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1.
Psicol. ciênc. prof ; 41: e219616, 2021.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1340419

ABSTRACT

Resumo O presente trabalho é parte de pesquisa mais ampla sobre experiências de pais e mães acerca do parto, a partir de um estudo de caso coletivo no qual foram analisados 30 relatos de parto, publicados em blogs pessoais sobre experiências de gestação, parto e parentalidade, dos quais 15 foram escritos por mulheres e 15, por homens. O objetivo deste estudo foi investigar a experiência denominada violência obstétrica no relato de mães. Assim, nele foram analisados os relatos de cinco mulheres, as únicas que fizeram referência a tal fenômeno. Os resultados apontaram para a falta de suporte do ambiente como um fator constitutivo da experiência de violência obstétrica, e para a escrita dos relatos como recurso de elaboração dessa experiência traumática. Concluímos que procedimentos médicos como a episiotomia, a anestesia e a cesariana, quando realizados de forma rotineira, sem compartilhamento de decisões e sem amparo psíquico, constituem formas de ritualização para manter inconsciente a representação sexual do parto. Tais formas de ritualização conduzem à iatrogenia no parto, causando prejuízos psíquicos à saúde materno-infantil.(AU)


Abstract This paper is part of a broader research on parents' experiences of childbirth conducted by means of a collective case study that analyzed 30 childbirth reports - 15 written by women and 15 by men - published in personal blogs about gestation, childbirth, and parenthood experiences. This study aimed to investigate the experience of the so-called "obstetric violence" based on the reports of five mothers - the only ones whose reports referred to this phenomenon. The results show that the lack of support is a constitutive factor of the experience of obstetric violence, and that mothers dwelled on writing reports as a means to elaborate this traumatic experience. When routinely performed and without shared decision-making or psychological support, medical procedures such as episiotomy, anesthesia, and cesarean section represent a form of ritualization to keep the sexual representation of childbirth unconscious. Such ritualization leads to iatrogenesis in childbirth, harming the mother-child mental health.(AU)


Resumen El presente trabajo es parte de una investigación más amplia sobre las experiencias de padres y madres acerca del parto, tomando como punto de partida un estudio de caso colectivo, en el cual se analizaron 30 relatos de partos, publicados en blogs personales sobre experiencias de la gestación, el parto y la parentalidad, siendo 15 escritos por mujeres y 15 por hombres. El objetivo específico de este estudio fue investigar la experiencia de la llamada "violencia obstétrica" en el relato de madres. Para ello, se analizaron los relatos de cinco mujeres, las únicas que hicieron referencia a tal fenómeno. Los resultados apuntan a una falta de soporte del ambiente como un factor de la experiencia de violencia obstétrica y motivador para la escrita de los relatos. Se concluye que los procedimientos médicos como la episiotomía, la anestesia y la cesárea, cuando realizados de forma rutinera sin el intercambio de decisiones y el amparo psíquico, constituyen una forma de ritualización para mantener inconsciente la representación sexual del parto. Tal forma de ritualización implica la iatrogenia en el parto, causando daños psíquicos a la salud materno-infantil.(AU)


Subject(s)
Humans , Male , Female , Maternal and Child Health , Parturition , Psychological Trauma , Obstetric Violence , Parents , Research , Women , Men , Mothers
2.
Sex., salud soc. (Rio J.) ; (22): 129-146, enero-abr. 2016.
Article in Portuguese | LILACS | ID: lil-782996

ABSTRACT

Resumo: O objetivo deste artigo é explorar aspectos da gravidez indesejada e da tentativa de aborto revelados numa avaliação da assistência pré-natal. Realizou-se uma pesquisa quanti-qualitativa, com 1035 puérperas da Região Metropolitana da Grande Vitória, Espírito Santo, Brasil, internadas para o parto em maternidades de referência do Sistema Único de Saúde. No inquérito populacional, coletaram-se dados sociodemográficos, bem como sobre sentimentos e expectativas diante da gravidez. Na etapa qualitativa, realizaram-se entrevistas semiestruturadas. Os resultados evidenciaram a tentativa de aborto inseguro em consequência da gravidez indesejada. Foram reveladas vulnerabilidades entre as pesquisadas, que demonstraram conhecimento popular sobre riscos do aborto para o bebê. Compreende-se que as mulheres se arriscam por meio do aborto induzido, revelando conflitos morais que persistem na sociedade brasileira, especialmente acerca do direito à vida e do direito à autonomia da mulher.


