INTRAPART OBSTETRIC VIOLENCE: A RESEARCH ABOUT WOMEN'S PERCEPTION IN RIO DE JANEIRO (RJ)- BRAZIL

Introduction: Historically, women are the most likely victims of violence in general. In Brazil and in many countries, there is still institutional labor related violence. Obstetric violence can victim women along... [ view full abstract ]

Introduction: Historically, women are the most likely victims of violence in general. In Brazil and in many countries, there is still institutional labor related violence. Obstetric violence can victim women along ill-treatment. Violence violates women's rights to respectful care and also threatens life, health, physical integrity and non-discrimination principles. Thus, the importance of recognizing factors that contribute to obstetric violence during labor and delivery in maternity wards in the West Zone of Rio de Janeiro. Objectives: Investigate women’s knowledge about obstetric violence; Identify the violence suffered by them during labor and delivery; To recognize physical or emotional consequences generated by obstetric violence; Inform women about violence in childbirth and its faces. Method: Self-funding, field research, exploratory and descriptive, with qualitative approach, developed in a Municipal Nursery located in the West of Rio de Janeiro. The subjects of the research were 18 women who accepted to participate in the research in line with  standardized practices of human research in Brazil. A semi-structured interview was conducted with 7 open and closed questions in an individualized manner. The data were analyzed from Cecilia Minayo's perspective, where three thematic categories emerged that express the feeling and knowledge of the women about the theme proposed in the research. RESULTS: The factors that contributed to the woman's suffering from obstetric violence were age, number of children, level of education, lack of information, fear and submission. The main types of obstetric violence suffered were the use of synthetic oxytocin, kristeller maneuver, episiotomy, banning of the companion, food and water restrictions, manual rupture of the amniotic sac, manual removal of the placenta, lack of clarification of procedures , requirement to remain in position of lithotomy and verbal abuse. Such violence generated physical / emotional consequences in all of them. Conclusion: Adjustments to professional practices should be made, so that there is a subject-centred approach in prenatal consultations, women's participation in decision-making is fostered, intervention criteria are developed, and delivery takes place in a dignified manner, where woman’s rights are promoted throughout the gestational period.