Humanização na atenção a nascimentos e partos: ponderações sobre políticas públicas

Abstract

Humanização na atenção a nascimentos e partos como política pública no Brasil No início da década de 1990, a informação circulante na sociedade decorrente da atuação de ativistas pela humanização deixava claro que o modelo de atenção a NeP era inadequado, com excesso de intervenções e desrespeitando os direitos da mulher. Além de experiências pioneiras herdadas da década anterior

Perspectivas de dor do parto normal de primigestas no período pré-natal

“…16 Through the words of the respondents, it was possible to identify some structuring elements of the meanings attributed to the normal labor pain, as natural phenomenon and suffering phenomenon. These elements integrate biological, psychoaffective, socio-cultural and care dimensions related to pain, although they depict different perceptions of the socio-cultural and assistance environments: as the name says, it is normal.…”

“…7,16 The focus of the proposal on implemented and humanized care along with the Program for Prenatal and Birth Humanization (PHPN), which was established by Decree/GM number 569/2000 of the MS, in the perspective of women´s citizenship rights, seeks to recover the active and central role of women in childbirth, with assurance of the natural process of childbirth and health from mother and child, with a minimum of intervention and compatible with safety. 6,16 Effectiveness and safety of obstetric procedures along with quality assistance were identified as the tripod for humanization, for their relevance on ensuring women´s satisfaction in relation to the birth process and hence the guarantee of their right to the childbirth as a pleasant experience. 6 Globally, the movement for the humanization of labor and birth is related to the "Ideology of Childbirth without Pain" that was started by Dick-Read and Lamaze, from the creation of psychoprophylactic methods of reducing childbirth pain.…”

Como os trabalhadores de um Centro Obstétrico justificam a utilização de práticas prejudiciais ao parto normal

“…And, as an educational institution: quickly incorporate evidence-based practices to teaching, healthcare and research. it so happens that these practices were initially adopted and determined in public healthcare services with the sus (national health system) and, paradoxically, one of the major focus of resistance for its becoming effective is academia: medicine professors of important universities have published, in the media, editorials disqualifying the humanization proposals of the ministry of health (14) .…”

Um modelo lógico da Rede Cegonha

“…Nesse contexto, há mais de duas décadas discute-se o modelo de atenção ao parto no Brasil com o objetivo de atingir padrões aceitáveis, aproximando-se das taxas alcançadas em outros países. No Brasil, esse modelo vem sendo construído com base na experiência dos profissionais que trabalham nesse campo e nas iniciativas da humanização de atenção ao parto e ao nascimento em instituições de saúde que se tornaram referência no país (BRASIL, 2011g;RATTNER, 2009).…”