Resumen: El objetivo de este artículo es explorar aspectos del embarazo no deseado y de la tentativa de aborto revelados en una evaluación de la asistencia pre-natal. Se realizó una investigación cuanti-cualitativa, con 1035 puérperas de la Región Metropolitana de la Gran Vitória, Espírito Santo, Brasil, internadas para el parto en maternidades de referencia del Sistema Único de Salud. En la encuesta poblacional se recolectaron datos sociodemográficos, así como acerca de sentimientos y expectativas frente al embarazo. En la etapa cualitativa fueron realizadas entrevistas semiestructuradas. Los resultados evidenciaron la tentativa de aborto inseguro en consecuencia del embarazo no deseado. Se revelaron vulnerabilidades entre las participantes de la investigación, que demostraron conocimientos populares acerca de los riesgos del aborto para el bebé. Se comprende que las mujeres se arriesgan por medio del aborto inducido, revelando conflictos morales que persisten en la sociedad brasileña, especialmente con relación al derecho a la vida y a la autonomía de la mujer.


Abstract: The aim of this article is to explore aspects of unwanted pregnancy and abortion attempts revealed in an evaluation of prenatal care. We conducted a quantitative and qualitative study with mothers in 1035 in the Metropolitan Region of Vitória, Espírito Santo, Brazil, admitted for labor in Unified Health System reference hospitals. The population survey collected demographic data, as well as data regarding feelings and expectations toward pregnancy. In the qualitative stage, semi-structured interviews were conducted. The results showed the attempt of unsafe abortion as a result of an unwanted pregnancy. Vulnerabilities were revealed among the sample of women, who demonstrated popular knowledge about abortion risks to the baby. It is understood that the women face the risk of an induced abortion, revealing moral conflicts that persist in Brazilian society, especially about the right to life and the right to women's autonomy.


Subject(s)
Humans , Female , Pregnancy , Pregnancy, Unwanted , Abortion, Induced , Pregnant Women , Abortion , Unified Health System , Brazil , Public Health , Maternal and Child Health , Decision Making , Personal Narrative , Life Change Events
3.
Rev. latinoam. cienc. soc. niñez juv ; 12(1): 325-337, ene.-jun. 2014. tab
Article in Spanish | LILACS | ID: lil-709067

ABSTRACT

En este artículo analizamos empíricamente los factores que inciden en la decisión del uso de atención materna en Colombia para el 2010. Estimamos un modelo logístico-binomial para explicar la asistencia de las mujeres a controles prenatales y la atención médica en el parto, utilizando una submuestra de la Encuesta Nacional de Demografía y Salud de 2010. Entre las variables consideradas están la edad de la mujer, el número de hijos o hijas, el índice de riqueza del hogar, el nivel educativo de la mujer y su cónyuge, algunas dimensiones de autonomía femenina, entre otros. Los resultados indican que el nivel educativo, la región de residencia y la participación de la mujer en las decisiones sobre su salud y el uso de anticonceptivos, son las variables que más influenciaron en la probabilidad de emplear servicios maternos.


In this article, we analyze empirically the factors that make an impact on the decision of using maternity health assistance in Colombia for the year 2010. We estimate a logistic-binomial model to explain to the women the importance of their attendance to prenatal control and of medical assistance during labor using a sub-sample of the 2010 National Survey on Demography and Health. Among the variables considered are the woman's age, the number of children, the household's purchasing power, the educational level of the woman and her spouse, some dimensions of feminine autonomy and others. The results indicate that the educational level, the region where they live and the woman's participation in the decisions regarding her health and the use of contraceptives, are the variables that had the strongest impact on the probability of them using maternity services.


