A Decisão Pela via De Parto No Brasil: Temas E Tendências Na Produção Da Saúde Coletiva

Abstract

This study addresses the production of knowledge in the public health field regarding the "decision" on the route of delivery. This is an integrative literature review that discusses uses, potentials and limits of this category in analyses of the practice of cesarean sections in Brazil. We used a combination of thematic and discourse analysis techniques. The literature on cesarean sections in Brazil has advanced from the narrow focus on the individual choice to a deeper contextualization. However, literature still needs to progress, since there are few discussions on socio-cultural, political, and economic issues, and on the role of medical and non-medical technologies. DESCRIPTORS: Parturition. Cesarean section. Choice behavior.A DECISÃO PELA VIA DE PARTO NO BRASIL: TEMAS E TENDÊNCIAS NA PRODUÇÃO DA SAÚDE COLETIVA RESUMO: O artigo estuda a produção de conhecimento no campo da saúde coletiva sobre a "decisão" relacionada à via de parto. Trata-se de um estudo de revisão integrativa da literatura que discute usos, potencialidades e limites dessa categoria nas análises sobre a prática da cesariana no Brasil. Utilizou-se uma combinação de técnicas de análise temática e de discurso. Considera-se que a literatura sobre cesariana no Brasil tem avançado ao sair do foco estreito de escolha individual para uma contextualização mais profunda. Acredita-se, porém, que a literatura ainda precisa progredir, pois há poucas discussões de questões socioculturais, políticas, econômicas e sobre o papel das tecnologias médicas e não médicas. DESCRITORES:Parto. Cesárea. Comportamento de escolha. LA DECISIÓN POR EL TIPO DE PARTO EN BRASIL: TEMAS Y TENDENCIAS EN LA PRODUCCIÓN DE SALUD COLECTIVARESUMEN: El artículo estudia la producción de conocimiento en el ámbito de la salud colectiva sobre la "decisión" en relación al tipo de parto. Se trata de un estudio de la revisión integradora de la literatura que trata sobre los usos, las posibilidades y límites de esta categoría en los análisis sobre la práctica de la cesárea en Brasil. Utilizamos una combinación de técnicas de análisis temática y del discurso. Se considera que la literatura sobre la cesárea en Brasil ha avanzado de la limitada visión de la elección individual a una contextualización más profunda. Se cree, sin embargo, que la literatura aún tiene que progresar, porque hay pocas discusiones de temas socio-culturales, políticos, económicos y acerca del papel de las tecnologías médicas y no médicas.

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

“…However, these rights and the preconditions for health and citizenship have been gradually violated. The current obstetric care model is characterised by growing dependence on technical and technological interventions and the wide use of C-section as a way of birth, which has expropriated women of the control over their bodies and of their autonomy (4)(5) .…”

Gestação, Parto, Nascimento E Internação De Recém-Nascidos Em Terapia Intensiva Neonatal: Relato De Mães

“…This reduction depends on both the care received during the gestational period and the care received at the time of delivery. 12 Brazil presents high rates of cesarean section as a public health problem, with the prevailing idea that the responsibility for the increase of cesarean sections belongs to professionals and that the Brazilian women prefer vaginal delivery. 13 A study carried out in 2014 shows that in São Paulo, the cesarean rate exceeds 40%, being even higher in private services, which reach 88%, which makes Brazil one of the countries with the highest cesarean rates.…”

Every birth is a story: process of choosing the route of delivery

“…During the course of pregnancy, many health professionals attending prenatal care and childbirth use different devices to justify intervention in childbirth care. There are more supposed than real risks as: large baby, baby circled by the umbilical cord, being the woman's decision weakened by the power of persuasion in medical discourse (6) . It is understood that the decision by the route of delivery comprises a phenomenon that accompanies the entire pregnancy process, since this initiative creates innumerable expectations in the pregnant woman from the beginning, and continues to be mentioned even after the final outcome, persisting in the form of memories and feelings, or even consequences for health, which become part of its history (7) .…”