Trabalho de parto e parto: compreensão de mulheres e des-velamento da solicitude como possibilidade assistencial

Abstract

This qualitative study is aimed at understanding the meanings assigned among women and unveiling the senses of lived experiences of labor and delivery in an Intra-hospital Birth Center. It was used the phenomenological approach as a research method and Martin Heidegger’s thought as a theoretical methodological framework. Fifteen women who have delivered their babies in a philanthropic institution in the countryside of Minas Gerais state were interviewed. Through the phenomenological interview essential structures emerged being performed the first methodical moment called vague and median understanding which allowed the construction of two units of signification: The process of labor and birth is painful and suffering however it is over, over... recovery is faster than cesarean section; In the process of parturition the pain is increased by intravenous infusion, the shower is useful and when you hear someone talking to you it makes you feel stronger. From the vague and median understanding it was possible to draw up the central research thread which led to the second methodical moment, the interpretive understanding or hermeneutics. Through labor and childbirth it was shown the disposition to terror in women particularly during some obstetric interventions considered as uncomfortable and painful by them. These interventions are performed through a mode of solicitude which dominates and replaces, the moment in which the professionals make the decisions without giving the mother the chance to participate and decide about her health care. In contrast some obstetric interventions are considered good by women. While performing these interventions, the professionals demonstrate a solicitude which leaps forth and liberates, revealing a kind of concern with being-with that does not replace the woman but a being together with dis-position fully committed to the well-being of the other. Women understand that the appreciation of medical and nursing staffs is not only related to performing tasks. On the contrary, they feel well cared when these professionals deliver health care just seeing the other as a thinking human being with feelings, a real being-of-possibilities.