Lansky Sônia, Souza Kleyde Ventura de, Peixoto Eliane Rezende de Morais, Oliveira Bernardo Jefferson, Diniz Carmen Simone Grilo, Vieira Nayara Figueiredo, Cunha Rosiane de Oliveira, Friche Amélia Augusta de Lima
Secretaria Municipal de Saúde de Belo Horizonte. Av. Afonso Pena 2336, Funcionários. 30130-170 Belo Horizonte MG Brasil.
Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.
Cien Saude Colet. 2019 Aug 5;24(8):2811-2824. doi: 10.1590/1413-81232018248.30102017.
Excessive interventions during labor in Brazil have been reported as disrespect and abuse and contribute to neonatal and maternal morbidity and mortality. The Senses of Birth exhibition aims to encourage normal birth to promote health and improve the experience of childbirth in the country. This article describes the characteristics of 555 women who visited the exhibition during pregnancy and their perception of obstetric violence in childbirth. Obstetric violence was reported by 12.6% of the women, mostly low-income and unmarried. It was associated to lithotomic position and Kristeller maneuver during childbirth and non-immediate skin-to-skin contact with the baby. The main categories of obstetric violence reported were: not accepted interventions /accepted interventions on the basis of partial information (36.9%), undignified care / verbal abuse (33.0%); physical abuse (13.6%); non-confidential / non-privative care (2.9%) and discrimination (2.9%). Visiting the exhibition significantly increased pregnant women's knowledge about obstetric violence. However, recognition of obsolete or harmful practices as obstetric violence was still low. Initiatives such as Senses of Birth may contribute to increase knowledge and social mobilization to disseminate good practices in childbirth care.
据报道，巴西分娩期间的过度干预属于不尊重和虐待行为，会导致新生儿和产妇发病及死亡。“分娩的意义”展览旨在鼓励自然分娩，以促进该国的健康并改善分娩体验。本文描述了555名孕期参观该展览的女性的特征以及她们对分娩时产科暴力的看法。12.6%的女性报告遭遇过产科暴力，其中大多是低收入未婚女性。这与分娩时的截石位、克里斯特勒手法以及未立即进行母婴皮肤接触有关。报告的产科暴力主要类别包括：不被接受的干预措施/基于部分信息而接受的干预措施（36.9%）、不体面的护理/言语辱骂（33.0%）；身体虐待（13.6%）；非保密/非私密护理（2.9%）以及歧视（2.9%）。参观该展览显著增加了孕妇对产科暴力的了解。然而，将过时或有害的做法认定为产科暴力的认知度仍然较低。诸如“分娩的意义”这样的举措可能有助于增加知识并推动社会动员，以传播分娩护理的良好做法。
