Paradoxos da humanização em uma maternidade no Brasil

Tornquist, Carmen Susana

doi:10.1590/s0102-311x2003000800023

Cited by 66 publications

(64 citation statements)

References 2 publications

(2 reference statements)

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“…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) .…”

Section: Discussionmentioning

confidence: 99%

“…However, when the women do not behave as expected, a heavy tension is generated among the health workers. Consequently, they adopt an attitude of disrespect for the culture of women, and repress and force the women to act according to the rules of behaviour they impose (25)(26)(30)(31) . Some long-standing obstetric conducts are understandably difficult to change, and discussions are needed to foster change in the current obstetric scenario (21) .…”

Section: Discussionmentioning

confidence: 99%

“…-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) .…”

Section: Standard or Routine Care Practicesmentioning

confidence: 99%

“…Impersonal and cold healthcare practice -Repression and abandonment (16,18,21,(25)(26)(30)(31) . and negative interference of these practices in women's autonomy.…”

Section: Standard or Routine Care Practicesmentioning

confidence: 99%

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

Reis

Padoin

Toebe

et al. 2017

Rev. Gaúcha Enferm.

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Objective:To identify the available evidence in scientifi c literature on healthcare practices that interfere with the autonomy of Brazilian women in the labour and delivery process. Method: The search for papers was conducted in the databases LILACS, Scopus and PubMed, between 1996 and 2015, according to a guiding question and exclusion criteria, resulting in the selection of 22 papers to compose the analytic body. Results:The main practices that favoured the exercise of women's autonomy were out-of-hospital care practices; care practices of support and comfort; and educational care practices. By contrast, the practices that limited autonomy were authoritarian care practices; standardised or routine care practices; care practices that intensify the painful sensation of childbirth; and impersonal and cold care practice. Conclusion:There was an alarming contrast between the daily healthcare routine and ministerial recommendations. Keywords: Women's health. Obstetrics. Parturition. Personal autonomy. Patient preference. Decision making. RESUMO Objetivo:Identifi car as evidências disponíveis na produção científi ca acerca das práticas de assistência à saúde que interferem no exercício da autonomia das mulheres brasileiras no processo de parto e nascimento. Método: A busca dos artigos foi desenvolvida nas bases de dados LILACS, Scopus e PubMed, no período entre 1996 e 2015, tendo como eixo orientador a questão norteadora e os critérios de exclusão, sendo selecionados 22 artigos como corpus de análise. Resultados: Foram evidenciadas como práticas que favorecem o exercício da autonomia feminina: práticas assistenciais extra-hospitalares; práticas assistenciais de apoio e conforto; e práticas assistenciais educativas. Em contrapartida, revelaram-se como práticas limitantes ao exercício da autonomia: práticas assistenciais autoritárias; práticas assistenciais padronizadas ou rotineiras; práticas assistenciais que intensifi cam a sensação dolorosa do parto; e prática assistencial impessoal e fria. Conclusão: Revelou-se uma situação de alerta relativa ao grande descompasso existente entre o cotidiano assistencial e as recomendações ministeriais. Palavras-chave: Saúde da mulher. Obstetrícia. Parto. Autonomia pessoal. Preferência do paciente. Tomada de decisões. RESUMEN Objetivo:Identifi car la evidencia disponible en la literatura científi ca acerca de las prácticas de atención de salud que interfi eren con el ejercicio de la autonomía de las mujeres brasileñas en el proceso de parto y el nacimiento. Método: La búsqueda de artículos se desarrolló en las bases de datos LILACS, Scopus y en PubMed, en el período comprendido entre 1996 y 2015, con el principio rector de los rectores criterios de interrogación y exclusión, y seleccionó 22 artículos como un corpus de análisis. Resultados: Hemos puesto de relieve las prácticas que favorecen el ejercicio de la autonomía de la mujer: las prácticas de atención ambulatoria; prácticas de apoyo y consuelo; prácticas educativas y atención. Por el contrario se han demostrado com...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…-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) .…”

Section: Standard or Routine Care Practicesmentioning

confidence: 99%

“…Impersonal and cold healthcare practice -Repression and abandonment (16,18,21,(25)(26)(30)(31) . and negative interference of these practices in women's autonomy.…”

Section: Standard or Routine Care Practicesmentioning

confidence: 99%

See 2 more Smart Citations

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

Reis

Padoin

Toebe

et al. 2017

Rev. Gaúcha Enferm.

