The Bioethics of the Relationship Between Midwives and Pregnant Women in a Context of Gender-Based Violence

Abstract

Objectives

To explore the existing welfare models in order to offer elements of reflection, analyze the dynamics that intervene in their development and present the main ethic dilemmas faced by midwives when assisting pregnant women affected by gender-based violence.

Materials and Method

We carried out a systematic bibliographical review of scientific databases, books, practical medical guides and legislation concerning said topic.

Results

Gender-based violence is a serious social problem worldwide due to both its elevated presence and consequences on women’s health. Pregnancy is a moment of great vulnerability, when violence and its consequence do not only affect the woman’s health but also her fetus and the child to be. The main dilemmas concerning this issue are related to the respect for the mother’s autonomy while caring for the fetus’ health, violence report and the sense of fear.

Conclusions

Midwives must deal with cases of gender-based violence as part of their competences and moral responsibilities. The most adequate approach consists in individualizing every case from a dialogic perspective taking into account the vulnerability of pregnant women in gender-based violence contexts.