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日常护理中的产科暴力及其特点。

Obstetric violence in the daily routine of care and its characteristics.

作者信息

Jardim Danúbia Mariane Barbosa, Modena Celina Maria

机构信息

Fundação Oswaldo Cruz, Centro de Pesquisas René Rachou, Belo Horizonte, MG, Brazil.

Hospital Sofia Feldman, Belo Horizonte, MG, Brazil.

出版信息

Rev Lat Am Enfermagem. 2018 Nov 29;26:e3069. doi: 10.1590/1518-8345.2450.3069.

Abstract

OBJECTIVE

to analyze the scientific production on obstetric violence by identifying and discussing its main characteristics in the routine care for the pregnant-puerperal cycle.

METHOD

integrative literature review of 24 publications indexed in the Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online, SciVerse Scopus, Web of Science and the Scientific Electronic Library Online and Virtual Health Library.

RESULTS

the publications are intensified from 2015 onwards and present methodological designs of quantitative and qualitative nature. In the discussion, we first address the concept of obstetric violence and its different forms of occurrence in care. Then, interfaces of the phenomenon are presented with reflections related to the conception of gender, the different actors involved, the institutionalization, and the invisibility and trivialization of the event. Finally, strategies to combat the problem are presented through academic training, women's awareness, proposals of social mobilization, and creation of public policies and laws.

CONCLUSION

obstetric violence portrays a violation of human rights and a serious public health problem and is revealed in the form of negligent, reckless, omissive, discriminatory and disrespectful acts practiced by health professionals and legitimized by the symbolic relations of power that naturalize and trivialize their occurrence.

摘要

目的

通过识别和讨论产科暴力在孕产周期常规护理中的主要特征,分析关于产科暴力的科研成果。

方法

对24篇发表文献进行综合文献回顾,这些文献收录于护理及相关健康文献累积索引、医学文献分析与检索系统在线版、Scopus科学数据库、科学引文索引以及科学电子图书馆在线版和虚拟健康图书馆。

结果

这些文献自2015年起数量增多,呈现出定量和定性的方法设计。在讨论中,我们首先阐述产科暴力的概念及其在护理中不同的发生形式。然后,呈现该现象与性别观念、不同相关行为者、制度化以及事件的隐匿性和轻视化相关的思考。最后,通过学术培训、提高女性意识、社会动员提议以及制定公共政策和法律等方式,提出应对该问题的策略。

结论

产科暴力描绘了一种对人权的侵犯以及严重的公共卫生问题,它表现为卫生专业人员实施的疏忽、鲁莽、不作为、歧视性和不尊重行为,并通过使这些行为自然化和轻视化的权力象征关系而合法化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447f/6280177/834aae7168b7/0104-1169-rlae-26-e3069-gf1.jpg

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