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Autonomy, consent and quality information: controversies and disputes in the construction of obstetric violence in Brazil

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Author(s):
Mariana Marques Pulhez
Total Authors: 1
Document type: Doctoral Thesis
Press: Campinas, SP.
Institution: Universidade Estadual de Campinas (UNICAMP). Instituto de Filosofia e Ciências Humanas
Defense date:
Examining board members:
Guita Grin Debert; Jane Russo; Cynthia Andersen Sarti; Carmen Simone Grilo Diniz; Maria Filomena Gregori
Advisor: Guita Grin Debert
Abstract

This thesis analyzes the controversies around the framing of obstetric violence as a social, legal, and scientific problem in the Brazilian context. Considering the growth, in the last decade, of a political agenda about the rights of women in childbirth - guided by the so-called movement for the humanization of childbirth-, it is aimed at understanding the arenas of disputes around the definitions of obstetric violence and its effects on discussions about obstetric care in Brazil. Based on a qualitative methodology, an ethnography of the uses of obstetric violence was carried out, pursuing its expression in spaces of debate about childbirth: seminars, lectures, medical congresses, activist congresses, training courses for lawyers, public hearings, among others. In addition, documents referring to the issue of the humanization of labor and birth were analyzed, such as expert's reports, legal views, resolutions, ordinances, laws, and bills; and interviews were carried out with important characters in the controversies surrounding obstetric violence. The thesis shows that obstetric violence can be read as a boundary concept, that is, a vague, imprecise concept, difficult to define, and that for this very reason has been gaining more and more space in the agendas about sexual and reproductive rights of women. Therefore, the composition of a specific grammar for the fight against obstetric violence is put into perspective, which is given through the articulation between the lexicon of human rights and science and is translated into the ideas of autonomy, consent, and quality information (AU)

FAPESP's process: 15/09862-0 - Obstetric violence: struggle for recognition, judicialization and the notion of a "good birth"
Grantee:Mariana Marques Pulhez
Support Opportunities: Scholarships in Brazil - Doctorate