Question 32550 — women

Summary

Mr. Erwan Balanant alerts the Minister of Solidarity and Health to the importance of obstetric and gynecological violence in France. The Institute for Research and Action for Women's Health defines this violence as “a set of gestures, words and medical acts which will affect the physical and mental integrity of women in a more or less severe manner. These acts, on the one hand, are not always medically justified, and, on the other hand, some oppose current scientific data and recommendations.” Concretely, this violence can take a wide variety of forms, such as hysterectomy without consent, refusal or imposition of an epidural or another analgesic, carrying out an examination without consent (insertion of an endovaginal probe, breast palpation, vaginal or rectal examination, etc.), failure to take into account the pain linked to a voluntary termination of pregnancy or during the insertion of an intrauterine device or, more trivially, from the contempt or inappropriate reflections of certain professionals. In 2018, a report from the High Council for Equality between Women and Men entitled “sexist acts during gynecological and obstetrical follow-up” provided eloquent figures on the prevalence of this violence within society. He specifies notably that, in 2016, while an episiotomy was performed during one in five deliveries, one in two women who underwent such an intervention deplored “a lack or total absence of explanation as to the reason”. The same year, 6% of women declared themselves “not at all” or “rather not” satisfied with the monitoring of their pregnancy or childbirth, which represented around 50,000 women. Even more alarming, still in 2016, 3.4% of complaints filed with the disciplinary bodies of the Order of Physicians concerned sexual assault and rape committed by doctors. It is essential to act to allow women to benefit from peaceful access to gynecological and obstetric care, which is by nature so special. He asks what measures the Government intends to adopt to stem this violence, particularly if a An explicit ban on sexist acts in the medical code of ethics is being considered. He also questions her about the initiatives deployed to allow women to know their rights in terms of gynecological and obstetric follow-up, as well as the remedies available to them in the event of non-compliance with them.

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