A good time? Differences in the production of experiences of pregnancy, childbirth and the puerperium

• Grant number: 20/03914-7
• Support Opportunities: Scholarships in Brazil - Doctorate (Direct)
• Start date: May 01, 2020
• Status: Discontinued
• Field of knowledge: Humanities - Anthropology
• Principal Investigator: Rodrigo Ferreira Toniol
• Grantee: Giorgia Carolina do Nascimento
• Host Institution: Instituto de Filosofia e Ciências Humanas (IFCH). Universidade Estadual de Campinas (UNICAMP). Campinas , SP, Brazil
• Associated research grant: 18/05193-5 - Institutionalized spirituality: public policies, clinical uses and medical research in the legitimation of spirituality as a health issue in Brazil, AP.JP
• Associated scholarship(s): 21/14857-7 - Pregnancy, childbirth and puerperium experiences in Vale do Cauca: between the midwife and hospitalization, BE.EP.DD

Abstract

The purpose of this doctoral research is to investigate how black women and/or those from the lower classes, mobilized by their experiences, manage notions of "good birth" (PULHEZ, 2015). Part of the fieldwork has already been carried out, covering different levels and services for prenatal, childbirth and postpartum care in the SUS, in the Metropolitan Region of Campinas. Attentive to emic issues, during the direct transition from the master to the doctorate, the object of research was expanded and started to adhere to the category spirituality. The focus of the analysis continues to be to understand how the narratives of black women and/or those of popular classes can tension or corroborate other speeches about childbirth - specifically the biomedical had hegemonic, those of the state and those of activists for humanized childbirth, in its practical and discursive diversities - and the look has still turned to producing differences in the processes of pregnancy, childbirth and the puerperium, especially for race and class as privileged sociological categories in the scope of analysis. As well as such categories of articulation (PISCITELLI, 2008), spirituality becomes important in a context in which the sociological profiles that I seek to trace are composed of state agents - with the tip of services and public politics -, by activisms for humanization of childbirth and also for the experiences of pregnancy, childbirth and the puerperium of women interlocutors in research. Along these lines, authors who provide a reflection on the body and experience, together with the theorists of black and intersectional feminism and post-colonial authors give theoretical and methodological support and help to think about different uses, appropriations and disputes around the body and also its effects of power. Also, by not separating the experience from doing state, the proposal involves a look at public health policies directed at the black population, which, in turn, make reference to spirituality as a relevant factor in the field of health. In other words, it will be better to understand the production and implementation of the Política Nacional de Saúde Integral da População Negra (PNSIPN) and its relationship with the processes of pregnancy, childbirth and the puerperium, the differentiation categories and the field of spirituality. The context that also starts from the field of activisms for the humanization of childbirth, leads us to observe the emergence of black women who trigger or claim a racial and social class ethnic discussion within these movements. Many of them, inspired by what they understand as "ancestral knowledge" and non-biomedical health practices, propose an interesting relationship between identity, health and, in an instigating way, spirituality. Thus, the realization of this multisituated ethnography that occurs in three institutions in the region, being the Health Centers in the city of Campinas, the Centro de Atenção Integral a Saúde da Mulher (CAISM) and the Hospital Estadual de Sumaré (HES), suggests that an intersectional look at the differences in the conformation of pregnancy, childbirth and the puerperium process can expand the ways of thinking about the relationship between health and spirituality. (AU)