Vivenciando a experiência da parturição em um modelo assistencial humanizado

Abstract

That was a qualitative study with phenomenological approach that aimed at understanding women's post-partum experiences in a humanized assistance. Data were collected in a hospital from São Paulo, SP, Brazil. Eight women in post-partum period were interviewed. From data analysis two themes were extracted: Bearing the labor and Having the opportunity rescuing autonomy, being disclosed the phenomenon: "Living the ambiguity on the birth process in a humanized assistance model". The reports show feelings like pain, fear and anxiety, however, it allowed a participation and rescuing autonomy. Although the study have been realized in a humanized assistance, the women's experiences reveals that they are far from an effective humanization, according to its principles. This study can be used to guide educative actions target to humanization and to generate managerial changes.

Autonomia feminina no processo de parto e nascimento: revisão integrativa da literatura

“…Group activities contribute to the safety and autonomy of the couple, and generate changes in attitudes and behaviour. The educational process in groups has a positive impact on the women and on society as a whole, and could become an instrument to change the current obstetrics scenario (11,14,(22)(23) . Information essentially builds a solid basis that grants women the autonomy they need to choose or reject any procedure on their bodies, and provides support for professionals and out-of-hospital care.…”

“…The predominant idea in this model of care is the existence of an asymmetric relationship between professional and patient (17,(23)(24)(26)(27) , which becomes visible at the moment of delivery because, even when the women partici-pate in the process, it is only to collaborate with the work of the professional and not to ensure the exercise of their autonomy. Since they not allowed to express their feelings or their opinions about delivery, they remain silent.…”

“…It is acknowledged that the professionals who are present during delivery are responsible for indicating and performing certain practices since they are qualified to assess the need for interventions and prevent complications. However, standardisation or authoritative imposition and not requesting the informed consent of the women subjugates them and hinders their emancipation as an active agent of the parturition process (19,21,23) . It was also observed that the care practices that intensify the sensation of pain in labour negatively interfere in the autonomy of Brazilian women (17-18, 20, 23, 25-26, 29-30) .…”

“…However, although pain relief techniques during labour are widely recommended, the use of these techniques varies according to the philosophy of the institution (20) . When the professional trivializes or does not consider physical complaints of the parturients, believing that the pain of childbirth is legitimate, there is no listening and no negotiating, only limitation, imposition, and violence (18,23,26,30) . A cold and impersonal healthcare practice that is contrary to ministerial recommendations was also considered a barrier to the autonomy of Brazilian women during labour and childbirth (16,18,21,(25)(26)(30)(31) .…”

“…-Professionals trivialise the pain of childbirth (18,20,23,26,30) . Impersonal and cold healthcare practice -Repression and abandonment (16,18,21,(25)(26)(30)(31) .…”