Relationship and perceptions of women with humanized childbirth and obstetric violence in Ecuador

This study explores the perceptions and experiences of women in Ecuador regarding humanized childbirth and obstetric violence. This article systematizes a case study conducted in the Organization of Anteña Women (OMA) in the canton of Antonio Ante, in the province of Imbabura, through qualitative ethnographic research. In-depth interviews were conducted with women who experienced different childbirth experiences. As a result, various levels of knowledge about humanized childbirth were identified. Some women understood the cultural and autonomy aspects well, while others were unaware of the concept, which can negatively impact their childbirth experience. It was observed that mothers access information through formal sources, such as courses and talks in health centers. Additionally, the presence of a companion during childbirth was considered an essential component of humanized childbirth. Most interviewees positively valued effective communication and respectful treatment by healthcare personnel. However, aspects for improvement were detected, such as the need for training healthcare personnel to ensure respect for mothers' decisions, clear communication, and continuous emotional support. The results reveal that, although there are advances in the implementation of humanized childbirth, practices of obstetric violence persist, negatively affecting women's experiences.