Nesses dois anos arrisquei-me em um país novo, fazendo novas amigas e amigos. É difícil dizer o que sinto hoje, mas gostei muito!!! Eu acho que essa parte de agradecimentos é uma tarefa difícil, pois muitas vezes cometemos injustiças e, por esquecimento, não mencionamos nomes de pessoas que também contribuíram para o trabalho. Nada na vida conquistamos sozinhos, sempre precisamos de outras pessoas para alcançar nossos objetivos. Muitas vezes um simples gesto pode ajudar e mudar a nossa vida e contribuir para o nosso sucesso. Primeiramente, desejo agradecer infinitamente à Fundação Ford, pela confiança e pelo apoio financeiro, sem o qual estava longe de poder cumprir com meu sonho de fazer um mestrado. Estou eternamente agradecida. Meu agradecimento vai também à Dra. Joan Dassin, Ph. D. Executive Director Ford Foundation International Fellowships, que tive a oportunidade de conhecer pessoalmente em um encontro de bolsistas brasileiros; obrigada pelo estímulo constante e por sua amizade. Para as pessoas representantes da Fundação Ford no Chile, Anita Rojas e Blanca Zevallos de México, muito obrigada a ambas que, na sua visita a São Paulo, deixaram um espaço de seu tempo para um encontro comigo, para saber sobre minhas pesquisas, retas e limitantes, em meu país de estudos e, claro, desfrutar também de uma gostosa caipirinha. Para os representantes da Fundação Ford em Lima, Cecília Israel, Elsa Elias e Jorge Reyes, responsáveis pelas comunicações e ajudas muitas vezes pessoais, pelas orientações, pelo trabalho oculto que muitas vezes realizam para cada um de nós, os bolsistas, pela amizade e carinho, muito obrigada.
The displacement of people or groups within countries and out of these may be motivated by environmental, economic, political or religious. Currently, the Bolivian represent the largest group among Latin-americam foreigner sliving in the city of São Paulo, with a large proportion of women of reproductive age. They bring with them in this migration process customs of cultural traditions. Objective: To understand the experiences lived by the Bolivian women at health care in your pregnancy, childbirth and postpartum in the city of São Paulo. Methodology: This is a qualitative ethnographic study that seeks to understand the meanings of the researched context. Shifts observation was carried out in hospital environments in the city of São Paulo, where the Bolivian women often give birth. Empirical data were supplemented with individual interviews conducted in their homes after discharge from hospital. Result: The birth care care are centered in routine interventions (episiotomy, cesarean section, use of forceps, Kristeller maneuvers) customary generally adopted in the country of origin of the women interviewed. Postpartum care (eating habits, self-care in the postpartum) also contradict the very care of their culture. Report that are ignored by most professionals in the service and the information on the procedures performed and the evolution of the baby are unclear. Cultural and linguistic peculiarities constitute additional barriers to utilization of health services. Despite the universal right to health is recognized in practice women face difficulties in access to health services during the process of pregnancy stage, childbirth and postpartum. Conclusions: The research allowed knowing the social and cultural context of some traditional knowledge and practices of Bolivian women and their differences in the culture of Brazil. The adaptation of assistance to cultural, offering a more welcoming environment and guaranteeing the right to escort at birth can reduce the fears and suspicions which pass by the users and contribute to better care for this population group.
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