoping review of interventions in healthcare and their impact on maternal care quality. Frontiers in Public Health, 12. [Google Scholar] [Crossref]

41. Yildirim, G. (2020). INNATAL PERIOD AND ETHICS. Journal of Midwifery and Health Sciences, 3(1), 50–58. [Google Scholar] [Crossref]

42. Yildirim, S., & Mert-Karadas, M. (2025). The invisible wounds of women: Ethical aspects of obstetric violence. Nursing Ethics, 32(5), 1493–1509. [Google Scholar] [Crossref]

43. Yohannes, E., Moti, G., Chaka, E. E., Gabriel, L., Creedy, D. K., & Hastie, C. (2026). Overcoming barriers and harnessing facilitators: Respectful maternity care in least-developed countries - a systematic review. Women’s Health. [Google Scholar] [Crossref]

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