Lehnen Ana Júlia Saldanha, Rabello Mariana, Barros Geiza Martins, Cardoso Fernanda Freitas Oliveira
Maternidade Escola, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.
Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2024 Jun 14;40(5):e00124423. doi: 10.1590/0102-311XPT124423. eCollection 2024.
This study aimed to analyze the perceptions of obstetricians and gynecology-obstetrics residents at a federal school maternity hospital regarding legal abortion in cases of sexual violence pregnancy, understand their motivations, strengths, and feelings, and identify their experience with this topic. The first stage consisted of answering a self-administered questionnaire. The selection criteria were: obstetricians linked to the obstetric center, director of the medical division, and residents of the institution's obstetrics-gynecology program. In total, 36 questionnaires were answered and returned. The second stage corresponded to an interview using a saturation sampling criterion. Six physicians were interviewed. The interviews were evaluated using a thematic content analysis. The questionnaires showed that all participants had already provided care to women in situations of sexual violence and that most of them had already participated in a legal abortion procedure in these cases. The interviews highlighted the dilemmas faced by professionals in providing care to these women and the lack of professional training to handle these cases. The speeches of women were sometimes seen as an object of suspicion regarding the veracity of sexual violence, and sometimes as an object that caused professionals to feel emotionally affected while listening to them, allowing professionals to approach the victims and offer more humanized care. The results pointed to the importance of addressing this topic in the areas of health and providing training beyond the technical-scientific focus in order to support the development of new care strategies.
本研究旨在分析一所联邦学校妇产医院的妇产科医生及妇产科住院医师对性暴力致孕情况下合法堕胎的看法，了解他们的动机、优势和感受，并确定他们在该主题方面的经验。第一阶段包括回答一份自填式问卷。选择标准为：与产科中心有联系的产科医生、医务部门主任以及该机构妇产科项目的住院医师。总共36份问卷被回答并返还。第二阶段对应采用饱和抽样标准进行的访谈。采访了六位医生。访谈采用主题内容分析法进行评估。问卷显示，所有参与者都曾为遭受性暴力的女性提供过护理，并且他们中的大多数人都曾参与过这些情况下的合法堕胎手术。访谈突出了专业人员在为这些女性提供护理时面临的困境以及处理这些病例的专业培训不足。女性的陈述有时被视为对性暴力真实性存疑的对象，有时又被视为在聆听时会使专业人员产生情感影响的对象，从而使专业人员能够接近受害者并提供更人性化的护理。结果表明，在健康领域探讨这一主题以及提供超越技术科学重点的培训以支持新护理策略的发展具有重要意义。
