Fontes para a história da ginecologia e obstetrícia no Brasil

Souza, Larissa Velasquez de

doi:10.1590/s0104-59702018000500011

Cited by 13 publications

References 7 publications

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Evaluation of labor and childbirth care by nurse-midwives in Brazilian private hospitals: results of a quality improvement project

et al. 2023

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Background In 2015, a quality improvement project—the “Adequate Childbirth Project” (Projeto Parto Adequado, or PPA)—was implemented in Brazilian private hospitals with the goal of reducing unnecessary cesarean sections. One of the strategies adopted by the PPA was the implementation of labor and childbirth care by nurse-midwives. The objective of this study is to evaluate the results of the PPA in the implementation and adequacy of labor and childbirth care by nurse-midwives in Brazilian private hospitals. Methods Cross-sectional, hospital-based study, carried out in 2017, in 12 hospitals participating in the PPA. We assessed the proportion of women assisted by nurse-midwives during labor and childbirth care and the adequacy of 13 care practices following parameters of the World Health Organization. Women assisted in the PPA model of care and in the standard of care model were compared using the chi-square statistical test. Results 4798 women were interviewed. Women in the PPA model of care had a higher proportion of labor (53% × 24.2%, p value < 0.001) and vaginal birth (32.7% × 11.3%, p value < 0.001), but no significant differences were observed in the proportion of women assisted by nurse-midwives during labor (54.8% × 50.1%, p value = 0.191) and vaginal birth (2.2% × 0.7%, p value = 0.142). The implementation of recommended practices was adequate, except the use of epidural analgesia for pain relief, which was intermediate. There was a greater use of recommended practices including “oral fluid and food”, “maternal mobility and position”, “monitoring of labor”, “use of non-pharmacological methods for pain relief” and “epidural analgesia for pain relief” in women assisted by nurse-midwives in relation to those assisted only by doctors. Many non-recommended practices were frequently used during labor by nurse-midwives and doctors. Conclusions There was an increase in the proportion of women with labor and vaginal birth in the PPA model of care and an appropriate use of recommended practices in women assisted by nurse-midwives. However, there was no difference in the proportion of women assisted by nurse-midwives in the two models of care. The expansion of nursing participation and the reduction of overused practices remain challenges.

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Evaluation of labor and childbirth care by nurse-midwives in Brazilian private hospitals: results of a quality improvement project

et al. 2023

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Bearing Witness to Unseen Flesh

2023

Unseen Flesh

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The introduction foregrounds the book's main framework, unseen flesh, to understand the layered ways that Brazilian Black lesbians produce knowledge about race, gender, sexuality, class, and medical approaches through their gynecologic visits. The introduction opens with an ethnographic story that looks through windows into Black lesbian invisibility and the emotional labor attached to it. The author also delineates how her intersecting identities as Black, queer, medical clinician, physician assistant, seminarian, and anthropologist together functioned to bear witness to Brazilian Black lesbians' emotions, knowledge production, activism, and caretaking. The author explores methodological questions such as storytelling, radical data, analysis of discourses and social platforms, and a humanities approach to anthropological and Black feminist queer thought.

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The Virgin Who Lives within Her Erotic Worth

2023

Unseen Flesh

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Chapter 1 introduces a lived bem-estar (well-being) by centering the meaning of Black lesbian vivência(s) and turns to the notions of sexual health broadly and body politics that expose social disequilibrium within gynecological encounters. Falu argues that Brazilian Black lesbians adjust to particular terms of engagement by (re)making themselves, claiming renewed subject positions in erotic power, and reformulating racialized sexual subjectivity in and beyond the gynecological encounter. Through the lens of what it means to be a lesbian virgin, Falu establishes the language used by Black lesbians, interpreted in forms of erotic power to claim space and knowledge with the challenges of derailing speculum exams.

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Fontes para a história da ginecologia e obstetrícia no Brasil

Cited by 13 publications

References 7 publications

Evaluation of labor and childbirth care by nurse-midwives in Brazilian private hospitals: results of a quality improvement project

Evaluation of labor and childbirth care by nurse-midwives in Brazilian private hospitals: results of a quality improvement project

Bearing Witness to Unseen Flesh

The Virgin Who Lives within Her Erotic Worth

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