O objetivo do estudo foi estimar percepção e ocorrência de situações de abuso, desrespeito e maltrato (ADM) na assistência ao parto de 745 mulheres pertencentes às coortes de nascimentos de Ribeirão Preto. Foram aplicados questionários sigilosos contendo uma pergunta sobre percepção de maltrato na assistência ao parto e outras sobre exposição a situações de ADM. Utilizou-se o teste qui-quadrado para comparar as situações apresentadas entres as mulheres que relataram ou não maltrato. A análise foi realizada por meio do Stata 14. Das 745 mulheres avaliadas, 66.2% foram expostas a alguma situação de ADM e 8.3% referiram ter percebido ADM. As situações mais frequentes foram, 30.5% não puderam comer nem beber nada, 27.5% tiveram sua barriga apertada para ajudar a criança a nascer e 25.5% não puderam ficar com acompanhante de sua escolha. Mulheres que afirmaram ter sofrido maltrato apresentaram maiores frequências de respostas positivas a todas situações de ADM quando comparadas com as demais, exceto para os seguintes relatos: “Não me deixaram comer nem beber nada” (p=0.975) e “Fui forçada a ter parto cesáreo contra minha vontade” (p=0.073). Apesar da maior parte das mulheres pertencentes às coortes de Ribeirão Preto relatarem exposição a situações de ADM durante a assistência ao parto, uma minoria percebeu desrespeito ou maltrato.
Palavras-chave:
Violência. Parto. Estudos de Coorte.
Abstract:
This study aimed to estimate the perception and frequency of abuse, disrespect and mistreatment (ADM) situations during childbirth care of 745 women from the Ribeirão Preto birt cohorts. Confidential questionnaires containing one question regarding perceived abuse during childbirth care and other questions addressing exposure to ADM situations were applied. The chi-squared test was used to compare the situations presented between women who did and did not report mistreatment using the Stata 14.0 software. Among the 745 women evaluated, 66.2% were exposed to some situation of ADM and 8.3% reported having perceived ADM. The most frequent situations were that the woman could not eat or drink (30.5%), the woman had her belly squeezed to help the child be born (27.5%), and the woman could not stay with a companion of her choice (25.5%). Women who reported to have suffered maltreatment more frequently responded positively to all situations of ADM when compared to the other participants, except for the following statements: “I was not allowed to eat or drink anything” (p=0.975) and “I was forced to have a cesarean delivery against my will” (p=0.073). Although most women of the Ribeirão Preto cohorts reported exposure to ADM situations during childbirth care, a minority perceived disrespect or mistreatment.
This study aimed to estimate the perception and frequency of abuse, disrespect and mistreatment (ADM) situations during childbirth care of 745 women from the Ribeirão Preto birt cohorts. Confidential questionnaires containing one question regarding perceived abuse during childbirth care and other questions addressing exposure to ADM situations were applied. The chi-squared test was used to compare the situations presented between women who did and did not report mistreatment using the Stata 14.0 software. Among the 745 women evaluated, 66.2% were exposed to some situation of ADM and 8.3% reported having perceived ADM. The most frequent situations were that the woman could not eat or drink (30.5%), the woman had her belly squeezed to help the child be born (27.5%), and the woman could not stay with a companion of her choice (25.5%). Women who reported to have suffered maltreatment more frequently responded positively to all situations of ADM when compared to the other participants, except for the following statements: “I was not allowed to eat or drink anything” (p=0.975) and “I was forced to have a cesarean delivery against my will” (p=0.073). Although most women of the Ribeirão Preto cohorts reported exposure to ADM situations during childbirth care, a minority perceived disrespect or mistreatment.
Dornelas, A. C. de R., Rodrigues, L.S, Penteado M. P., Batista, R. F. L., BETTIOL, H., Cavalli, R. de C., Grandi, C., Cardoso, V.C. Abuse, disrespect and mistreatment during childbirth care: contribution of the Ribeirão Preto cohorts. Cien Saude Colet [periódico na internet] (2021/Fev). [Citado em 19/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/abuse-disrespect-and-mistreatment-during-childbirth-care-contribution-of-the-ribeirao-preto-cohorts/17952?id=17952
