Vivenciando a experiência da parturição em um modelo assistencial humanizado

Silva, Larissa Morais Ribeiro da; Barbieri, Márcia; Fustinoni, Suzete Maria

doi:10.1590/s0034-71672011000100009

Cited by 26 publications

(39 citation statements)

References 7 publications

(14 reference statements)

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“…Group activities contribute to the safety and autonomy of the couple, and generate changes in attitudes and behaviour. The educational process in groups has a positive impact on the women and on society as a whole, and could become an instrument to change the current obstetrics scenario (11,14,(22)(23) . Information essentially builds a solid basis that grants women the autonomy they need to choose or reject any procedure on their bodies, and provides support for professionals and out-of-hospital care.…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…It is acknowledged that the professionals who are present during delivery are responsible for indicating and performing certain practices since they are qualified to assess the need for interventions and prevent complications. However, standardisation or authoritative imposition and not requesting the informed consent of the women subjugates them and hinders their emancipation as an active agent of the parturition process (19,21,23) . It was also observed that the care practices that intensify the sensation of pain in labour negatively interfere in the autonomy of Brazilian women (17-18, 20, 23, 25-26, 29-30) .…”

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%

See 3 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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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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Vivenciando a experiência da parturição em um modelo assistencial humanizado

Cited by 26 publications

References 7 publications

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

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