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Abstract(s)
Introdução: A Violência Obstétrica é definida como tratamento desumanizado, excesso
de utilização de fármacos e a “patologização” do trabalho de parto. Engloba
procedimentos nos quais as mulheres são privadas de autonomia relativamente ao seu
corpo e a realização de outros sem o seu consentimento. Os objetivos deste trabalho são
avaliar e aferir a prevalência de práticas de violência obstétrica nas mulheres inscritas na
Unidade de Saúde Familiar da Estrela, assim como discutir as práticas mais frequentes
e perceber as consequências para as mulheres.
Materiais e Métodos: O nosso estudo é observacional, transversal e descritivo e apresenta
critérios de inclusão e exclusão claros, que condicionam mulheres que estão inscritas na
Unidade de Saúde Familiar da Estrela e que pariram entre janeiro de 2015 e dezembro
de 2019. Foi entregue um questionário para colher os dados.
Resultados: Cerca de 8.7% das mulheres consideram ter sofrido alguma forma de
violência ou maus-tratos durante o trabalho de parto e 13% não têm a certeza. Alguns
procedimentos foram realizados sem consentimento entre 4.3% a 15% das mulheres. A
Manobra de Kristeller foi realizada em 17.4% das mulheres, 39.1% dos partos foram
induzidos e a taxa de cesariana é de 47.8%. O desrespeito, humilhação e a restrição de
movimentos e de posição apresentam associação estatisticamente significativa com a
perceção de ter sofrido alguma forma de violência ou maus-tratos durante o trabalho de
parto.
Conclusão: A Violência Obstétrica, na nossa amostra, está diretamente relacionada com
4 práticas: desrespeito e humilhação por parte dos profissionais de saúde e restrição de
movimento e de posição durante o parto. Existem ainda alguns procedimentos que
urgem ser analisados, dada a sua prevalência: taxa de cesarianas, indução do trabalho de
parto e Manobra de Kristeller, pelo que devem ser implementadas medidas para mitigar
este tipo de práticas.
Introduction: Obstetric Violence is defined as dehumanized treatment, abuse of medication and the pathologization of labour. It encompasses procedures in which women are deprived of autonomy regarding their bodies and others performed without their consent. The objectives of this study are to evaluate labour and assess the prevalence of Obstetric Violence practices in women who are medically followed at Unidade de Saúde Familiar da Estrela, as well as discuss the most frequent procedures and their post-labour consequences for women. Methods and Materials: We conducted an observational, cross-sectional and descriptive study, with clearly defined inclusion and exclusion criteria, conditioning women who are medically followed at Unidade de Saúde Familiar da Estrela that have given birth between January 2015 and December 2019. A questionnaire was delivered to collect the data. Results: There are 8.7% of women that consider having suffered some form of violence or mistreatment during labour and 13% are not sure. Some procedures were performed without consent in between 4.3% and 15% of our sample. The Kristeller’s Manoeuvre was performed in 17.4% of women, 39.1% of labours were induced and the caesarean delivery was performed in 47.8%. Disrespect, humiliation, movement and position restriction are statistically related to having suffered some form of violence or mistreatment during labour. Conclusion: Obstetric Violence in these women is directly related with 4 different types of practices: disrespect and humiliation from health care professionals as well as position and movement restriction during labour. There are other procedures that should be analysed due to their prevalence: caesarean deliveries, induction of labour and the Kristeller’s Manoeuvre. Measures should be put in place to mitigate these practices.
Introduction: Obstetric Violence is defined as dehumanized treatment, abuse of medication and the pathologization of labour. It encompasses procedures in which women are deprived of autonomy regarding their bodies and others performed without their consent. The objectives of this study are to evaluate labour and assess the prevalence of Obstetric Violence practices in women who are medically followed at Unidade de Saúde Familiar da Estrela, as well as discuss the most frequent procedures and their post-labour consequences for women. Methods and Materials: We conducted an observational, cross-sectional and descriptive study, with clearly defined inclusion and exclusion criteria, conditioning women who are medically followed at Unidade de Saúde Familiar da Estrela that have given birth between January 2015 and December 2019. A questionnaire was delivered to collect the data. Results: There are 8.7% of women that consider having suffered some form of violence or mistreatment during labour and 13% are not sure. Some procedures were performed without consent in between 4.3% and 15% of our sample. The Kristeller’s Manoeuvre was performed in 17.4% of women, 39.1% of labours were induced and the caesarean delivery was performed in 47.8%. Disrespect, humiliation, movement and position restriction are statistically related to having suffered some form of violence or mistreatment during labour. Conclusion: Obstetric Violence in these women is directly related with 4 different types of practices: disrespect and humiliation from health care professionals as well as position and movement restriction during labour. There are other procedures that should be analysed due to their prevalence: caesarean deliveries, induction of labour and the Kristeller’s Manoeuvre. Measures should be put in place to mitigate these practices.
Description
Keywords
Autonomia Consentimento Gravidez Trabalho de Parto Violência Obstétrica