How do primary health care professionals deal with pregnant women who are victims of domestic violence?

Abstract

Objectives to determine how Family Health Strategy professionals recognize and deal with domestic violence in pregnant women. Method qualitative study based on the Theory of Praxis Intervention in Collective Health Nursing (TIPESC). Fourteen professionals at a Basic Health Unit in the east side of Sao Paulo/Brazil were interviewed. Empirical data were categorized and discussed in thematic groups. For data analysis was used the technique of Discourse Analysis. Results we identified low number of reported cases of domestic violence; lack of education and training of health care professionals; failure in the identification and intervention process due to bias on their personal problems, moral attitudes and prejudice against these women. In addition, the study showed that their labor process was based entirely on the biological aspects of the women and to overcome this, they need of proper rapport between health care professionals and pregnant women to deal with of domestic violence. Conclusion professionals should develop skills to intervene in violence against pregnant women and also modify labor processes considering women in their totality and part of society.

Violence against children and adolescents: the perspective of Primary Health Care

“…There is resistance to these changes, since traditions and habits are rooted in culture and the different forms of individual and social organization. In violence, especially VICCA, and in the elaboration of care to these families, professionals still exercise the thinking that includes the distinction, objective, analysis and selection, with focus on biological aspects (10,21) .…”

Opinions and Experiences of Primary Healthcare Providers Regarding Violence against Women: a Systematic Review of Qualitative Studies

“…A social understanding of the VAW was maintained by some PCPs who recognized gender inequalities as a main cause of VAW (Hesler et al 2013;Peckover 2003;Pereira Gomes et al 2013;Salcedo-Barrientos et al 2014;Vieira et al 2013): "everybody who is violent, is raping an inferior being. Not that women are inferior, but from the perspective of man, the sexist, he considers his wife, when he is an abuser, an inferior being" (Cocco da Costa et al 2015, p.164).…”

Contexto Da Violência Conjugal Em Tempos De Maria Da Penha: Um Estudo Em Grounded Theory

“…Esse cenário em torno da vida e saúde das mulheres alerta para a necessidade de identificação da violência conjugal por profissionais de saúde. Contudo, pesquisa realizada no contexto da Atenção Primaria à Saúde (APS) sinaliza que nenhuma das profissionais entrevistadas relatou abordagem dessa temática na graduação ou nos diferentes cursos de pós-graduação, realizados ao longo das suas carreiras, comprometendo o lidar com essas situações (7) .…”