Humanização da assistência ao parto no Brasil: os muitos sentidos de um movimento

Diniz, Carmen Simone Grilo

doi:10.1590/s1413-81232005000300019

Cited by 236 publications

(314 citation statements)

References 8 publications

(2 reference statements)

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“…The individuals' choices were backed up by the statement that delivering a baby is a physiological phenomenon (1) . Opposing their choices to those in the national context, they concluded that the high indexes of surgical births are more related to the choices of professionals than to the will of women and men who experience the process.…”

Section: Choosing Vaginal Birth As the First Optionmentioning

confidence: 99%

“…According to this understanding, strengthening these women and men experiencing this process will enable them to recovery feminine and family control over their delivery, which was lost due to its medicalization (1) .…”

Section: When They Reflect On Economic and Biomedicalmentioning

confidence: 99%

“…One of the concerns that they manifested is related to the nature of information that will ground the "body of knowledge" they intend to develop. They believe that this knowledge will be solid as it emerges from varied sources and is collectively discussed because it will permit them to negotiate professional knowledge with their expectations (1) .…”

Section: Negotiating and Dialoguing With The Health Team About Their mentioning

confidence: 99%

“…The reorganization of care, especially from the 19 th century on, established a pathological connotation to an event, which up to that moment, was characterized as a biological and social event (1) . In Brazil, the medicalization of this event has contributed to raising the official indexes of the Ministry of Health (MH), particularly those related to C-sections, which causes discomfort, especially in a time when humanizing policies are gaining momentum in the public health system.…”

Section: Introductionmentioning

confidence: 99%

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Expectations of pregnant women and partners concerning their participation in humanized births

Basso

Monticelli

2010

Rev. Latino-Am. Enfermagem

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Through the theoretical-methodological support of the Liberation Pedagogy, this convergentcare study identified the expectations of pregnant women and their respective partners concerning their participation in humanized birth. Five categories emerged during an educational intervention carried out with groups: choosing the type of delivery; selecting the type of obstetrical care; acknowledging oneself as a critical subject of one's own reality; negotiating with the health team; and acquiring knowledge concerning the delivery process.The study reveals that even though power relations permeate the interactions experienced within healthcare facilities, liberating educational practices can strengthen individuals so they are able to overcome the status quo and transform their obstetrical situation. Descriptors Las expectativas de participación de mujeres embarazadas y sus acompañantes para realizar un parto humanizadoSe trata de un estudio convergente-asistencial que tuvo como objetivo identificar las expectativas de participación de gestantes y acompañantes para realizar un parto humanizado, utilizando el marco teórico metodológico de la Pedagogía Libertadora. De la práctica educativa, con grupos, emergieron informaciones que culminaron en cinco categorías: la elección del tipo de parto, la selección del tipo de atención obstétrica, el reconocimiento de sí misma como sujeto crítico frente la realidad, la negociación con los profesionales de la salud, y la construcción de un saber propio acerca del parto.El estudio permite comprender que, a pesar de que las interacciones experimentadas dentro de las instituciones de salud están compenetradas por relaciones de poder, las prácticas educativas libertadoras pueden contribuir para el fortalecimiento de los sujetos para superar ese status quo y para transformar la realidad obstétrica.

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Section: Choosing Vaginal Birth As the First Optionmentioning

confidence: 99%

Section: When They Reflect On Economic and Biomedicalmentioning

confidence: 99%

Section: Negotiating and Dialoguing With The Health Team About Their mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Expectations of pregnant women and partners concerning their participation in humanized births

Basso

Monticelli

2010

Rev. Latino-Am. Enfermagem

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“…Nesse sentido, a proposta de humanização do parto no âmbito do Sistema Único de Saúde (SUS) amplia as possibilidades de recolocar o parto como experiência humana (Diniz, 2005).…”

Section: Considerações Finaisunclassified

As representações sociais das parteiras tradicionais e o seu modo de cuidar

2009

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Não é no silêncio que os homens se fazem, mas na palavra, no trabalho, na ação-reflexão. RESUMO: Este artigo discute, com base na Sociologia das Ausên-cias e Emergências de Boaventura de Souza Santos, as representações sociais do saber/fazer das parteiras tradicionais. Busca salientar a necessidade de diálogo entre os diferentes saberes e sinaliza que a educação popular pode contribuir para uma ecologia de saberes e para a prática educativa dos profissionais de saúde. Palavras-chave:Educação popular em saúde. Representações sociais.Parteiras tradicionais. THE SOCIAL REPRESENTATIONS OF TRADITIONAL MIDWIVES AND THEIR WAY TO CAREABSTRACT: Based on the Sociology of Absences and Emergencies by Boaventura de Souza Santos, this paper discusses the social representations of the know-how of traditional midwives. It seeks to highlight the need for a dialog between different knowledge and

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Selling Beautiful Births: The Use of Evidence by Brazil’s Humanised Birth Movement

Irvine

2022

Global Maternal and Child Health

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Maternal health care continues to be excessively medicalised in many national health systems. Global, national, and local level policy initiatives seek to normalise low-risk birth and optimise the use of clinical interventions, informed by strong evidence supporting care that is centred on women’s preferences and needs. Challenges remain in translating evidence into practice in settings where care is primarily clinician-led and hospital-based, such as in Brazil.I conducted an ethnography of the movement for humanised care in childbirth in São Paulo between 2015 and 2018. I draw on interviews and focus groups with movement members (including mothers, doulas, midwives, obstetricians, politicians, programme leads, and researchers), and observations in health facilities implementing humanised protocols, state health council meetings, and key policy fora (including conferences, campaigning events, and social media). Key actors in this movement have been involved in the development and implementation of evidence-based policy programmes to “humanise” childbirth. Scientific evidence is used strategically alongside rights-based language, such as “obstetric violence”, to legitimise moral and ideological aims. When faced with resistance from pro-c-section doctors, movement members make use of other strategies to improve access to quality care, such as stimulating demand for humanised birth in the private health sector. In Brazil, this has led to a greater public awareness of the risks of the excessive medicalisation of birth but can reinforce existing inequalities in access to high-quality maternity care. Lessons might be drawn that have wider relevance in settings where policymakers are trying to reduce iatrogenic harm from unnecessary interventions in childbirth and for supporters of normal birth working to reduce barriers to access to midwifery-led, woman-centred care.

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Humanização da assistência ao parto no Brasil: os muitos sentidos de um movimento

Abstract: This paper recovers the origins of the term "humanization of childbirth", the recogni -

Cited by 236 publications

References 8 publications

Expectations of pregnant women and partners concerning their participation in humanized births

Expectations of pregnant women and partners concerning their participation in humanized births

As representações sociais das parteiras tradicionais e o seu modo de cuidar

Selling Beautiful Births: The Use of Evidence by Brazil’s Humanised Birth Movement

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