{"id":16814,"date":"2026-06-20T13:31:53","date_gmt":"2026-06-20T11:31:53","guid":{"rendered":"https:\/\/zawia3.com\/?p=16814"},"modified":"2026-10-07T03:14:28","modified_gmt":"2026-10-07T01:14:28","slug":"omniasweidan","status":"publish","type":"post","link":"https:\/\/zawia3.com\/en\/omniasweidan\/","title":{"rendered":"Obstetric Violence in Egypt: Testimonies Break the Silence, Detention Raises Questions about Protecting Those Who Speak"},"content":{"rendered":"<p>A post by former doctor and filmmaker Omnia Sweidan described alleged abuses against patients that she said she witnessed in the obstetrics and gynaecology department at Alexandria\u2019s El-Shatby University Hospital during her internship six years earlier. Her account included bullying, sexual harassment, violence during childbirth, unnecessary interventions without consent and threats to withhold care.<\/p>\n<p><a href=\"https:\/\/www.facebook.com\/share\/p\/17wHiQntEX\/\">Sweidan\u2019s account.<\/a><\/p>\n<p>The post prompted a wave of testimonies on Egyptian social media about obstetric violence by healthcare providers. The term encompasses violations of women\u2019s bodily autonomy, dignity and rights, including physical or verbal abuse, lack of informed consent, and neglect during pregnancy and childbirth.<\/p>\n<p>On 16 June 2026, Sweidan was arrested at her home in Damanhour. Rights and feminist circles expressed alarm as contact with her was lost for hours and her whereabouts were unknown. Hashtags asking where she was and demanding her freedom circulated.<\/p>\n<p>The following day, she appeared before the East Alexandria prosecution and faced accusations of publishing false news on Facebook and misusing her account. Prosecutors later said the investigation followed a complaint from the lawyer representing Alexandria University Hospitals. She was released on EGP 20,000 bail pending the case, according to her lawyer, Mohamed Ramadan Abu Baybars.<\/p>\n<p><a href=\"https:\/\/www.facebook.com\/share\/p\/1M6ftRT43h\/\">Her lawyer\u2019s announcement of release.<\/a><\/p>\n<p>Sixteen rights organisations, initiatives and political parties, alongside public figures, called for unconditional release and the dropping of charges. They described her detention as a violation of expression and demanded an independent, transparent investigation into her testimony, with protection against retaliation for women and healthcare workers reporting abuse.<\/p>\n<p>Human-rights lawyer Azza Soliman says the charges send a damaging message to anyone considering reporting violations. What happened could be understood as an attempt to silence witnesses and whistleblowers.<\/p>\n<blockquote>\n<p>\u201cPursuing people who speak about abuses instead of seriously investigating the reported events may create fear among victims and witnesses and discourage them from giving testimony or making complaints,\u201d she tells Zawia3. Protecting witnesses and reporters is essential to uncovering violations and holding those responsible accountable.<\/p>\n<\/blockquote>\n<p>Gawaher al-Taher, director of the Egyptian Centre for Women\u2019s Rights\u2019 access-to-justice programme, says the episode raises questions about authorities\u2019 handling of healthcare-abuse reports. Investigation of the accounts should have taken precedence over action against the person who disclosed them.<\/p>\n<p>She says the lawyer who submitted a report explained during the investigation that Sweidan was a witness to the alleged events rather than an accused person, and that the aim was to investigate those events.<\/p>\n<p>\u201cThe authorities could have formed fact-finding committees, listened to women describing their experiences, and reviewed records from the period the doctor identified,\u201d al-Taher tells Zawia3. That would help establish a more accurate picture.<\/p>\n<p>Obstetric violence is not new, she says, but sensitivity surrounding childbirth and the difficulty of discussing abuse have long kept it outside public debate. The centre has received complaints over many years about verbal humiliation, reprimands and inhumane treatment in delivery rooms.<\/p>\n<p>The issue is not confined to one hospital. Following Sweidan\u2019s post, women described different forms of mistreatment in public and private hospitals across governorates. Al-Taher calls for these accounts to be treated as indicators requiring inquiry, rather than isolated personal stories.<\/p>\n<p>Detention did not stop the testimonies. Dr Alaa Walid Ghorab posted allegations about events during her training at El-Shatby, including humiliating treatment during miscarriage or childbirth and reprimands or neglect while women were in pain or bleeding.