"Tirando o jaleco": notas etnográficas sobre as práticas obstétricas em um hospital de ensino / "Taking off the lab coat": ethnographic notes on obstetric practices in a university hospital

Resumo O estudo teve como objetivo descrever e analisar aspectos do cotidiano da assistência ao parto em um hospital universitário no Sul do Brasil. A expressão "tirando o jaleco" serve como uma metáfora para iluminar o processo de conversão da enfermeira obstetra em pesquisadora em um ambiente hospitalar. Trata-se de uma de pesquisa qualitativa que lançou mão da perspectiva socioantropológica como referencial teórico e metodológico. Os resultados mostraram uma recorrente ausência de informações sobre condutas e decisões médicas dadas as mulheres, desconsiderando-as como sujeitos de direitos, a despeito do que preconiza a política de humanização do parto, revelando nuances do parto e do nascimento pautadas no modelo tecnocrático de assistência. Esse modelo de assistência vigente nos hospitais de ensino requer importantes mudanças através da incorporação de práticas com fundamentos científicos, da inclusão de enfermeiras obstetras e do respeito à mulher como protagonista deste evento.

Abstract The study aimed to describe and analyze everyday aspects of childbirth care in a university hospital in southern Brazil. The expression "taking off the coat" serves as a metaphor to illuminate the process of converting the obstetrician nurse into a researcher in a hospital environment. This is a qualitative research work that made use of the perspective socio-anthropology as a theoretical and methodological framework. The results showed a recurrent lack of information about medical conduct and decisions given to women, disregarding them as subjects of rights, despite what the policy of humanization of childbirth, revealing nuances of childbirth and birth based on the model assistance technocracy. This current care model in teaching hospitals requires important changes through the incorporation of practices with scientific foundations, the inclusion of obstetric nurses and respect for women as the protagonists of this event.

Biomedical ethics survey of knowledge, attitude and practice among gynecologists and obstetricians in both Suez Canal University Hospital and Ismailia General Hospital

The increasing exposure of the medical professions in general and obstetricians in particular to claims for damages or negligence seeks to perform this descriptive cross-sectional study that was carried out to assess physician's knowledge, attitude and practice about bioethics related to the field of gynecology and obstetrics. Data were collected by using a pre-designed questionnaire. The target group was all physicians working in this field in both Suez Canal University Hospital and Ismailia General Hospital, their number were 66 physicians. The study demonstrated that physician's knowledge was not significantly affected by their place of work [P > 0.05], but was significantly affected by their scientific degree and by the duration of their clinical practice [P<0.05], physician's attitude wasn't significantly affected by any of those factors [P > 0.05] and physician's practice was significantly affected by their place of work, their scientific degree and the duration of their clinical practice [P<0.05]