The Humanized Childbirth movement is characterized by the intellectual, technical, and professional union of several areas that focus on the quality of care received by pregnant women, babies, and family members during the process of childbirth. In the last four decades, specific knowledge about the birth process has undergone several updates, mainly concerning less interventionist assistance. However, in many contexts, labor is still seen as pathological or non-physiological and culminates in questionable interventions in the female body. This profound distortion in childbirth care is determined by multiple historical, structural, and cyclical factors that directly affect the way society in general and the health area, in particular, face the female sex. Thus, it is imperative to critically discuss childbirth care with contextualization of gender, cultural, structural, and scientific issues (Evidence-Based Medicine) to guarantee the protection of the person about violations of sexual and reproductive rights. The approach of this literature review focused on the multiple meanings of the humanization process of childbirth care, with the concern of being transdisciplinary.
Introduction:The Amazonas' State University provides Nursing, Medicine, Dentistry, and Pharmacy degrees with the experience of Rural Training in Public Health. Two MD students had high expectations of experiencing health care in the Amazonas interior, as they realized that there was a lapse in their academic training. They questioned the fact that they were about to take the place of "doctors trained by the state of Amazonas" without knowing the population, ethnocultural and geographical variety of the region. This lack encouraged the choice of the location of the internship to be the city of São Gabriel da Cachoeira. Methods:Meetings and lectures were held with health teams that enabled clinical experiences and interactions with indigenous and riverside residents. Finally, seminars/activity reports were produced, which contributed to the awakening of reflections on medical practices. Thus, this experience report is based on the particular apprehension of the reality described, based on daily observation. Results and Discussions: During the internship, the students began to question and deconstruct the doctor-user relationship hierarchy. Conclusions: Thus, they re-signified their practices beyond technical and biological knowledge, in line with the decolonial epistemology.
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