12/08/2015 10h36 - Updated 12/08/2015 10h36

Violence mapping childbirth or prevent occurrences in health services

Pesquisa da OMS mostra que são sete os tipos de violência no parto.
Photo: Agency Brazil
Photo: Agency Brazil

“Minha sensação é que eu não servia para ser mãe. Não consegui fazer o parto do jeito certo [normal], não conseguia amamentar. Tinha algo muito errado comigo. Fui abrindo mão de muitas coisas e isso influenciou a minha maternidade”. O relato é da jornalista Carol Patrocínio, 30 years, sobre as consequências da violência que sofreu durante o parto do primeiro filho, when he was 18 years. Maus-tratos e desrespeito na gravidez são situações que afetam muitas mulheres. Para enfrentar o problema, uma pesquisa da Organização Mundial da Saúde (WHO) mapeou sete tipos de violência no parto. O objetivo é identificar e prevenir essas ocorrências nos serviços de saúde.

Somente quando engravidou do segundo filho, sete anos depois, Carol se deu conta de que não era normal ter passado por situações de maus-tratos e desrespeito. “Quando você começar a ler e a conversar com outras mulheres, você vê que a culpa não é sua, que essa violência é institucionalizada”, reported. Entre as situações vividas pela jornalista no nascimento de Lucas, hoje com 11 years, ela citou a cesariana sem indicação, a espera de seis horas sem acompanhante para a cirurgia e a orientação para que permanecesse todo o período de espera em uma só posição, because, otherwise, o bebê estaria em risco.

O professor João Paulo Dias de Souza, da Faculdade de Medicina de Ribeirão Preto, the University of São Paulo (USP), coordenou o estudo da OMS nas línguas portuguesa, espanhola e francesa. Ele disse que a metodologia foi encontrar na literatura quais os tipos de maus-tratos e desrespeito haviam sido relatados por mulheres no momento do parto. “Procuramos todos os estudos que reportavam algum tipo de desrespeito, abusos e maus-tratos”, he explained. Foram reunidos 65 work, realizados em 34 countries. Os resultados foram publicados no fim de junho na revista PLOS Medicine, two United States.

São sete os tipos de violência mapeados: abuso físico, abuso sexual, preconceito e discriminação, não cumprimento dos padrões profissionais de cuidado, mau relacionamento entre as mulheres e os prestadores de serviços e condições ruins do próprio sistema de saúde. Para Souza, muitas dessas situações ocorrem sem que haja intencionalidade por parte dos profissionais, mas são estimuladas por um alto nível de desgaste, estresse e pelas limitações dos serviços de saúde. “A partir dessa constatação, temos que desenvolver estratégias para desarmar esses ambientes tóxicos em que muitas maternidades se constituem”, he defended.

Gritos, chutes, beliscões, julgamentos, esbofeteamento, comentários acusadores e até mesmo abuso sexual foram agressões relatadas pelas gestantes na pesquisa. O coordenador reforça que esses episódios foram encontrados em vários países. “Ocorre em diferentes proporções, intensidades, mas no mundo inteiro”, he said. The publication, However, cita o Brasil em cinco momentos, ao se referir à restrição da presença de acompanhante, a situações de grito contra as mulheres, à restrição nos leitos e aos relatos das mulheres de que os profissionais de saúde evitavam de maneira intencional a troca de informações.

Assim como relatado por Carol, os traumas desse tipo de situação podem durar por um tempo e ter impacto para a mãe e o bebê. “São descritas condições patológicas, onde a mulher passa a ter uma lembrança negativa que lhe atormenta e isso a gente chama a síndrome de estresse pós-traumático. Pode ter impacto na saúde da mulher e na ligação dela com a criança”, disse o professor da USP. A violência no parto leva também à maior ocorrência de depressão e piora da autoestima da mulher.

Souza acredita que a definição dos tipos de violência ajuda a tornar clara, tanto para pacientes quanto para profissionais de saúde, comportamentos que não devem ocorrer nas unidades de saúde. “[We must], at the same time, empoderar as mulheres para que elas tenham a capacidade de dizer: “esse cuidado não é adequado”; e aumentar também o nível de consciência para que os próprios serviços de saúde estejam alerta para essa situação”. Ele destacou que o propósito não é apontar os profissionais responsáveis, mas discutir e combater o problema de forma geral. Carol também aposta na iniciativa. “É muito importante que a gente coloque tudo bem didaticamente para não ter dúvidas e conseguir transformar. O primeiro passo é definir o limite das coisas”, he defended.

Source: Agency Brazil

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