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Rätten till en, lika, säker förlossning - En granskning av svensk förlossningsvård utifrån rätten till bästa möjliga hälsa och icke-diskriminerande vård

Hedman, Elise Eleonor LU (2022) JURM02 20222
Department of Law
Faculty of Law
Abstract (Swedish)
Varje år publicerar Socialstyrelsen en kartläggning av den svenska förlossningsvården. Kartläggningen heter “Statistik om graviditeter, förlossningar och nyfödda barn” och beskriver, bland annat, hur ofta den födande drabbas av en allvarliga bristning. Statistiken för hur ofta en allvarlig bristning uppstår i varje svensk region har skiljt sig mellan regionerna sedan 1990. Socialstyrelsen själva uppmärksammar skillnaden men poängterar att förbättringar på området har noterats och att den nationella frekvensen av allvarliga bristningar även har minskat.

Efter en granskning av Socialstyrelsens egna rapporter framkommer att antalet allvarliga bristningar, i hög grad, skiljer sig runt om i landet. Faktum är också att skillnaden mellan... (More)
Varje år publicerar Socialstyrelsen en kartläggning av den svenska förlossningsvården. Kartläggningen heter “Statistik om graviditeter, förlossningar och nyfödda barn” och beskriver, bland annat, hur ofta den födande drabbas av en allvarliga bristning. Statistiken för hur ofta en allvarlig bristning uppstår i varje svensk region har skiljt sig mellan regionerna sedan 1990. Socialstyrelsen själva uppmärksammar skillnaden men poängterar att förbättringar på området har noterats och att den nationella frekvensen av allvarliga bristningar även har minskat.

Efter en granskning av Socialstyrelsens egna rapporter framkommer att antalet allvarliga bristningar, i hög grad, skiljer sig runt om i landet. Faktum är också att skillnaden mellan antalet allvarliga bristningar i regionerna endast har sett en marginell minskning sedan 1990 och att det nationella antalet allvarliga bristningar har ökat sedan samma tidpunkt.

Att drabbas av en allvarlig bristning kan innebära både kort- liksom långsiktiga konsekvenser där rehabilitation i vissa fall endast ger mindre, eller inga, förbättringar. Urin- och fekal inkontinens, smärta, obehag eller/och rädsla vid, eller inför, sexuell kontakt är här potentiella konsekvenser som kan följa. Med hänsyn till allvarliga bristningars stora hälsopåverkan kan frekvensskillnaderna ställas mot det faktum att varje individ har rätt till sin ”bästa möjliga hälsa” enligt artikel 12 ICESCR men också till icke-diskriminerande vård enligt artikel 12 CEDAW.

Konstateras kan att Sveriges förlossningsvård med heltäckande lagstiftning, ekonomi och medicinsk kunskap har en god grund att stå på. Förlossningsvården har dock utvecklats i olika riktning runt om i landet och kan inte längre betraktas som geografiskt likvärdig. Varje födande riskerar därmed i olika grad att drabbas av en allvarlig bristning. Den oproportionerliga hälsorisken födande från vissa regioner utsätts för är diskriminerande och kränker den absoluta rättigheten till icke-diskriminering enligt CEDAW och ICESCR. (Less)
Abstract
Every year the National Board of Health and Welfare (NBHW) publishes a survey of Swedish maternity care. The survey is called "Statistics on pregnancies, births and newborn children" and describes, among other things, how often complications in the form of severe tares affect women giving birth in Sweden. The statistics for how often a severe tares occurs in each Swedish region have differed between the regions since 1990. The NBHW draws attention to the difference, but points out that improvements in the area have been noted and that the national frequency of servere tares has decreased.

However, after researching the results of the survey done by the NBHW themselves, it can be noted that the number of severe tares differs greatly... (More)
Every year the National Board of Health and Welfare (NBHW) publishes a survey of Swedish maternity care. The survey is called "Statistics on pregnancies, births and newborn children" and describes, among other things, how often complications in the form of severe tares affect women giving birth in Sweden. The statistics for how often a severe tares occurs in each Swedish region have differed between the regions since 1990. The NBHW draws attention to the difference, but points out that improvements in the area have been noted and that the national frequency of servere tares has decreased.

However, after researching the results of the survey done by the NBHW themselves, it can be noted that the number of severe tares differs greatly around the country. The fact is that the difference between the number of severe tares in Sweden's regions has only seen a marginal decrease since 1990 and that the national number of severe tares has increased since 1990.

Suffering from severe tares can lead to both short-term and long-term consequences, where rehabilitation in some cases only produces minor or no improvements. Urinary and fecal incontinence, pain, discomfort, and/or fear during or before sexual contact are potential consequences related to these kinds of tares. Taking into account the great health impact of severe tares, the frequency differences can be contrasted with the fact that every individual has the right to his "highest attainable health" according to Article 12 ICESCR but also to non-discriminatory care according to Article 12 CEDAW.

In maternity care, Sweden has a good foundation to stand on with broad legislation, economics, and medical knowledge. Maternity care has, however, developed in different directions and the country can no longer show equivalent care geographically. Every woman giving birth is therefore at varying risk of suffering a servere tare. The disproportionate health risk born from certain regions is discriminatory and violates the absolute right to non-discrimination under CEDAW and ICESCR. (Less)
Please use this url to cite or link to this publication:
author
Hedman, Elise Eleonor LU
supervisor
organization
alternative title
The right to an equally safe delivery - An examination of Swedish maternity care based on the right to the highest attainable health and non-discriminatory care
course
JURM02 20222
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
International Human Rights law, Human Rights, Highest attainable health, CEDAW, ICESCR, folkrätt (en. public international law)
language
Swedish
id
9112360
date added to LUP
2023-04-10 18:50:51
date last changed
2023-04-10 18:50:51
@misc{9112360,
  abstract     = {{Every year the National Board of Health and Welfare (NBHW) publishes a survey of Swedish maternity care. The survey is called "Statistics on pregnancies, births and newborn children" and describes, among other things, how often complications in the form of severe tares affect women giving birth in Sweden. The statistics for how often a severe tares occurs in each Swedish region have differed between the regions since 1990. The NBHW draws attention to the difference, but points out that improvements in the area have been noted and that the national frequency of servere tares has decreased.

However, after researching the results of the survey done by the NBHW themselves, it can be noted that the number of severe tares differs greatly around the country. The fact is that the difference between the number of severe tares in Sweden's regions has only seen a marginal decrease since 1990 and that the national number of severe tares has increased since 1990.

Suffering from severe tares can lead to both short-term and long-term consequences, where rehabilitation in some cases only produces minor or no improvements. Urinary and fecal incontinence, pain, discomfort, and/or fear during or before sexual contact are potential consequences related to these kinds of tares. Taking into account the great health impact of severe tares, the frequency differences can be contrasted with the fact that every individual has the right to his "highest attainable health" according to Article 12 ICESCR but also to non-discriminatory care according to Article 12 CEDAW.

In maternity care, Sweden has a good foundation to stand on with broad legislation, economics, and medical knowledge. Maternity care has, however, developed in different directions and the country can no longer show equivalent care geographically. Every woman giving birth is therefore at varying risk of suffering a servere tare. The disproportionate health risk born from certain regions is discriminatory and violates the absolute right to non-discrimination under CEDAW and ICESCR.}},
  author       = {{Hedman, Elise Eleonor}},
  language     = {{swe}},
  note         = {{Student Paper}},
  title        = {{Rätten till en, lika, säker förlossning - En granskning av svensk förlossningsvård utifrån rätten till bästa möjliga hälsa och icke-diskriminerande vård}},
  year         = {{2022}},
}