Discussing Obstetric Violence Through the Voices of Women and Health Professionals

Abstract

Objective: to analyze the discourses of women and health professionals regarding care during childbirth, considering the situations experienced and the interactions between them during labor and delivery. Method: this is an interpretative study with a qualitative approach. Discourse Analysis was used as the research method. The research scenarios were seven maternity hospitals, belonging to the public network of the Central-West region of Minas Gerais. Interviews were conducted with 36 laboring mothers, 10 midwives and 14 obstetricians. The collected data were submitted to discourse analysis. Results: the data were organized into three categories: 1) Witnessed obstetric violence described in the discourse of the midwife: which discusses that even acknowledging the presence of this, they talk of the difficulty of guaranteeing the rights of the mother in labor in the scenario of childbirth; 2) Today everything is obstetric violence: it shows the denial of the existence of this phenomenon in the professional-patient relationship; 3) Here we have no voice: obstetric violence is present, but there is a certain consent the part of women who, in the presence of the birth, forget the way they received assistance. Conclusion: hostile treatment is one of the obstacles of the humanization of childbirth care, interfering with the choice of delivery method, and it is necessary to review the concept of obstetric violence, considering all its specifics and nuances.

Violência Obstétrica E Neonatal E Suas Interfaces Com a Prevenção Quaternária: Uma Revisão Integrativa

“…Dentre esses, destaca-se a episiotomia, que é realizada rotineiramente nos serviços de atendimento ao parto, muitas vezes, sem o consentimento da mulher [22][23][24][25][26][27][28][29][30][31] .…”

“…Também há utilização de manobras físicas, que modificam o processo de parturição fisiológico, como a Manobra de Kristeller que, mesmo sem indicação cientificamente comprovada, teve sua realização apontada por diversos estudos dessa revisão 22,24,[26][27][28][29][30][31] .…”

The knowledge of pueperal women on obstetric violence

“…17 Verbal violence is characterized by aggressive behavior by harmful words that are intended to ridicule, humiliate, manipulate and / or threaten, and as with physical violence, such aggression also has consequences that can cause irreparable psychological damage. 18 It is described that hearing offensive words can persevere more than physical aggression, due to its invisible dimension, which is projected in the moral and psychic field, 19 and some women during prenatal consultations and / or childbirth suffer oppression during this pregnancy-puerperal cycle, being practiced by health professionals.…”

Kristeller maneuver: is there benefit in this technique? / Manobra de kristeller: há benefício nesta técnica?

“…353, of February 14, 2017. [7][8][9][10] This ordinance establishes parameters for the performance of normal childbirth in Brazil and presents recommendations on the various actions during the pregnancy period, in addition to determining that women should have their decisions respected in labor. 11 Among the procedures performed on parturients by health professionals to expedite labor, the administration of oxytocics stands out to stimulate labor, episiotomy, amniotomy and Kristeller's maneuver, as they are often unnecessary practices without an indication to justify them.…”