Este artigo analisou o poder decisório da mulher no parto expresso nas práticas discursivas de enfermeiras e médicos residentes da área de obstetrícia. Estudo qualitativo com 22 residentes de uma maternidade. Os dados foram coletados por meio de entrevistas e submetidos à análise do discurso à luz de Michel Foucault. As práticas discursivas enfocam o controle dos riscos e a normalização do comportamento cooperativo da parturiente, culminando em restrições no poder decisório das mulheres. Também valorizam a humanização do parto, por meio do protagonismo e da corresponsabilização feminina, o que tensiona o saber-poder médico. Evidenciou-se que há ancoragem na medicalização, reproduzida pelo ensino de obstetrícia, e na lógica neoliberal, associando o autogoverno das mulheres ao consumo. Autonomia e saúde como direitos precisam ser fortalecidos pelos atores sociais do ensino e da assistência em obstetrícia.
This article analyzed the decision-making power of women in childbirth expressed in the discursive practices of nurses and resident physicians in the area of obstetrics. Qualitative study with 22 residents of a maternity hospital. Data were collected through interviews and submitted to discourse analysis following Michel Foucault’s views. The discursive practices focus on risk control and normalization of the cooperative behavior of the parturient woman, culminating in restrictions on the decision-making power of women. They also value the humanization of childbirth, through the protagonism and co-responsibility of women, stressing the medical knowledge-power. It was evident an anchor in medicalization, reproduced by midwifery teaching, and in the neoliberal logic, associating women’s self-government to consumption. Autonomy and health as rights need to be strengthened by the social actors of midwifery teaching and assistance.
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