Abstract

The objective was to report the experience of obstetric nurses on the obstetric violence experienced, witnessed and observed during their professional careers. This study is based on an account of experience of working in several health institutions such as basic health units, private and public hospitals, located in Sao Paulo, Brazil, in a period 5-36 years of technical training and professional experience from 1977 to 2013. The technique to expose the professional experiences was brainstorming. The results were divided into violent utterances of health professionals to patients, unnecessary and/or iatrogenic experiences procedures performed by health professionals and the institutional unpreparedness with unstructured environment. It is concluded that through the speeches of the obstetric nurses there are several obstetric violence experienced and witnessed in their work routines, with differences between two types of delivery care: evidence-based obstetrics and traditional care model.

Highlights

  • Maternity is perceived by some women as the beginning of a new cycle, a differential landmark, which consecrates the scope of the feminine role, most of the patients associate it to intense pain and suffering, being a moment of great expectation

  • The body integrity of the women and their emotional welfare do not seem to be relevant outcomes for the public health system; the national investigations on the satisfaction of the women concerning the experience of giving birth are still scarce. From another perspective and measure, the disrespect and abusing by part of the health professionals against the women during pregnancy and in labor, was proved by the Test of Obstetric Violence, answered by almost two thousand women in March and April, 2012, in which half of them reported to be dissatisfied with the quality of the medical and hospital care received for the birth of a child[3]

  • After the process of the described stages and for a better contextualization and interpretation of the data brought during the meeting of the authors on that theme, the results are presented in three themes: utterances of health professionals to patients; unnecessary and/or iatrogenic procedures made by the health professionals; and the institutional unpreparedness for the humanized delivery

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Summary

Introduction

Maternity is perceived by some women as the beginning of a new cycle, a differential landmark, which consecrates the scope of the feminine role, most of the patients associate it to intense pain and suffering, being a moment of great expectation. The body integrity of the women and their emotional welfare do not seem to be relevant outcomes for the public health system; the national investigations on the satisfaction of the women concerning the experience of giving birth are still scarce. From another perspective and measure, the disrespect and abusing by part of the health professionals against the women during pregnancy and in labor, was proved by the Test of Obstetric Violence, answered by almost two thousand women in March and April, 2012, in which half of them reported to be dissatisfied with the quality of the medical and hospital care received for the birth of a child[3]

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