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show abstract

“…In fact, a study performed at a public maternity hospital in Florianopolis found that women are very concerned about keeping their emotions under control, and they try to express their pain within parameters considered appropriate, i.e., not to scream, and appear desperate (5) .…”

Section: Introductionmentioning

confidence: 99%

Dor e comportamento de mulheres durante o trabalho de parto e parto em diferentes posições

Nilsen

Sabatino

Lopes

2011

Rev. esc. enferm. USP

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Portuguese / English: www.scielo.br/reeusp RESUMO Avaliou-se a intensidade da sensação dolorosa e o comportamento, durante o trabalho de parto e parto, entre mulheres que tiveram parto normal, sem analgesia, nas posições semi-sentada, decúbito lateral esquerdo e litotomia. O estudo foi descritivo, transversal e correlacional. Foram usados um questionário validado que avalia dor e comportamento durante o trabalho de parto e parto, segundo a perspectiva da mulher, e duas escalas de dor: uma analógica e outra alfanumérica. Observou-se que a dor entre as mulheres que pariram em litotomia foi significativamente menor em comparação com decúbito lateral esquerdo (p=0,003), embora a posição tenha sido escolhida pela mulher. Houve associação entre dor e comportamento. A dor no trabalho de parto e parto estavam associadas entre si, assim como o comportamento nesses dois momentos. Os resultados indicam uma associação entre posição no parto e sensação dolorosa, mas não foi possível identificar fatores explicativos, sendo necessário desenvolver estudos longitudinais. DESCRITORES ABSTRACTThis study evaluated the pain intensity and behavior during labor and delivery, among women who had natural childbirth, without analgesia, in one of the following positions: semi-sitting, lying on the left side, and lithotomy. This is a descriptive, cross-sectional and correlational study. The instruments used were a validated questionnaire that evaluates pain and behavior during labor and childbirth, from the women's perspective, and two pain scales: one analog and one alphanumerical. It was observed that the pain among women who had childbirth in a lithotomy position was significantly smaller compared to those lying on the left side (p=0.003), though women chose the positions. There was an association between pain and behavior. Pain in labor and childbirth were associated among each other, as was the behavior in these two moments. The results point at an association between the position at childbirth and pain, but it was not possible to identify factors to explain this association; therefore, there is a need for longitudinal studies. DESCRIPTORS RESUMENSe evaluó intensidad de sensación dolorosa y comportamiento durante trabajo de parto y parto entre mujeres con parto normal, sin analgesia, en posiciones: semi-sentada, decúbito lateral izquierdo y litotomía. Estudio descriptivo, transversal, correlacional. Fueron usados un cuestionario validado que evalúa dolor y comportamiento durante trabajo de parto y parto según la perspectiva de la mujer, y dos escalas de dolor: una analógica y otra alfanumérica. Se observó que el dolor entre las mujeres que parieron por litotomía fue significativamente menor en comparación con decúbito lateral izquierdo (p=0,003), a pesar de ser la mujer quien eligió tal posición. Hubo asociación entre dolor y comportamiento. Los dolores en trabajo de parto y parto tuvieron mutua asociación, así como el comportamiento en tales momentos. Los resultados indican asociación entre posición de parto y sensación dolorosa, p...

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Rekindling of Nurse‐Midwifery in Brazil: Public Policy and Childbirth Trends

Carr¹,

Riesco

2007

J Midwife Womens Health

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In the last decade, nurse-midwifery in Brazil has experienced many changes both professionally and politically. In the 1990s, Brazil's Ministry of Health generated policies to improve childbirth services. Included in these policy initiatives was legislation for the reimbursement of nurse-midwifery services and a substantial increase in financing of nurse-midwifery schools throughout the country. It was during this period that the Brazilian National Nurse-Midwifery Organization was formed to provide professional leadership and an alternative model of childbirth care. The future is hopeful, but the nurse-midwifery profession will need collective determination to succeed in changing practices and improving services to women and families.

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Paradoxos da humanização em uma maternidade no Brasil

Cited by 66 publications

References 2 publications

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

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

Dor e comportamento de mulheres durante o trabalho de parto e parto em diferentes posições

Rekindling of Nurse‐Midwifery in Brazil: Public Policy and Childbirth Trends

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