<\/p>\n<p>Ghorab alleged that a doctor tied a woman\u2019s fallopian tubes during a miscarriage procedure without a clear medical justification. She also described what she considered an error during a hysterectomy, saying an ovary fell into the abdominal cavity before being repositioned. These remain allegations reported by the doctor.<\/p>\n<p><a href=\"https:\/\/www.facebook.com\/share\/p\/17o72HhRvX\/\">Ghorab\u2019s testimony.<\/a><\/p>\n<p>Dr Farida Mahgoub said in a Facebook video that she had begun a series of field research projects on the postnatal period in 2013. She reported severe psychological harm and acute psychotic symptoms after traumatic births. The Arabic report cited 13% and a further 75% sample figure without clearly distinguishing their denominators; those figures cannot be treated as a reliable population prevalence estimate.<\/p>\n<p>A doctor identified as Boussy Ali described alleged harassment and abuse in operating rooms during her internship at the 6 October Health Insurance Hospital. She accused a worker of entering while patients were being prepared and naked, touching and harassing some women in front of medical staff, while others ignored or joked about it.<\/p>\n<blockquote>\n<p>\u201cI personally witnessed other forms of violence, including humiliation, insults and shouting during childbirth, sometimes even pinching and hitting,\u201d she wrote. She said many victims were women with little means of defending themselves beyond silence.<\/p>\n<\/blockquote>\n<p><a href=\"https:\/\/www.facebook.com\/share\/1JDX6JFquc\/\">Ali\u2019s testimony.<\/a><\/p>\n<div class=\"z3-article-separator\" role=\"separator\" aria-label=\"Section divider\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 140 4269 130\" preserveAspectRatio=\"xMidYMid meet\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M120 211H4149\" fill=\"none\" stroke=\"#7e7e7e\" stroke-width=\"10\"\/><circle cx=\"1718\" cy=\"211\" r=\"56\" fill=\"#fafafa\" stroke=\"#9c9c9c\" stroke-width=\"3\"\/><circle cx=\"1718\" cy=\"202\" r=\"50\" fill=\"#647580\" stroke=\"#4e5962\" stroke-width=\"4\"\/><circle cx=\"1930\" cy=\"211\" r=\"56\" fill=\"#fafafa\" stroke=\"#9c9c9c\" stroke-width=\"3\"\/><circle cx=\"1930\" cy=\"202\" r=\"50\" fill=\"#647580\" stroke=\"#4e5962\" stroke-width=\"4\"\/><circle cx=\"2142\" cy=\"211\" r=\"56\" fill=\"#fafafa\" stroke=\"#9c9c9c\" stroke-width=\"3\"\/><circle cx=\"2142\" cy=\"202\" r=\"50\" fill=\"#647580\" stroke=\"#4e5962\" stroke-width=\"4\"\/><circle cx=\"2354\" cy=\"211\" r=\"56\" fill=\"#fafafa\" stroke=\"#9c9c9c\" stroke-width=\"3\"\/><circle cx=\"2354\" cy=\"202\" r=\"50\" fill=\"#647580\" stroke=\"#4e5962\" stroke-width=\"4\"\/><circle cx=\"2566\" cy=\"211\" r=\"56\" fill=\"#fafafa\" stroke=\"#9c9c9c\" stroke-width=\"3\"\/><circle cx=\"2566\" cy=\"202\" r=\"50\" fill=\"#647580\" stroke=\"#4e5962\" stroke-width=\"4\"\/><\/svg><\/div>\n<h2>Limited awareness and fear of reporting<\/h2>\n<p>Mayar Makki, founder of the Bar Aman initiative, describes obstetric violence as a form of medical violence during pregnancy, childbirth and related procedures. It has been documented for years in journalism, studies and accounts collected by feminist and rights organisations.<\/p>\n<p>It includes denial of informed consent, excluding women from decisions about their bodies and treatment, verbal humiliation and degrading conduct, and painful or unnecessary procedures without adequate explanation or meaningful agreement.<\/p>\n<blockquote>\n<p>\u201cCommon practices such as caesarean deliveries without clear medical justification, or without enough opportunity to understand alternatives and make an informed decision, also fall within obstetric violence,\u201d she tells Zawia3. They deprive women of control over their bodies and reproductive health.<\/p>\n<\/blockquote>\n<p>An examination or intervention without clear need, or without respect for privacy, information and consent, can violate dignity and rights, she says. Earlier documented testimonies have described such practices.<\/p>\n<p>The El-Shatby accounts encouraged other women to describe experiences they had kept silent about, often because they did not recognise them as violations. Awareness of obstetric violence remains limited.