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      Expresiones de violencia institucionalizada en el parto: una revisión integradora Translated title: Expressões da violência institucionalizada ao parto: uma revisão integrativa Translated title: Expressions of institutionalized violence at birth: an integrative review

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          Abstract

          Este estudio tuvo como objetivo sintetizar la literatura científica publicada en artículos sobre las formas de violencia institucionalizada que se producen durante el parto. Se trata de una revisión integradora realizada en bases SCIELO, SCOPUS, PubMed y LILACS, utilizando los descriptores Childbirth AND "Parturition" AND "Obstetric" AND "Violence". 13 artículos fueron seleccionados tras atender los criterios de inclusión y exclusión. Del análisis de los estudios emergieron cinco categorías, a saber: violencia institucional en las relaciones de poder; violencia institucional al cuerpo femenino; violencia institucional a través de la comunicación; violencia institucional en la modalidad de servicio; y violencia institucional como una violación de los derechos. A pesar de que la literatura científica sobre el tema va en aumento, la cantidad de estudios es todavía incipiente y bajo el nivel de evidencia científica.

          Translated abstract

          Este estudo teve por objetivo sintetizar a produção científica publicada em artigos acerca das formas de violência institucionalizada que ocorrem durante o parto. Trata-se de uma revisão integrativa realizado nas bases SCIELO, SCOPUS, PUBMED e LILACS com utilização dos descritores "Childbirth AND "Parturition" AND "Obstetric" AND "Violence". Foram selecionados 13 artigos depois de atendidos os critérios de inclusão e exclusão. Da análise dos estudos emergiram cinco categorias, a saber: violência institucional nas relações de poder; violência institucional com o corpo feminino; violência institucional através da comunicação; violência institucional na forma de serviço; e a violência institucional como violação de direitos. Apesar da produção científica acerca do tema estar em ascensão, o quantitativo de estudos realizados ainda é incipiente e de baixo nível de evidência científica.

          Translated abstract

          This study aimed to synthesize the scientific literature published in articles about forms of institutionalized violence that occur during childbirth. It is an integrative review conducted in SCIELO, SCOPUS, PUBMED and LILACS bases using the descriptors "Childbirth AND" Parturition "AND" Obstetric "AND" Violence ". 13 articles were selected after meeting the criteria for inclusion and exclusion. Five categories emerged from the studies' analysis: institutional violence in the power relationships; institutional violence to the female body; institutional violence through communication; institutional violence in the form of service; and institutional violence as a violation of rights. Although the scientific literature on the subject be improving, a number of studies is still incipient and with a low level of scientific evidence.

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          Most cited references43

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          Equity and women's health services for contraception, abortion and childbirth in Brazil.

          This paper addresses equity in health and health care in Brazil, examining unjust disparities between women and men, and between women from different social strata, with a focus on services for contraception, abortion and pregnancy. In 2010 women's life expectancy was 77.6 years, men's was 69.7 years. Women are two-thirds of public hospital services users and assess their health status less positively than men. The total fertility rate was 1.8 in 2011, and contraceptive prevalence has been high among women at all income levels. The proportion of sterilizations has decreased; lower-income women are more frequently sterilized. Abortions are mostly illegal; women with more money have better access to safe abortions in private clinics. Poorer women generally self-induce abortion with misoprostol, seeking treatment of complications from public clinics. Institutional violence on the part of health professionals is reported by half of women receiving abortion care and a quarter of women during childbirth. Maternity care is virtually universal. The public sector has fewer caesarean sections, fewer low birthweight babies, and more rooming-in, but excessive episiotomies and inductions. Privacy, continuity of care and companionship during birth are more common in the private sector. To achieve equity, the health system must go beyond universal, unregulated access to technology, and move towards safe, effective and transparent care.
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            Microfísica do poder

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              Violência institucional em maternidades públicas sob a ótica das usuárias

              Este artigo apresenta e discute os dados de uma pesquisa sobre violência institucional em maternidades públicas, realizada no município de São Paulo. Foram entrevistadas 21 puérperas, com roteiro semiestruturado contando com questões sobre experiências de parto e assistência recebida. Os dados revelaram que as entrevistadas relatam e reconhecem práticas discriminatórias e tratamento grosseiro no âmbito da assistência em maternidades públicas, reagindo com estratégias de resistência ou de acomodação. Essas experiências ocorrem com tal frequência que muitas parturientes já esperam sofrer algum tipo de maltrato, o que revela uma banalização da violência institucional.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                eg
                Enfermería Global
                Enferm. glob.
                Universidad de Murcia (Murcia, Murcia, Spain )
                1695-6141
                October 2016
                : 15
                : 44
                : 452-464
                Affiliations
                [01] Rio Grande do Norte orgnameFederal University of Rio Grande do Norte Brasil
                Article
                S1695-61412016000400018
                837ad74d-0905-4cc9-9489-e34b3e311139

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 09 September 2015
                : 24 November 2015
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 32, Pages: 13
                Product

                SciELO Spain


                Obstetrícia,Parto,Violência,Obstetricia,Violencia,Obstetrics,Parturition,Violence

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