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分娩过程中的女性自主权:综合文献综述

Women's autonomy in the process of labour and childbirth: integrative literature review.

作者信息

Reis Thamiza Laureany da Rosa Dos, Padoin Stela Maris de Mello, Toebe Thayla Rafaella Pasa, Paula Cristiane Cardoso de, Quadros Jacqueline Silveira de

机构信息

Universidade Federal de Santa Maria (UFSM), Departamento de Enfermagem, Programa de Pós-graduação em Enfermagem. Santa Maria, Rio Grande do Sul, Brasil.

Universidade Federal de Santa Maria (UFSM), Departamento de Enfermagem, Curso de Enfermagem. Santa Maria, Rio Grande do Sul, Brasil.

出版信息

Rev Gaucha Enferm. 2017 Apr 20;38(1):e64677. doi: 10.1590/1983-1447.2017.01.64677.

DOI:10.1590/1983-1447.2017.01.64677
PMID:28443976
Abstract

OBJECTIVE

To identify the available evidence in scientific 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.

摘要

目的

在科学文献中识别有关干扰巴西女性分娩过程自主权的医疗保健实践的现有证据。

方法

根据一个指导性问题和排除标准,于1996年至2015年间在LILACS、Scopus和PubMed数据库中进行论文检索,最终选择22篇论文组成分析主体。

结果

有利于女性自主权行使的主要实践包括院外护理实践;支持与安慰护理实践;以及教育护理实践。相比之下,限制自主权的实践包括专制护理实践;标准化或常规护理实践;加剧分娩疼痛感的护理实践;以及冷漠无情的护理实践。

结论

日常医疗保健常规与部长级建议之间存在惊人的反差。

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