<\/p>\n<p>Makki links this to assumptions about medical authority: doctors are seen as the sole decision-makers, while patients are excluded from meaningful participation. Women may fear reporting, consider the treatment normal, or believe it does not warrant a complaint. Pain, anaesthesia and the physical and psychological pressures of childbirth can also make immediate recognition or documentation difficult.<\/p>\n<p>Addressing the issue requires institutional acknowledgment, serious investigations, stronger accountability and awareness of patients\u2019 rights. Informed consent, privacy and dignity must be respected throughout pregnancy and childbirth care. Pursuing those who expose violations allows them to continue without accountability, she argues.<\/p>\n<p>Magda Soliman, director of the Egyptian Centre for Women\u2019s Rights\u2019 health and reproductive-rights programme, says the testimonies reopen a longstanding issue of mistreatment within sexual and reproductive healthcare. It concerns care quality and women\u2019s dignity across institutions, including public and university hospitals.<\/p>\n<blockquote>\n<p>\u201cWomen may face verbal humiliation, mistreatment, violations of dignity and sometimes a lack of privacy during childbirth or reproductive-health services,\u201d she tells Zawia3.<\/p>\n<\/blockquote>\n<p>Social prejudice and demeaning attitudes towards women can influence treatment in healthcare institutions, she says. Such behaviour is not confined to male staff: some women healthcare workers also reproduce a broader institutional and social culture.<\/p>\n<p>Recurrent complaints include lack of privacy, insults, reprimands, hurtful remarks and inhumane treatment when patients are particularly vulnerable. Healthcare is a right that must not depend on a woman\u2019s economic or social position.<\/p>\n<p>Weak supervision and unclear accountability help perpetuate these practices, Soliman says. She calls for enforceable patient-rights standards, oversight by the health and higher-education authorities, and better selection and evaluation of staff\u2019s professional and interpersonal suitability. Obstetrics departments must ensure privacy, confidentiality and safety.<\/p>\n<p>Nevine Ebeid, executive director of the New Woman Foundation, places obstetric violence within broader concerns about medical practices and women\u2019s rights. Egypt\u2019s high caesarean rates raise questions about whether women receive enough information to choose their delivery method and whether institutions obtain informed consent.<\/p>\n<p>Consent is not limited to surgery. Decisions affecting women\u2019s reproductive health may be taken without full information or meaningful participation.<\/p>\n<blockquote>\n<p>\u201cSome childbirth practices reflect a culture that diminishes women\u2019s pain and suffering during labour,\u201d she tells Zawia3. That can lead staff to dismiss complaints or overlook psychological and physical needs.<\/p>\n<\/blockquote>\n<p>Overcrowding in public hospitals and shortages of specialist staff can also reduce care quality and sensitivity to patients\u2019 rights, Ebeid says.<\/p>\n<p>International health literature describes verbal abuse, coercion, unjustified interventions, failure to obtain informed consent and breaches of safe-care standards. Ebeid calls for a clear national framework with binding protocols for pregnancy and childbirth, integrated into professional and medical accountability.<\/p>\n<p>Rights and feminist organisations and defenders said in a joint statement that the testimonies opened a long-overdue public discussion about women\u2019s safety, dignity and fundamental rights. They encouraged many women to share experiences long suppressed by fear, silence and stigma.<\/p>\n<p>Addressing obstetric violence begins with recognition and listening, not silencing those who draw attention to it, the statement says. Individual and collective testimonies can help identify structural problems affecting care quality and patient rights.<\/p>\n<p>The statement emphasises expression, reporting suspected violations and participating in public discussion of healthcare as constitutional and internationally protected rights. Dignity in childbirth is integral to health, physical and psychological integrity, and humane treatment free from abuse and discrimination.<\/p>\n<p>It calls for a safe environment for women and healthcare workers to describe experiences without intimidation or retaliation, serious professional discussion of prevention, and care based on dignity, informed consent, privacy and non-discrimination. Authorities should approach the issue through rights and reform, putting women\u2019s safety first.