A compreensão de puérperas acerca da violência obstétrica: contribuições para o cuidado

Abstract

This study aims to understand the perception of mothers in relation to obstetric violence. It is a qualitative research, based on Grounded Theory (TDF), carried out with 14 puerperal women using Family Health Strategies in a city located in the northwest region of the state of Rio Grande do Sul. Data were collected from June to August 2020 through semi-structured interviews, with open-ended questions, conducted at home, recorded and transcribed. The study was approved by the ethics committee under opinion number 3,798,149. From the analysis of the data, a central category emerged entitled “Understanding of puerperal women about obstetric violence in the puerperal pregnancy cycle”, and three subcategories: “Perceiving the assistance of the health team of the Family Health Strategy in prenatal care”, "Addressing the assistance of the hospital health team in childbirth", and "Identifying the mistreatment of the lack of assistance from teams of health professionals". It is evident in this study several forms of obstetric violence related to the assistance provided during the pregnancy-puerperal period. Some attitudes were interpreted as neglected rights and mistreatment practiced by members of the health team during labor, but the participants did not characterize these behaviors as obstetric violence. Obstetric violence is a reality present in the lives of women and health professionals. The qualification of professionals through Permanent Health Education can cause changes in the actions of prenatal care, childbirth and the puerperium. In addition, the inclusion of obstetric nurses can also reinforce actions of the Rede Cegonha program.