Barreto Maria Renilda Nery
Centro Federal de Educação Tecnológica, Celso Suckow da Fonseca-RJ, Rua Octávio Kelly, 304/703, 24220-30, Niterói, RJ, Brasil.
Hist Cienc Saude Manguinhos. 2008 Oct-Dec;15(4):901-25. doi: 10.1590/s0104-59702008000400002.
This paper presents the traditions of assisted childbirth in the Brazilian state of Bahia in the 19th Century and develops the hypothesis that two obstetrical traditions coexisted in the capital, Salvador, namely the doctor-midwives--who used technical resources and knowledge acquired from obstetrics as a medical specialty--and the traditional midwives, whose know-how was purely of an empirical-sensorial nature. Despite all efforts employed by the doctors to win over the confidence of Bahian families, the midwives continued to be predominant in the art of 'delivering' children and treating female illnesses. The analysis focuses on the social and professional segments that were active in assisted birth; the role of the Bahian College of Medicine (Faculdade de Medicina da Bahia) in the training and certification of midwives and the use of newspapers as a way to legitimize the doctor-midwives; it also discusses the scant coverage of the midwives in these media.
本文介绍了19世纪巴西巴伊亚州辅助分娩的传统,并提出一种假设,即在首府萨尔瓦多存在两种产科传统,即医生助产士——他们运用从作为医学专业的产科学中获得的技术资源和知识——以及传统助产士,其专业知识纯粹是经验感官性质的。尽管医生们竭尽全力赢得巴伊亚家庭的信任,但助产士在“接生”孩子和治疗女性疾病的技艺方面仍占主导地位。分析聚焦于参与辅助分娩的社会和专业群体;巴伊亚医学院在助产士培训和认证方面的作用,以及利用报纸使医生助产士合法化的做法;还讨论了这些媒体对助产士的报道不足。