Sentidos do Nascer: exposição interativa para a mudança de cultura sobre o parto e nascimento no Brasil

Abstract

A exposição Sentidos do Nascer (SDN) é uma ação de educomunicação inovadora que visa contribuir para mudança de cultura sobre o parto e nascimento no Brasil, incentivar o parto normal e apoiar a redução das elevadas taxas de cesarianas desnecessárias. Trata-se de uma exposição imersiva e interativa que articula linguagens e técnicas para sensibilizar o grande público e instigá-lo, de forma lúdica, a conhecer mais e se posicionar criticamente sobre a temática. Este artigo descreve as estratégias e dispositivos desenvolvidos para sensibilização e envolvimento do público no debate sobre o modelo assistencial ao parto e nascimento, bem como a metodologia utilizada para avaliar os efeitos e mudanças no conhecimento e percepção dos visitantes. Houve considerável mudança de opinião e percepção e ampliação do conhecimento sobre o parto e nascimento, revelando o potencial dessa estratégia em saúde.

Cuidado obstétrico na pandemia de COVID-19: Interrelações comunicacionais entre enfermeiro obstetra, mulher e doula

“…One of the main obstetric attitudes is the reinforcement in the guidelines of cesarean deliveries as an intervention in labor dystocia and high-risk pregnancies. According to the World Health Organization (WHO), an acceptable rate for cesarean sections is 10-15%, which is different from that observed in recent years in developed and developing countries (Herculano et al, 2018;Oliveira et al, 2020). Early evidence on the recommendation of cesarean sections in pregnant women with COVID-19 describes a decision to terminate pregnancy in specific cases, such as the presence of hemodynamic instability and fetal and/ or maternal risk, being performed on a case-by-case basis (Ashokka et al, 2020;Egloff et al, 2020).…”

“…The Brazilian obstetric scenario during the pandemic reflects a decrease of autonomy and importance of women and their families in the childbirth experience, subjecting women to institutionalization and practices that were often unnecessary and iatrogenic, determining the process of medicalization of childbirth and hegemony of the technocratic obstetric model (Herculano et al, 2018;Oliveira et al, 2020). One of the main obstetric attitudes is the reinforcement in the guidelines of cesarean deliveries as an intervention in labor dystocia and high-risk pregnancies.…”

“…Table 1 shows some strategies to overcome communication difficulties and their consequences: From the perspective of doulas and obstetric nurses, the use of verbal and nonverbal communication in health is intrinsically linked to the performance of their activities and the development of relationships between women, families, and the health team. The relationships between the health team and doulas and between them and pregnant women and their families contribute to increasing the number of beneficial and positive practices during the pregnancy-puerperal cycle (Duarte et al, 2020;Herculano et al, 2018;Oliveira et al, 2020;Pasqualotto et al, 2020).…”

“…It is important to understand this new reality in health to introduce changes and restructure the doula-woman-family-health team interactions. These measures will minimize the potential negative impact of this pandemic context on pregnant women, such as a reduction in vaginal births and an increase in cesarean sections, which were already high in Brazil, corresponding to approximately 56% of births in public facilities and 83% in private facilities in 2018 (Oliveira et al, 2020). The pandemic weakened and deconstructed individual and collective relationships, leading to the development of different attitudes in health.…”

Misinformation in childbirth and online exchanges: support among generational peers

“…Authors like Fernandes et al (2020) and Oliveira et al (2020) have pointed out the importance of offering guidance to and guaranteeing information for the pregnant to promote autonomy and protagonism in the childbearing process so that the epidemic scenario of cesarean sections in Brazil be reversed. Currently, in most health centers, the practices range from the homogenization of the users to outright indifference; the professionals do not call the patients by their names, they do not look them in the eye, and, occasionally, they lack respect for them, yelling or ignoring their voices (Oliveira et al, 2006;Matos et al, 2021).…”