Subject(s)
Colombia , Demography , Health Policy , Maternal and Child Health , Women's Rights
4.
Ciênc. Saúde Colet. (Impr.) ; 17(11): 3057-3068, nov. 2012. ilus, tab
Article in Portuguese | LILACS | ID: lil-656449

ABSTRACT

Objetivou-se avaliar a resposta autopercebida da assistência odontológica no acompanhamento pré-natal do Sistema Único de Saúde (SUS) da Região Metropolitana da Grande Vitória, Espírito Santo, Brasil. Foram entrevistadas 1032 puérperas e copiados 1006 cartões de gestantes. A autopercepção da puérpera foi medida pelo Oral Health Índex Profile-14. Quando identificado o impacto, considerou-se adequada a assistência odontológica prestada nos níveis educativo, preventivo e curativo. Na ausência de impacto, foi considerada adequada a assistência nos dois níveis iniciais. Testes de qui-quadrado verificaram a associação entre a assistência pré-natal e a odontológica. A prevalência de impacto da saúde bucal na qualidade de vida foi 14,7%. A assistência odontológica recebida pelas puérperas no nível educativo foi 41,3%, no nível preventivo 21,0% e no nível curativo 16,6%. A realização de seis ou mais consultas pré-natais e de atividades educativas estiveram fortemente associadas à assistência odontológica adequada (p < 0,05). O acesso a serviços odontológicos é facilitado quando gestantes frequentam mais os serviços de saúde e realizam atividades educativas no pré-natal. Portanto, medidas educativas parecem sinalizar a melhoria da assistência pré-natal no SUS.


This study sought to evaluate the self-perceived response to dental care during prenatal assistance in the Unified Health System (SUS) in the Metropolitan Region of Vitória, Espírito Santo, Brazil. 1032 postpartum women were interviewed and 1006 prenatal records copied. Postpartum women's self-perceived response was measured by the Oral Health Index Profile-14. When an impact was identified, dental care rendered in educational, preventive and curative terms was considered adequate. When there was no impact, assistance was considered adequate in educational and preventive terms. The Chi-square test revealed an association between prenatal care and dental care. Oral health impact on quality of life was 14.7%. Dental care received by mothers in educational terms was rated at 41.3%, while in preventive terms it was 21% and in curative terms it was 16.6%. Six or more prenatal appointments coupled with educational activities was closely associated with adequate dental care (p < 0.05). Access to dental care is facilitated when pregnant women attend health services and become involved in educational activities during the prenatal period. Consequently, educational measures appear to indicate an improvement in prenatal care in the SUS.


Subject(s)
Female , Humans , Pregnancy , Dental Care , Health Services Accessibility/statistics & numerical data , Prenatal Care , Brazil , Dental Care/standards , Oral Health
5.
Hist. ciênc. saúde-Manguinhos ; 18(supl.1): 131-151, dez. 2011.
Article in Spanish | LILACS | ID: lil-610851

ABSTRACT

El objetivo de este artículo es describir y analizar el desarrollo de los primeros años de funcionamiento del Servicio Nacional de Salud en Chile, fundado en 1952, y la importancia que cobró en este contexto el Programa de Salud Materno Infantil. Se identifican los avances y dificultades en esta etapa del Servicio, y se analiza cómo el Programa representó la continuidad de diversas políticas de protección sanitarias a madres y niños (implementadas en el país desde la década de 1920), y el mejoramiento, ampliación y creación de nuevas políticas en el marco de una medicina social. Se documentan los logros alcanzados por el Programa, pero también sus limitaciones, que expresan no solo los problemas del Servicio sino también los problemas sociales y económicos que aquejaban al país.


