Name
Medical Students’ Perceptions of Gender-Based- and Obstetric- Violence in Patient Care in Mexico
Date & Time
Sunday, June 15, 2025, 4:38 PM - 4:53 PM
Authors

Manuel Angel Romero Padron, University of Nebraska Medical Center, Department of Orthopedic Surgery and Rehabilitation
Luis Felipe Herrera Padilla, Instituto Tecnológico y de Estudios Superiores de Monterrey School of Medicine and Health Sciences
Ximena Cors Cepeda, Instituto Tecnológico y de Estudios Superiores de Monterrey School of Medicine and Health Sciences
Pilar Gonzalez Amarante, Instituto Tecnológico y de Estudios Superiores de Monterrey School of Medicine and Health Sciences

Presentation Topic(s)
Curriculum
Description

Purpose
Training healthcare professionals to identify, prevent, and address obstetric violence is critically important for promoting respectful maternity care. This project aims to evaluate the knowledge and experiences of medical students regarding obstetric violence during and after their Obstetrics and Gynecology (OB/GYN) rotation.

Methods
A questionnaire with multiple-choice (Likert scale) and open-ended questions was administered to medical students during and after their OB/GYN rotation to explore student’s changes throughout their learning experience. The resulting data was analyzed using descriptive statistics and Wilcoxon tests for multiple-choice responses, and qualitative analysis for the open-ended responses.

Results
A total of 100 responses were obtained. Interest in OB/GYN increased from 10% to 20%, and familiarity with the concept of obstetric violence rose from 93% to 100%. Observation of patients who had experienced violence grew from 24% to 85% (p < 0.001). After the rotation, awareness of clinical abuse (p < 0.001) as well as student’s confidence (p < 0.001), and autonomy (p < 0.001) to assess such patients significantly increased. Ninety-three percent of students identified forms of obstetric violence including psychological abuse, physical abuse, medical malpractice, violation of bioethical principles, and contraceptive coercion. Additionally, awareness of clinical abuse significantly increased, especially regarding observed abuse (2.68 vs 3.92, p < 0.001) and gender-based violence (4.29 vs 4.73, p = 0.001).

Conclusion
The high prevalence of obstetric violence in the OB/GYN learning environment exposes medical students to the risk of normalizing and adopting these behaviors in their clinical practice. Despite being aware of its implications, violence continues to be considered a common practice in the clinical setting, highlighting the need to reflect on its impact on the training of future healthcare professionals.