Obstetric Violence Observatories

Obstetric Violence Observatories emerged in the early twenty-first century as a form of citizen and feminist activism in response to the invisibility of institutional mistreatment in childbirth care. Unlike professional associations or academic entities, these observatories are platforms driven by civil society, created by women, users of the health system, and human rights collectives seeking to document, make visible, and transform practices around childbirth and motherhood.

Their work focuses on collecting testimonies, producing qualitative and quantitative reports, promoting legislative change, and generating public and political debate on issues such as medicalization, lack of informed consent, and the dehumanization of childbirth. Many of them operate independently, largely through voluntary work, and have been key in ensuring that obstetric violence is recognized as a specific form of gender-based violence by international bodies and through national laws in Latin America and Europe.

Their main difference from other associations lies in their political and testimonial nature: they not only provide support or training, but also denounce the power structures that perpetuate these forms of violence and seek to transform health systems from a human rights perspective.

International Directory of Obstetric Violence Observatories

OVO Madrid (España)

Contact info:
info@observatorioviolenciaobstetrica.es
observatorioviolenciaobstetrica.es

From Activism to Institution: The History of the Obstetric Violence Observatory (OVO)

On 25 November 2014, the Obstetric Violence Observatory (OVO) was launched as an activity for that year’s International Day for the Elimination of Violence against Women (25N), within the organization El Parto es Nuestro (EPEN).

One year later, it was presented as a multidisciplinary body aimed at identifying and publicly denouncing the incidence of practices that constitute obstetric violence.

Five years after its creation, it obtained legal status and reoriented its work, prioritising dissemination, training, and dialogue with political actors and healthcare representatives in relation to this form of violence.

What do you consider to be the main contributions made by the Observatory? 

1. First nationwide online survey on Obstetric Violence in Spain
Between 25 November 2015 and 30 September 2016, the Observatory carried out the first online survey in the country on obstetric violence. It collected data from women who had given birth in Spain between 2008 and 2016. The survey focused on five key areas: Treatment received Information and consent Labour and dilation Newborn care Postpartum A total of 1,815 women responded. Although the sample was influenced by socio-economic and ethnic determinants, the responses clearly showed that many women had experienced obstetric violence during childbirth and expressed the need for perinatal care after traumatic births.

Gestar Derechos (Uruguay)

Contact info:
gestarderechos.observatorio@gmail.com

Established in 2020 to address the lack of systematic data on obstetric violence in Uruguay

The Gestar Derechos Observatory (OVO) is an observatory with a feminist and human rights perspective, self-managed by its members.

The motivation to create this Observatory emerged in late 2020, after noting the absence of an observatory specifically focused on this issue in Uruguay, as well as the scarcity of data on obstetric violence in the country.

Its launch was officially announced in September 2021, with the dissemination of the First National Birth Survey.

What do you consider to be the main contributions made by the Observatory? 

1. First National Birth Survey (PENN): evidence on obstetric violence and maternity care
The Observatory’s main contributions have been the generation and systematization of data on obstetric violence in Uruguay, helping to make its existence and its consequences for the health of women and pregnant people visible. Through the development and dissemination of the First National Birth Survey (PENN), the Observatory provided concrete evidence on the weaknesses and strengths of the pregnancy, childbirth and postpartum care system from a rights-based approach. In addition, its collaboration with academic research and the dissemination of results have contributed to raising social and professional awareness, promoting the prevention and eradication of obstetric violence in the country. The survey focused on five key areas: Treatment received Information and consent Labour and dilation Newborn care Postpartum A total of 1,815 women responded. Although the sample was influenced by socio-economic and ethnic determinants, the responses clearly showed that many women had experienced obstetric violence during childbirth and expressed the need for perinatal care after traumatic births.

 

 

The Chilean Observatory of Obstetric Violence (OVO Chile) was founded in 2014 to make visible the medicalization and violence present in childbirth.
 
Inspired by human rights observatories, it brought together professionals from different disciplines to create a space for knowledge, support, and action around childbirth and reproductive health. In its early years, it operated as a repository and platform for scientific dissemination, later becoming an independent organization focused on training, research, and public advocacy. Today, OVO Chile is a national reference that integrates knowledge and experience to promote respectful, evidence-based, and human rights–centred childbirth care.
 

What do you consider to be the main contributions made by the Observatory? 

Research, Education, Support, and Public Advocacy
Throughout its trajectory, the Chilean Observatory of Obstetric Violence (OVO Chile) has carried out sustained work in research, education, support, and public advocacy, positioning obstetric violence as both a human rights and a public health issue. Its main contributions include the production of scientific evidence, awareness-raising through the media and social networks, and direct work with women who have experienced mistreatment during childbirth care.
Key Milestone: First National Birth Survey (2017)
One of its most significant milestones was the First National Birth Survey (2017), which involved more than 11,000 women. The results revealed the extent of mistreatment in obstetric care and served as the foundation for the Adriana Bill, which aims to guarantee rights during pregnancy, childbirth, and the postpartum period, and to incorporate a framework of respect and dignity into public health policies.
Legal Impact: Recognition of Obstetric Violence (2024)
In addition, OVO Chile played an active role in the Comprehensive Law to Prevent, Punish, and Eradicate Violence Against Women (2024), which, for the first time, recognizes obstetric violence as a form of gender-based violence. This inclusion sets a precedent in Chilean legislation by establishing concrete obligations for State institutions and making visible a type of violence that has historically been ignored.
From Evidence to Policy Change
These milestones demonstrate OVO Chile’s ability to transform evidence and women’s experiences into concrete political action, contributing to the institutional recognition of obstetric violence and the development of public policies that guarantee respectful, violence-free childbirth care.