Dos fetos engolidos e escondidos: um comentário sobre o apoio de parteiras ribeirinhas ao aborto

Sexual and reproductive health in riverine communities: integrative review

“…As for the contents (Figure 2), after reading and organizing the information from the studies selected, it was possible to group them into four thematic categories: 1) Sexual component; 2) Reproductive component; 3) Environmental component; and 4) Sociocultural component. -Gender determinations on sexual and reproductive knowledge (17,(22)(23) -Gender-based violence (16,22) -Sexual aggression at the river and at home (16) -Child sexual abuse (16) -Forced marriage (16) Risk/vulnerabilities to STIs -Urogenital schistosomiasis (17) -Genital lesions (17) -Extramarital relationships (16) -Prostitution (Transactional sex) (16) -Unprotected sex, including the first sexual intercourse (16)(17)21,24) -Cutting tools shared between family members (razors, nail pliers) (21) -Low vaccination coverage for hepatitis B (21) -Alcohol abuse (16) -Multiple sexual partners (16) Prevention of STIs -Use of condoms as a prevention method (16,24) -Difficulties in the use of condoms as prevention (16,24) Perceptions of the STIs/HIV -HIV as a health problem (16) -HIV/STI: stigma and shame (16) Family planning/fertility control -Unplanned/undesired pregnancy (18) -High birth rates (18,23) -Decreased age of menarche (23) -Association between age of menarche and number of children (23) Perceptions and atitudes on abortion -Midwives and abortion (20) -Abortion (20,22) x Donation/adoption (20) -Recurrence of abortion (20) Problems...…”

“…The scientific evidence on the reproductive component were extracted from five articles (18,20,(22)(23)25) and point to themes related to family planning/fertility control, perceptions and attitudes towards abortion and problems related to pregnancy.…”

“…On issues related to family planning/fertility control, studies suggest that different riverine communities -such as the inhabitants of Assam, in India, and of the region of Melgaço, in the state of Pará, Brazil -wish to control their fertility to build smaller families, as big families can cause several difficulties and suffering for their members. However, a high birth rate and unplanned/undesired pregnancies are present in the reproductive life of these populations (18,20) .…”

“…The thematic grouping of research related to perceptions and attitudes towards abortion emphasize its occurrence (20,22) and recurrence (20) among riverine women. The findings also indicate that midwives know how to care for and do care for the women who abort, even though their speeches reveal a moral opposition to this practice (20) .…”

“…The actions conducted by Brazilian midwives in the Melgaço region, in the archipelago Marajoara of Pará, with women seeking abortion have the objective of protecting their lives and include counseling for not going through with abortion or for putting the baby up for adoption. In addition, these professionals provide guidance, offer teas to stop bleeding, suggest medications and accompany these women to the hospital (20) .…”