Compreendendo a vivência do parto domiciliar planejado e as implicações para um cuidado humanizado
In Brazil, about 98% of births take place in health institutions and a portion of the small number of births that occur outside these institutions come from emergency births. But there is also a growing number of planned home births in which women seek to rescue in this experience a care and care fo...
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| Formato: | Dissertação |
| Idioma: | por |
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Brasil
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/24721 |
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| Resumo: | In Brazil, about 98% of births take place in health institutions and a portion of the small number of births that occur outside these institutions come from emergency births. But there is also a growing number of planned home births in which women seek to rescue in this experience a care and care focused on the autonomy, protagonism, individuality and privacy of each woman. In Brazil, this mode of delivery is still treated with much prejudice, both by health professionals and by society. In view of this context, this dissertation had as main objective to understand the experience of women who opted for home birth planned in the city of Natal / RN in order to subsidize contributions to a humanized care. This research is of a qualitative nature and to understand the phenomenon studied was the theoretical-methodological contribution to Gadamerian Hermeneutics. The participants of the study were 5 women and we had as instruments of access to the universe of the collaborators the narrative interview and the workshop with scenes and coats of arms. For analysis and interpretation of the narratives we will use the method of interpretation of meanings based on hermeneutic-dialectical principles. From the dialogue with the narratives we arrive at four chapters: 1) "The choice for planned home delivery: between the desire for a humanized delivery to the fears and supports" in which it was possible to identify that this decision is anchored mainly in the desire to experience a humanized delivery, which for them means to obtain respect in the whole process of choice, which in turn implies the construction of knowledge and protagonism of the woman, the couple and a support network. 2) "Preparations for the Good Hour" where they narrated some fears and difficulties related to the choice of home birth in regard to the financial issue, fear of the hospital staff and the family reaction to this decision. Still on these preparations it was possible to know in what way the team was chosen that accompanied them during childbirth, evidencing that such choice was motivated by questions related to technical formation and affective involvement, 3) "The time has come: The experience of childbirth" chapter in which the collaborators portray the experience of childbirth exposing the feelings experienced, physical and emotional pain, resources used in care directed to them, coexistence with the chosen team, as well as the expression of gratitude for having experienced this experience, and 4) The overly human learnings / teachings in which we bring the conception of women about their births have been humanized or not, also explaining their learning in the form of messages for other women who are seeking a humanized birth. It was possible to understand that most of the women considered that their deliveries were humanized and the focus of the messages was mainly on the importance of seeking information for a well thought out decision, as well as the need for a care with the emotions still in the gestation. Accompanying the narratives of these women has made it possible to understand how much the emotional sufferings added to the process are related to the struggle they face regarding the prejudices around the PDP. The search for the humanization of care in home birth, or not, involves the recovery of the autonomy of women, the association of science with feminine wisdom, and therefore a care that combines scientific, sacred and human knowledge, where respectful and responsible listening are the guides, so that women are welcomed and encouraged also to seek this way of taking care of themselves and being cared for. Such care is focused on the emotions and the rescue of the feminine, spiritual and intuitive aspects. Psychological prenatal care, coupled with traditional prenatal care, that allows the realization of this inner care, capable of dealing with their emotional and spiritual issues, can be a place for this care, as well as the promotion of diverse spaces that allow the reception and support of the woman. It is also suggested an educational process that includes men in this walk. Finally, it is hoped that this study can contribute to this journey and that Psychology may be another place capable of stopping the birth of the person who gave birth and is giving birth in the process of parturition in a more humane and loving way. |
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