Pain and the Protagonism of Women in Parturition

Pereira, Raquel da Rocha; Franco, Selma Cristina; Baldin, Nelma

doi:10.1016/s0034-7094(11)70045-9

Cited by 12 publications

(21 citation statements)

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“…However, some studies on post-natal sexuality have found no significant difference between women who had vaginal births and those who had surgicalcesarean deliveries (Klein et al, 2009;Belentani et al, 2011). Another fear of women is that of not being able to handle the pain associated with vaginal birth; a number of studies describe these fears and their associations with the images and stories that circulate in Brazil about vaginal birth in a family context, and in images divulged by the media, among others (Rodrigues and Siqueira, 2008;Pereira et al, 2011;Pinheiro and Lobo, 2012;Tostes and Seidl, 2016).…”

Section: Discussionmentioning

confidence: 99%

The Language of Risk, Public Policies, and Childbirth in the Municipality of São Paulo: A Reading of Data From the Live Birth System 2010–2016

2018

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The main factor for the hospitalization of childbirth was the expansion of power-knowledge in eighteenth century medicine. In Brazil, throughout the twentieth century, public policies for women's health focused care on biological and reproductive dimensions, and birth control technologies. Technoscience advances in producing knowledge and interventions regarding women's bodies led to a medicalization of labor and birth, consolidating the hospital as an ideal space. This article aims to examine numbers of surgical-cesarean births in the municipality of São Paulo, and to discuss how racial, cultural, social, and economic inequalities influence forms of birth. The statistics have been problematized in their connections with the language of risk, actors, and materialities involved in producing surgical births: public policies for pregnancy, labor, and post-natal care, hospitals. Research was carried out in the repository of public data on births in the municipality of São Paulo, in the period between 2010 and 2016, focusing on types of birth, in relation to place of birth, and women's race/color and levels of education. The analysis indicated that the majority of births are surgical-cesarean, at a number five times higher than that recommended by the World Health Organization; the number is even higher at private hospitals and among women who declared themselves as white or asian. Higher levels of education are also linked to this elevated number of births. Vaginal birth numbers were greater in public hospitals for women who declared themselves as black, mixed race, and native Brazilian. The language of risk guides public policies, delivery practices, and childbirth in Brazil. The lack of investment in birth centers in the country encourages hospitalization. Health professionals attending births have a central role in maintaining the culture of surgical delivery. Surgical-cesarean birth as a woman's choice is an argument based on childbirth myths, on incorrect information about physiological and psychological processes, and lack of support from health professionals and families faced with the desire for vaginal birth. The complexity of the situation demands recognition that these realities are built on several factors, interconnected in the day-to-day of health services.

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Section: Discussionmentioning

confidence: 99%

The Language of Risk, Public Policies, and Childbirth in the Municipality of São Paulo: A Reading of Data From the Live Birth System 2010–2016

2018

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“…Descriptores: Parto Normal; Trabajo de Parto; Parto Domiciliario; Parto Humanizado; Enfermería Obstétrica. 1,2,4,5,6 Students, undergraduate degree in nursing from the University Center Anhanguera in Niterói, Rio de Janeiro (RJ), Brazil. Email: alane_sc@hotmail.com ORCID iD: http://orcid.org/0000-0002-9859-872X; Email: amandam.correia@yahoo.com.br ORCID iD: http://orcid.org/0000-0003-1326-6863; Email: laisml13@hotmail.com ORCID iD: http://orcid.org/0000-0001-8265-9842; Email: saby_santana17@yahoo.com.br ORCID iD: http://orcid.org/0000-0001-8493-3876; Email: alanapriscilla28@yahoo.com.br ORCID iD: http://orcid.org/0000-0003-4591-786X; 3 Nurse, Master of Nursing, Associate Professor of the University Center Anhanguera in Niterói, Rio de Janeiro (RJ), Brazil.…”

Section: Introductionmentioning

confidence: 99%

“…Then, in the first half of the 20th century by the process of institutionalization of labor ceases to be a private place and passes to be institutionalized, with the creation of sectors such as the maternity, creating an event controlled, and the household ends up being extinguished. 2 In this sense, the creation of specific hospitals for the vaginal labor (maternities) aimed to create both a space of teaching and practice of medicine as a place where women feel safe to give birth. The change of home birth, assisted by midwives for the hospital childbirth, conducted by doctors, gave the obstetric care new meanings and paradigms in the care of the woman.…”

