Abstract
ABSTRACT Objectives: to understand the perception of managers of public maternity hospitals in the Metropolitan Region II of the state of Rio de Janeiro regarding obstetric violence and the measures to face it aiming at guaranteeing the quality of care. Method: a descriptive, exploratory study with a qualitative approach, conducted with 16 health managers from five maternity hospitals in Metropolitan Region II in the state of Rio de Janeiro. Data were collected through interviews, applied from May 2017 to May 2018, and submitted to content analysis in the thematic modality. Results: the research pointed out thenon-reception, technocratic principles of childbirth, refusal of the companion, disrespect to humanized practices centered on physiology and the choice of women, the need for health training as a guide for the humanization policy and the management of health units, professional unpreparedness for performance and lack of involvement of professionals with longer service time to modify practices in obstetric care. Thus, the need to break away from obstetric violence at the structural/institutional level was evident in order to guarantee quality care for women. Conclusion: it is the responsibility of the managers to provide training to health professionals regarding performance that respects the scientific evidence, the centrality and the axes of policies and recommendations in the area of sexual and reproductive health, especially to women regarding their autonomy.
Highlights
Guarantee universal access to safe and quality sexual and reproductive health, focusing on women’s rights, in particular human rights in childbirth and birth, which can contribute to the reduction of maternal and perinatal mortality rates, since the increase in technology in this scenario, by leaving aside the physiology of childbirth, brought the pathological aspect of pregnancy/childbirth that culminates in a depersonalization of women before childbirth and their autonomy for the right to choose.[1]
It is agreed among scholars on the issue that obstetric care should focus on the quality of care, involved in a structure of care provided to women during their reproductive process, as well as their own experiences of care
The participants pointed out the lack of reception as a sign of disrespect to the parturient within the maternity wards, which is considered a type of obstetric violence
Summary
Guarantee universal access to safe and quality sexual and reproductive health, focusing on women’s rights, in particular human rights in childbirth and birth, which can contribute to the reduction of maternal and perinatal mortality rates, since the increase in technology in this scenario, by leaving aside the physiology of childbirth, brought the pathological aspect of pregnancy/childbirth that culminates in a depersonalization of women before childbirth and their autonomy for the right to choose.[1] In this way, women are no longer the leading figure in childbirth, with this role being assumed by the health professional, including decisions that, in principle, would be her decision alone It is agreed among scholars on the issue that obstetric care should focus on the quality of care, involved in a structure of care provided to women during their reproductive process, as well as their own experiences of care. This model has an ideological bias that, due to the current demands of public policies and scientific knowledge, should, in its rupture, propose the possibility of increasing obstetric violence in the daily lives of countless maternity hospitals.[3,4,5]
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