O que pode ser traumático no nascimento?

Abstract

O assunto do trauma no nascimento circula nas publicações psicanalíticas há muito tempo. Procurando as respostas para o que pode ser traumático no nascimento segui uma trilha, percorrendo as pontes entre o cuidado exercido na cena do parto e as primeiras experiências do bebê. O objetivo aqui é discutir o trauma em relação ao modo de cuidar na cena do nascimento. A relevância do tema repousa sobre a relação entre a qualidade das experiências iniciais e um desenvolvimento saudável. A conclusão aqui é que o modo de assistir ao parto pode deixar marcas psíquicas importantes, influenciando diretamente no cuidado materno e sendo, portanto, um risco para trauma no nascimento.

The Childbirth Environment and Parenthood: Time, Pain, and Subjective Constitution

“…In this sense, the same thing should occur with the mother: the environment must adapt to her needs. Nonetheless, health professionals that are trained to work along the lines of the traditional hospital perspective, which is based on concrete measures of time and on indicators of the quality of the patients' physical conditions, are more attentive of the potential physical risk factors, and they thus end up disregarding the emotional aspects of the mother, the father, and the baby (Zveiter 2005;Zveiter et al 2005).…”

“…Health professionals need to understand the parents' subjective experiences at the time of the birth in order to provide an environment that promotes emotional well-being for the family. The childbirth event requires care, not control, and healthcare models aimed at control and intervention thus pose a potential risk of trauma for the mother and the baby, given that both are prepared to react to the inherent demands of the physiology of the birth and not to the extra demands deriving from the environment (Zveiter 2005). Winnicott (1990) postulates the notion that babies that are born by C-section, or whose mothers receive a high dose of anesthetic at the time of giving birth, miss out on something because they are deprived of a normal birth experience.…”