Universidade do Estado da Bahia, Campus VII, Senhor do Bonfim, Bahia, BA, Brazil.
Scholarship holder at the Programa de Apoio à Capacitação Docente e de Técnicos Administrativos da Universidade do Estado da Bahia, Brazil.
Rev Lat Am Enfermagem. 2021 Nov 19;29:e3508. doi: 10.1590/1518-8345.4756.3508. eCollection 2021.
to analyze how the social, historical, economic and professional elements influence the institutionalization process of cesarean childbirth in Brazil and France.
a qualitative study grounded on the theoretical framework of the institutional socioclinic. The data were produced through focus groups and individual interviews, supported by semi-structured scripts, with health professionals, mothers and fathers and a research diary. The study had 83 participants. The analysis was based on the theoretical framework and thematic analysis. Cross analysis was developed between the different types of data, services and groups, as well as between countries.
the participants were characterized in terms of schooling, employment, level of training and workplace. The countries researched have their own peculiar health and educational structure and are marked by a social-historical-economic construction outlined by patriarchy. The New Public Management influences both contexts and makes health care precarious. The technical and organizational dimensions reinforce an intellectual and social division of work and knowledge in health.
the institutionalization process of childbirth in the countries is marked by social, economic and professional aspects. Practices and speeches of the professionals in their work process influence the occurrence, or not, of cesarean sections.
分析社会、历史、经济和职业因素如何影响巴西和法国的剖宫产制度化进程。
一项基于社会临床理论框架的定性研究。数据通过焦点小组和个人访谈生成，采用半结构化脚本，参与者为卫生专业人员、母亲和父亲，还有研究日记。研究共有 83 名参与者。分析基于理论框架和主题分析。对不同类型的数据、服务和群体进行交叉分析，以及对不同国家进行分析。
参与者的特征包括教育程度、就业情况、培训水平和工作场所。研究的国家有自己独特的卫生和教育结构，以父权制为特征的社会历史经济结构。新公共管理同时影响着这两个背景，并使医疗保健不稳定。技术和组织层面加强了卫生领域的知识和社会分工。
这两个国家的分娩制度化进程受到社会、经济和职业因素的影响。专业人员在工作过程中的实践和言论影响着剖宫产的发生与否。