<\/p>\n<div class=\"z3-article-separator\" role=\"separator\" aria-label=\"Section divider\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 140 4269 130\" preserveAspectRatio=\"xMidYMid meet\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M120 211H4149\" fill=\"none\" stroke=\"#7e7e7e\" stroke-width=\"10\"\/><circle cx=\"1718\" cy=\"211\" r=\"56\" fill=\"#fafafa\" stroke=\"#9c9c9c\" stroke-width=\"3\"\/><circle cx=\"1718\" cy=\"202\" r=\"50\" fill=\"#647580\" stroke=\"#4e5962\" stroke-width=\"4\"\/><circle cx=\"1930\" cy=\"211\" r=\"56\" fill=\"#fafafa\" stroke=\"#9c9c9c\" stroke-width=\"3\"\/><circle cx=\"1930\" cy=\"202\" r=\"50\" fill=\"#647580\" stroke=\"#4e5962\" stroke-width=\"4\"\/><circle cx=\"2142\" cy=\"211\" r=\"56\" fill=\"#fafafa\" stroke=\"#9c9c9c\" stroke-width=\"3\"\/><circle cx=\"2142\" cy=\"202\" r=\"50\" fill=\"#647580\" stroke=\"#4e5962\" stroke-width=\"4\"\/><circle cx=\"2354\" cy=\"211\" r=\"56\" fill=\"#fafafa\" stroke=\"#9c9c9c\" stroke-width=\"3\"\/><circle cx=\"2354\" cy=\"202\" r=\"50\" fill=\"#647580\" stroke=\"#4e5962\" stroke-width=\"4\"\/><circle cx=\"2566\" cy=\"211\" r=\"56\" fill=\"#fafafa\" stroke=\"#9c9c9c\" stroke-width=\"3\"\/><circle cx=\"2566\" cy=\"202\" r=\"50\" fill=\"#647580\" stroke=\"#4e5962\" stroke-width=\"4\"\/><\/svg><\/div>\n<h2>Practices of obstetric violence<\/h2>\n<p>Dr Ayman Sabaa, a researcher on the right to health and health policy at the Egyptian Initiative for Personal Rights, says the term obstetric violence remains unfamiliar to many providers and lacks an agreed official definition. It covers insults, dismissal of symptoms, exclusion from decisions and unnecessary interventions, including medically unjustified caesareans.<\/p>\n<p>The Arabic report cites a national caesarean rate of approximately 52% for 2014\u20132018, around 60% in urban areas and up to 94% in some Cairo hospitals. Its accompanying graphic labels the same 52% figure as 2021 data; the periods are inconsistent and these figures must not be conflated with a current national rate. The report links high intervention levels to financial incentives, time pressure and training gaps.<\/p>\n<p>The original graphic also presents 15% as a universal recommended ceiling. WHO clarifies that it does not recommend one target rate for countries or hospitals. Its 2015 statement discusses the historical 10\u201315% benchmark and stresses providing caesareans when medically needed, rather than meeting a numerical target.<\/p>\n<p><a href=\"https:\/\/www.who.int\/news\/item\/10-04-2015-who-statement-on-caesarean-section-rates-frequently-asked-questions\">WHO clarification of caesarean rates.<\/a><\/p>\n<figure class=\"z3-data-table\" style=\"margin:32px 0;overflow-x:auto\">\n<h3>Caesarean delivery: figures cited in the Arabic report<\/h3>\n<table style=\"width:100%;border-collapse:collapse;font-size:16px\">\n<thead>\n<tr>\n<th scope=\"col\" style=\"background:#193c46;color:white;padding:10px;text-align:left\">Measure<\/th>\n<th scope=\"col\" style=\"background:#193c46;color:white;padding:10px;text-align:left\">Rate<\/th>\n<th scope=\"col\" style=\"background:#193c46;color:white;padding:10px;text-align:left\">Context<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#fff\">\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">National estimate<\/td>\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">52%<\/td>\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">Text: 2014\u20132018; graphic: 2021. Source-period discrepancy.<\/td>\n<\/tr>\n<tr style=\"background:#f0f4f3\">\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">Urban estimate<\/td>\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">60%<\/td>\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">Cited in the text; different population.<\/td>\n<\/tr>\n<tr style=\"background:#fff\">\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">Some Cairo hospitals<\/td>\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">94%<\/td>\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">Selected hospitals; not a national rate.<\/td>\n<\/tr>\n<tr style=\"background:#f0f4f3\">\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">Historical international benchmark<\/td>\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">10\u201315%<\/td>\n<td style=\"padding:9px;border-bottom:1px solid #d7e2df\">Not a current WHO target for every hospital.<\/td>\n<\/tr>\n<\/tbody>\n<\/table><figcaption style=\"font-size:14px;margin-top:10px\">The original graphic\u2019s 79-percentage-point comparison (94% minus 15%) is an arithmetic difference, not a clinical measure of unnecessary surgery. The figures describe different settings and periods.