Childbirth experience according to a group of Brazilian primiparas

Nakano, Ana Márcia Spanó; Ferreira, Cristine Homsi Jorge; Almeida, Ana Maria de; Gomes, Flávia Azevedo

doi:10.1016/j.midw.2011.09.014

Cited by 12 publications

(18 citation statements)

References 23 publications

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“…The predominant idea in this model of care is the existence of an asymmetric relationship between professional and patient (17,(23)(24)(26)(27) , which becomes visible at the moment of delivery because, even when the women partici-pate in the process, it is only to collaborate with the work of the professional and not to ensure the exercise of their autonomy. Since they not allowed to express their feelings or their opinions about delivery, they remain silent.…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…-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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“…Care with less interventions is closely associated with greater satisfaction with the birth experience (20) and the participation of midwives (7)(8) . The assistance provided by these professionals respects the parturition process as physiological, transmitting safety and comfort to the woman involved, thus rescuing their self-confidence and strengthening their ability to give birth (8) .…”

Section: Discussionmentioning

confidence: 99%

Enfermagem obstétrica: contribuições às metas dos Objetivos de Desenvolvimento do Milênio

Reis

Zamberlan

Quadros

et al. 2015

Rev. Gaúcha Enferm.

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Objective: To characterize and analyze assistance to labor and delivery performed by residents in Obstetric Nursing. Method: Quantitative and retrospective study of 189 normal births attended by residents in Obstetric Nursing in the period between July 2013 and June 2014 in a maternity hospital located in the countryside of Rio Grande do Sul. Data collection took place by gathering information from medical records and the analysis was performed using descriptive statistics. Results:It was found the wide use of non-invasive and non-pharmacological pain relief and freedom of position during labor. It is noteworthy that 55.6% of women have not undergone any obstetric intervention. Conclusions:It was possible to identify that the Nursing Residency Program allows the reduction of obstetrical interventions, reflecting directly in the improvement of maternal health. Keywords:Obstetrics. Nurse midwives. Parturition. Humanizing delivery. Maternal and child health. Internship, nonmedical. Millennium Development Goals. RESUMOObjetivo: Caracterizar e analisar a assistência ao parto e ao nascimento realizada por Residentes em Enfermagem Obstétrica. Método: Estudo quantitativo e retrospectivo de 189 partos normais assistidos por Residentes em Enfermagem Obstétrica, no período de julho de 2013 a junho de 2014, em uma maternidade localizada no interior do Rio Grande do Sul. A coleta dos dados deu-se através de levantamento de informações dos prontuários clínicos e, para a análise, utilizou-se a estatística descritiva.Resultados: Constatou-se o amplo uso de métodos não invasivos e não farmacológicos de alívio da dor e a liberdade de posição durante o trabalho de parto. Destaca-se que 55,6% das mulheres não foram submetidas a nenhuma intervenção obstétrica. Conclusões RESUMENObjetivo: Caracterizar y analizar el trabajo de cuidado y la entrega realizada por residentes en Obstétrica, e identificar el impacto de esta práctica en la salud de las mujeres y por lo tanto a las metas de los Objetivos de Desarrollo del Milenio.Método: Estudio cuantitativo y retrospectivo de 189 partos normales a la que asistieron los residentes en Obstetricia, dentro de un año, en una maternidad ubicada dentro de Rio Grande do Sul. La recogida de datos se llevó a cabo mediante la recopilación de información de los registros clínicos y se realizó el análisis utilizando estadística descriptiva.Resultados: Se encontró un amplio uso de alivio del dolor no invasivo y no farmacológico y la libertad de posición durante el parto. Es de destacar que el 55,6% de las mujeres no sufrieron ninguna intervención obstétrica. Conclusiones:Fue posible identificar que el Programa de Residencia en Enfermería permite la reducción de las intervenciones obstétricas, lo que refleja directamente en la mejora de la salud materna. Original ArticleObstetric Nurses: contributions to the objectives of the Millennium Development Goals 95 Rev Gaúcha Enferm. 2015;36(spe):94-101.

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Implications of pain in functional activities in immediate postpartum period according to the mode of delivery and parity: an observational study

Pereira

Souza

Beleza

2017

Brazilian Journal of Physical Therapy

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Childbirth experience according to a group of Brazilian primiparas

Cited by 12 publications

References 23 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

Enfermagem obstétrica: contribuições às metas dos Objetivos de Desenvolvimento do Milênio

Implications of pain in functional activities in immediate postpartum period according to the mode of delivery and parity: an observational study

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