This description and exploration of the early years of Servicio Nacional de Salud, founded in 1952, analyzes the agency's progress and challenges, as well as the role of the Programa de Salud Materno-Infantil. The latter program lent continuity to a variety of sanitary protection policies for mothers and children dating to the 1920s, while also improving and expanding on existing policies and devising new ones within the framework of social medicine. The program recorded successes but also encountered limitations, which derived not only from agency-specific problems but also from the social and economic ills afflicting the country as a whole.


Subject(s)
Humans , Female , Infant, Newborn , History, 20th Century , State Medicine , Public Health/history , Delivery of Health Care , Health Policy , Prenatal Care , Chile , Maternal and Child Health , Parturition
6.
Hist. ciênc. saúde-Manguinhos ; 18(supl.1): 95-112, dez. 2011. ilus, tab
Article in Portuguese | LILACS | ID: lil-610849

ABSTRACT

Discute as ações de treinamento e controle das parteiras curiosas promovidas pelo Serviço Especial de Saúde Pública, confiadas aos programas de higiene pré-natal e da criança, implantados entre as décadas de 1940 e 1960. Para os sanitaristas, o treinamento e controle das parteiras curiosas atuantes nas comunidades rurais brasileiras eram importantes para o sucesso do projeto de implantação de serviços sanitários locais de assistência materno-infantil. Ao atuar diretamente junto às parteiras curiosas, pretendia-se não somente lhes impor rigorosos padrões higiênicos na realização de partos e nos cuidados com os recém-nascidos, mas, sobretudo, recorrer a sua influência e seu prestígio naquelas comunidades para popularizar ações de saneamento.


The article addresses an endeavor by Serviço Especial de Saúde Pública (Sesp) to train folk midwives who worked in rural communities and to exercise control over these women's activities. The task was entrusted to the agency's prenatal and child hygiene programs, established between the 1940s and 1960s. The agency believed this training and control initiative would be of major importance in helping ensure the success of its project to establish local sanitary services offering mother-child assistance. The goal of working directly with the folk midwives was not only to force them to employ strict hygiene standards when delivering and caring for newborns but especially to use their influence and prestige within these communities to convince the general population to adopt good health practices.


Subject(s)
Humans , Female , Infant, Newborn , History, 20th Century , Hygiene , Health Education/history , Delivery of Health Care/history , Mentoring , Midwifery/history , Brazil , Infant, Newborn , Public Health/history , Maternal and Child Health , Parturition , Obstetrics/history
7.
Korean Journal of Medical History ; : 107-119, 2006.
Article in Korean | WPRIM | ID: wpr-75581

ABSTRACT

Han Shin Gwang, born in an early Christian family in Korea in 1902, could get western education different from the ordinary Korean girls in that period. She participated in the 1919 Samil Independence Movement in her teens, and got nursing and midwifery education in a missionary hospital. She got a midwife license and worked as a member in an early mother-and-child health center. She organized 'Korean Nurses' Association' in 1924 and focused on public health movement as the chairwoman. She actively participated in women's movement organizations, and Gwangjoo Student's Movement. She was known to be a representative of leading working women, and wrote articles on woman's right, the needs and works of nurses and midwives. From late Japanese colonial period, she opened her own clinic and devoted herself to midwifery. After the Korean Liberation in 1945, she began political movement and went in for a senate election. During the Korean War, she founded a shelter for mothers and children in help. After the War, she reopened a midwifery clinic and devoted to the works of Korean Midwives' Association. Han Shin Gwang's life and works belong to the first generation of Korean working women in modern times. She actively participated in women's movement, nurses' and midwives professional movement, Korea liberation movement, and mother-and-child health movement for 60 years. Her life is truly exemplary as one of the first generation of working women in modern Korea, distinguished of devotion and calling.


Subject(s)
Humans , Women's Rights/history , Nurse Midwives/history , Midwifery/history , Maternal-Child Health Centers/history , Korea , History, 20th Century , History of Nursing
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