Section: Introductionmentioning

confidence: 99%

Métodos não farmacológicos no parto domiciliar

Araújo

Correia

Rodrigues

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: discutir acerca dos métodos não farmacológicos para alívio da dor no parto domiciliar. Método: estudo qualitativo tipo análise reflexiva originado na iniciação científica do curso de graduação em enfermagem, mediante as seguintes etapas: busca nas bases de dados, leitura do material selecionado, movimento da práxis analítica da temática e formulação do material escrito. Resultados: há uma gama de métodos utilizados no ambiente domiciliar para o alívio da dor, como o banho de aspersão/imersão, bola suíça, método “cavalinho”, “banquinho U”, musicoterapia, aromaterapia, massagens, acupressão e deambulação. Desse modo, essas práticas contribuem para inibição de estímulos dolorosos e promovendo o conforto para o processo parturitivo. Conclusão: o parto domiciliar surge com o propósito de trazer de volta a autonomia da mulher sobre seu corpo, protagonismo, resguardando seu direito a um parto respeitoso e essas práticas não farmacológicas permitem a mulher vivenciar o parto de forma humanizada e respeitosa. Descritores: Parto Normal; Trabalho de Parto; Parto Domiciliar; Parto Humanizado; Obstetrícia; Enfermagem Obstétrica.ABSTRACT Objective: to discuss about the non-pharmacological methods for pain relief in the home birth. Method: a qualitative study, reflective analysis, originated in the scientific initiation of the nursing undergraduate course, through the following steps: search in data bases, reading of the selected material, movement of the analytic praxis of the theme and formulation of written material. Results: there is a range of methods used in the home environment for the relief of pain, as the sprinkling/immersion, swiss ball, method “horse”, “U” stool, music therapy, aromatherapy, massage, acupressure and ambulation. In this way, these practices contribute to inhibition of painful stimuli and promote the comfort for the child birth process. Conclusion: the home birth emerges with the purpose of bringing back the autonomy of the woman on her body, protagonism, safeguarding her right to a respectful birth, and these practices would not allow pharmacological women experiencing the birth of humanized and respectful way. Descriptors: Natural Childbirth; Labor, Obstetric; Home Childbirth; Humanizing Birth; Obstetrics; Obstetric Nursing. RESUMEN Objetivo: discutir acerca de los métodos no farmacológicos para el alivio del dolor en el parto en casa. Método: estudio cualitativo, análisis reflexivo, originado en la iniciación científica del curso de pregrado en enfermería, a través de los siguientes pasos: búsqueda en bases de datos, la lectura del material seleccionado, el movimiento de la praxis analítica del tema, y elaboración de material escrito. Resultados: existe una variedad de métodos utilizados en el ambiente del hogar para el alivio del dolor, como la aspersión o inmersión, balón suizo, el método “caballo”, “U” heces, musicoterapia, aromaterapia, masajes, acupuntura y la deambulación. De esta forma, estas prácticas contribuyen a la inhibición de estímulos dolorosos, y la promoción de la comodidad durante el proceso de nacimiento del niño. Conclusión: la casa nacimiento surge con la finalidad de devolver la autonomía de la mujer sobre su cuerpo, el protagonismo, la protección de su derecho a un parto respetuoso y estas prácticas no farmacológicas permiten a las mujeres que sufren el nacimiento humanizado y de manera respetuosa. Descriptores: Parto Normal; Trabajo de Parto; Parto Domiciliario; Parto Humanizado; Enfermería Obstétrica.

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“…[1] The cause effect relationship in labour pain does not always correspond to a clinical response; what matters is to understand the pain felt by the pregnant woman and to offer pain release. [2] Name & Address of Corresponding Author Dr. Atul Kumar Singh Assistant Professor, Dept. of Anaesthesia, Government Doon Medical College, Dehradun.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Methods of Pain Relief during Labour: Epidural Analgesia, Intravenous Tramadol and TENS

Singh¹,

Tiwari²,

Verma³

2017

AIMDR

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Background: Childbirth is a painful practice for nearly all women. The pain experienced during labour has various physiological and psychosocial measurements and its strength can vary greatly from one woman to another. The aim of this study is to compare the efficacy, safety and adverse effects of epidural analgesia, tramadol and TENS in pain relief, mode of delivery and neonatal outcome. Methods: A total of 160 cases were studied. They included primi-as well as multigravidae, belonging to ASA grade 1 and 2 between the ages of 18-35 years, 37-41 weeks of pregnancy were selected. They were in established active stage of labor (uterine contraction 3 per 10 minutes, lasting for 30 to 40 seconds, cervical dilation more than 3 cm and up to 5 cm and cervical effacement more than or equal to 60%) with singleton fetus presenting by vertex and agreeable for analgesia. The selected patients were divided into four groups of Group I (control group, n=40), labour was carried out without using any analgesic technique, Group II (pidural Group, n=40) -Inj. bupivacaine 0.25% was given epidurally for analgesia, Group III (Tramadol Group, n=40) -Inj. Tramadol was given intravenously for analgesia, Group IV ( TENS group, n=40) -TENS electrodes were applied as the initial choice of pain relief. Results: From the observations gathered from this study, this can concluded that epidural analgesia provides much better analgesia than non-conventional methods of analgesia during labour. Conclusion: Tramadol and TENS have also a fair to good role in pain relief in labour, but mainly in first stage of labour when the pain is not severe enough.

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Pain and the Protagonism of Women in Parturition

Abstract: In this context, pain represented one of the main building blocks of female social representations on parturition, contributing to the ascending curve of cesarean section indices in Brazil.

Cited by 12 publications

References 7 publications

The Language of Risk, Public Policies, and Childbirth in the Municipality of São Paulo: A Reading of Data From the Live Birth System 2010–2016

The Language of Risk, Public Policies, and Childbirth in the Municipality of São Paulo: A Reading of Data From the Live Birth System 2010–2016

Métodos não farmacológicos no parto domiciliar

Comparison of Methods of Pain Relief during Labour: Epidural Analgesia, Intravenous Tramadol and TENS

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