Abstract
to identify the reasons for the prevalence of the technocratic model in obstetric care from the perspective of health professionals. Grounded Theory. Study approved by two Research Ethics Committees and conducted by theoretical sampling, from July 2015 to June 2017. Twenty-nine interviews were conducted with health professionals from two maternity hospitals in the Southern Region of Brazil. Data collection and analysis was performed alternately; and analysis by open, axial, and selective coding/integration. the technocratic model still persists because the assistance is performed in a mechanized way, centered on the professionals. There is a lack of systematization of care, and under-dimensioning of the nursing staff. obstetric nurses need to review their performance in obstetric centers, the internal organization, the dimensioning of nursing professionals, and become protagonists of care. Investment in academic training/updating the knowledge of midwifery professionals, based on scientific evidence and user-centered care is necessary.
Highlights
Since the establishment of obstetrics and gynecology in the 19th century, the exploration and domination of the female body and the construction of knowledge about women’s health have been observed
It was observed that the Obstetric Center (OC) environment is unpredictable and has a variable demand
In a study conducted with puerperal women who had their babies in the OC of a university hospital in Pernambuco, issues related to the OC environment were raised, among which was highlighted the overcrowding of the sector, which provided an uncomfortable hospitalization[10]
Summary
Since the establishment of obstetrics and gynecology in the 19th century, the exploration and domination of the female body and the construction of knowledge about women’s health have been observed. The feminist movement in Brazil, which emerged in the 1970s, brought visibility to women and marked the commitment of feminists to the ideals of transforming society against racism, sexism, and capitalism and in search of gender equity. It continues to be articulated with other democratic and libertarian movements that denounce the serious violations of human rights[2]. Women in political militancy articulated themselves to make resistance by engaging in movements in order to fight for their rights and to conquer their private and public space They sought to break through barriers of several kinds: family, religion, school, labor market, society in general, and the repressive state apparatus. “they laid the foundations for new political and social structures that achieved gender equality”(3)
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