1942/2011 - Representações e experiências sobre aborto legal e ilegal dos ginecologistas-obstetras trabalhando em dois Hospitais maternidade de Salvador da Bahia Health professionals’ representations and experiences with legal and illegal abortion in two maternity-hospitals in Salvador da Bahia
• Silvia De Zordo - De Zordo, S. - London, UK, SE14 6NW , Outro País/Another Country - Goldsmiths - University of London - Dept. of Anthropology - <ans01sd@gold.ac.uk>
Área Temática:
Não Categorizado
Resumo:
O objetivo deste estudo qualitativo, realizado em dois hospitais-maternidade de Salvador da Bahia, foi investigar a experiência e as representações do aborto legal, analisadas em contraste com as representações do aborto ilegal, dos profissionais de saúde, em particular dos ginecologistas-obstetras.Usou-se como instrumentos um questionário e entrevistas semi-estruturadas com 25 profissionais de saúde (dos quais 13 ginecologistas-obstetras) num hospital que oferece um serviço de aborto legal (P), e 20 profissionais de saúde (dos quais 9 ginecologistas-obstetras) em outro hospital, que não oferece este serviço (F). Os fatores que mais influenciam as representações dos ginecologistas-obstetras entrevistados acerca do aborto e explicam a alta taxa de objeção de consciencia no hospital P foram: 1- a criminalização do aborto e o medo de serem denunciados; 2- a estigmatização do aborto por certos grupos religiosos e pelos proprios médicos; 3- o treinamento em obstetrícia e a falta de uma formação boa no campo da epidemiologia da morbi-mortalidade materna e do aborto; 4- as representações acerca das relações de gênero. Os fatores principais associados à atitudes liberais foram: a idade - abaixo de 30/acima de 45 anos - a experiência com altas taxas de mortalidade materna devidas ao aborto, e a experiência com o aborto legal.
Palavras-chave:
Aborto
Estigma
Objeção de consciência
Abstract:
The objective of this qualitative study, carried out in two maternity-hospitals in Salvador da Bahia, was to investigate health professionals’ and particularly obstetricians-gynecologists’ experience and representations of legal abortion, examined in contrast with their representations and experience with illegal abortion. A questionnaire and semi-structured interviews were conducted with 25 health professionals (13 obstetricians-gynecologists) in a hospital providing legal abortion (P) and with 20 health professionals (9 obstetricians-gynecologists) in another hospital that does not provide this service (F). The factors that influence most obstetricians-gynecologists’ experience and representations of abortion and explain the high rate of conscientious objection at Hospital P were: 1- abortion criminalization and the fear of being denounced; 2- abortion stigmatization by certain religious groups and by physicians themselves; 3- medical training and the lack of good training in the epidemiology of maternal morbidity-mortality and abortion; 4-representations of gender relations. The main factors associated with liberal attitudes were: age – below 30 and above 45 years of age – experience with high maternal mortality rates due to abortion and experience with legal abortion.
Health professionals’ representations and experiences with legal and illegal abortion in two maternity-hospitals in Salvador da Bahia
Resumo (abstract):
The objective of this qualitative study, carried out in two maternity-hospitals in Salvador da Bahia, was to investigate health professionals’ and particularly obstetricians-gynecologists’ experience and representations of legal abortion, examined in contrast with their representations and experience with illegal abortion. A questionnaire and semi-structured interviews were conducted with 25 health professionals (13 obstetricians-gynecologists) in a hospital providing legal abortion (P) and with 20 health professionals (9 obstetricians-gynecologists) in another hospital that does not provide this service (F). The factors that influence most obstetricians-gynecologists’ experience and representations of abortion and explain the high rate of conscientious objection at Hospital P were: 1- abortion criminalization and the fear of being denounced; 2- abortion stigmatization by certain religious groups and by physicians themselves; 3- medical training and the lack of good training in the epidemiology of maternal morbidity-mortality and abortion; 4-representations of gender relations. The main factors associated with liberal attitudes were: age – below 30 and above 45 years of age – experience with high maternal mortality rates due to abortion and experience with legal abortion.
De Zordo, S.. Representações e experiências sobre aborto legal e ilegal dos ginecologistas-obstetras trabalhando em dois Hospitais maternidade de Salvador da Bahia. Cien Saude Colet [periódico na internet] (2012/fev). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/representacoes-e-experiencias-sobre-aborto-legal-e-ilegal-dos-ginecologistasobstetras-trabalhando-em-dois-hospitais-maternidade-de-salvador-da-bahia/9340?id=9340&id=9340