Violence obstetrical: integrative review of qualitative research

• Grant number: 14/15749-0
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date until: October 01, 2014
• End date until: September 30, 2015
• Field of knowledge: Health Sciences - Nursing - Obstetrical Nursing
• Principal Investigator: Márcia Regina Cangiani Fabbro
• Grantee: Luara de Carvalho Barbosa
• Host Institution: Centro de Ciências Biológicas e da Saúde (CCBS). Universidade Federal de São Carlos (UFSCAR). São Carlos , SP, Brazil

Abstract

This project intends to conduct an integrative review of qualitative research with the intention of capturing how the practice of assisted during labor and birth interferes on the experience of birth with pleasant and respect, identifying in the scientific literature the intervening factors. It seeks an obstetric violence, which is characterized as one that involves any violence occurring during the period of pregnancy, childbirth and postpartum, including abortion care, as well as a lack of quality care to maternal health, devoid of scientific evidence, humanization and respect for women and their families. The obstetric violence is characterized by four types of violence in health care for women: neglect, verbal, psychological and sexual violence. Therefore, the overall objective of this essay is to describe, with perspective and reproductive rights, the intervening factors that qualify as obstetric violence in the assistance during labor and birth. Its specific objectives are to characterize the presence of violent situations in the development of practical assistance to labor and birth and describe the perception of women about the care received during labor and birth. The revision is based on the method of Whittemore (2005), which consists of the steps: a) Preparation of the problem being investigated; b) Search of the literature (or Literature Review); c) Evaluation of the identified literature; d) Analysis of data. It is hoped that this review describes the practices and the model of care in pregnancy, labor, postpartum and birth in effect in Brazil, denouncing the disrespect to sexual and reproductive rights, which is reflected in high rates of unnecessary cesareans and bad treatment in Brazilian hospitals, which has been called obstetric violence. (AU)