<\/figcaption><\/figure>\n<p>Sabaa relates mistreatment to paternalistic medical practice, in which providers act as sole decision-makers and exclude women from decisions about their bodies. Social assumptions that minimise women\u2019s complaints or decision-making ability can intensify this in obstetrics.<\/p>\n<blockquote>\n<p>\u201cClear definitions and professional standards from the competent authorities are essential,\u201d he tells Zawia3. Informed consent must involve sufficient information for meaningful choices, including options for pain relief, rather than being reduced to a formality.<\/p>\n<\/blockquote>\n<p>Medical education and training should respect dignity and ensure real participation in reproductive-health decisions. A trainee\u2019s involvement does not entitle them to examine patients without consent or subject them to pain or embarrassment, he stresses.<\/p>\n<p>The Doctors Syndicate affirmed its commitment to patient dignity and rights as fundamental to medical practice and the doctors\u2019 oath.<\/p>\n<p>It said it was following the El-Shatby allegations with the Alexandria syndicate and investigations at Alexandria University\u2019s Faculty of Medicine. Violations of patient rights or professional duties, it stressed, expose those responsible to disciplinary and legal accountability.<\/p>\n<p>The syndicate urged staff, patients and families to report abuses and promised serious, urgent examination of complaints to protect rights and professional ethics.<\/p>\n<p><a href=\"https:\/\/www.facebook.com\/share\/p\/1CptvhE8wN\/\">Doctors Syndicate statement.<\/a><\/p>\n<p>Alexandria University said it was taking the allegations seriously and that dignity, safety and medical ethics were non-negotiable.<\/p>\n<p>The allegations were being examined by the Faculty of Medicine\u2019s competent bodies, it said, promising decisive action if wrongdoing was established. It invited documented complaints through official channels to verify accounts and protect those submitting them.<\/p>\n<p>The university urged against premature judgments before investigations concluded, citing the rights of patients and staff and the hospital\u2019s service to tens of thousands annually. It asserted commitment to transparency and accountability while warning of legal action against those spreading what it called rumours if allegations proved false.<\/p>\n<p><a href=\"https:\/\/www.facebook.com\/share\/p\/1BupwNnYis\/\">Alexandria University statement.<\/a><\/p>\n<p>Between demands for investigation and the authorities\u2019 insistence on awaiting findings, women\u2019s and doctors\u2019 accounts test the health system\u2019s ability to address allegations transparently and provide care safeguarding dignity and physical and psychological safety.<\/p>\n<p>The investigation at El-Shatby also opens wider questions about pregnancy and childbirth care in Egypt: informed consent, respect for patients, and effective oversight and accountability within obstetrics departments.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Doctors and women describe alleged abuse during childbirth after Omnia Sweidan\u2019s testimony and detention. Rights advocates demand investigation, informed consent and protection for witnesses; medical institutions say inquiries are underway.<\/p>\n","protected":false},"author":4,"featured_media":15733,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[390],"tags":[],"kateb":[1550],"class_list":["post-16814","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-human-rights","kateb-aya-yasser"],"jetpack_featured_media_url":"https:\/\/zawia3.com\/wp-content\/uploads\/2026\/06\/\u062a\u0648\u0644\u064a\u062f-1.png","_links":{"self":[{"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/posts\/16814","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/comments?post=16814"}],"version-history":[{"count":1,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/posts\/16814\/revisions"}],"predecessor-version":[{"id":16815,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/posts\/16814\/revisions\/16815"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/media\/15733"}],"wp:attachment":[{"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/media?parent=16814"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/categories?post=16814"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/tags?post=16814"},{"taxonomy":"kateb","embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/kateb?post=16814"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}