Die "gute Geburt" - Ergebnis richtiger Entscheidungen? Zur Kritik des gegenwärtigen Selbstbestimmungsdiskurses vor dem Hintergrund der Ökonomisierung des Geburtshilfesystems
Titelübersetzung:Is a "good birth" the result of the "right" choices? A critique of the current discourse on self-determination in light of the economization of obstetric services
Autor/in:
Jung, Tina
Quelle: GENDER - Zeitschrift für Geschlecht, Kultur und Gesellschaft, 9 (2017) 2, S 30-45
Inhalt: "Selbstbestimmung, informed choice und informed consent sind zu Schlüsselbegriffen in der Geburtshilfe avanciert. Dabei fällt die Popularität des gegenwärtigen Selbstbestimmungsdiskurses in eine Zeit, in der die Geburtshilfe im Zeichen der neoliberalen Ökonomisierung einem tiefgreifenden Wandel unterliegt, der sich u.a. in einer deutlichen Verschlechterung der strukturellen Rahmenbedingungen der Versorgungsqualität von schwangeren und gebärenden Frauen und in einer Abwertung von somatisch-beziehungsorientierten Momenten von Geburtsbegleitung zeigt. Der Beitrag untersucht, welche Bedeutungsverschiebungen das Verständnis von Selbstbestimmung durchlaufen und welche Effekte dies aktuell für schwangere und gebärende Frauen in der Geburtshilfe hat. Gezeigt wird, dass und wie der derzeitige Selbstbestimmungsdiskurs in der Geburtshilfe dazu beiträgt, die Verantwortung für das Gelingen einer 'guten' Geburt auf die Frauen zu verschieben und gleichzeitig den Verlust jener somatisch-beziehungsorientierten Bedingungen, auf die es für eine gute Geburtshilfe ankommt, zu legitimieren. Im Beitrag wird dafür plädiert, Selbstbestimmung nicht länger als Frage der Information, der Vorbereitung und der Entscheidung zu verstehen, sondern als Frage der Befähigung zu Urteilskraft, die Momente der Angewiesenheit, Achtsamkeit, Fürsorge, Schmerz, Angst, aber auch Kraft, Lust und Freude einschließen kann." (Autorenreferat)
Inhalt: "Self-determination, informed choice and informed consent have become important keywords in obstetric and midwifery practice. The popularity of the current discourse on self-determination coincides with the fact that obstetrics is increasingly being subjected to neoliberal economization and is thereby undergoing profound change. This change manifests itself, above all, in the fact that the structural framework of care for pregnant and birthing women is clearly deteriorating, and in that the somatic relationship-oriented aspects of obstetrics and midwifery are being devalued. I analyze the shift in our understanding of what self-determination is and I also map out the current effects of this shift on pregnant women and women in labour. Furthermore, I illustrate that, and in what way, the current discourse on self-determination in obstetric and midwifery practice leads to the fact that the responsibility for a “good” birth is being transferred onto women. This signifies a loss of the particular temporality and the somatic phenomena the woman in labour experiences. In my conclusion I argue that self-determination should no longer be understood as a question of information, preparation and decision, but rather as enabling judgement, which includes aspects of dependence, awareness, care, pain, fear, but also power, desire and joy." (author's abstract)
Schlagwörter:Selbstbestimmung; self-determination; Geburtshilfe; obstetrics; Ökonomisierung; economization; Schwangerschaft; pregnancy; Gesundheitsversorgung; health care; Qualität; quality; Feminismus; feminism; woman; Gesundheit; health; Federal Republic of Germany
SSOAR Kategorie:Frauen- und Geschlechterforschung, Medizinsoziologie
Prenatal care and practices developed by the health team: integrative review
Titelübersetzung:Assistência ao pré-natal e as práticas desenvolvidas pela equipe de saúde: revisão integrativa
Autor/in:
Santiago, Cintia Mikaelle Cunha de; Sousa,Carla Nadja Santos de; Nóbrega, Líbne Lidianne da Rocha e; Sales, Linda Katia Oliveira; Morais, Fátima Raquel Rosado
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 9 (2017) 1, S 279-288
Inhalt: Objective: To understand the practices and professionals involved in prenatal care in the Family Health Strategy. Methods: An integrative review of the literature with a temporal scope between the years 2001 and 2012, in the SciELO database and CAPES portal of journals, using the following descriptors: Women's Health; Prenatal Care; and Health Personnel. Results: It was observed that some articles emphasize the work of nurses over the multidisciplinary work, revealing the difficulty of a comprehensive team practice. Furthermore, the focus of care is almost exclusively technical, demonstrating that the most relevant aspects to the quality of the actions during prenatal care concern the number of consultations, tests and vaccines. Conclusion: It is essential that health professionals work in a multidisciplinary perspective, in which the care given to pregnant women happens is comprehensive and complementary.
Schlagwörter:woman; Betreuung; care; Pflege; caregiving; Gesundheitspersonal; health professionals; Gesundheitsvorsorge; health care; Gesundheit; health; Schwangerschaft; pregnancy; Geburt; birth
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Quelle: International Letters of Social and Humanistic Sciences, (2016) 70, S 14-20
Inhalt: Patients' viewpoints are commonly used to assess quality of care in diverse healthcare organizations. This permits managerial decisions to be made based on knowledge rather than conjecture. The purpose of the current study is to investigate quality gap of family health care through measuring differences between clients' perceptions and expectations at Kashan city health centers in Iran.Methodology: A cross-sectional design was applied in 2013. The study sample was composed of 384 women clients of family health services randomly selected from Kashan city health centers. The SERVQUAL questionnaire was used for data collection. Service quality gap was measured by computing the difference between the rating respondents assign to expectations and perceptions statements. For pair wise comparison of the expectations and perceptions the Wilcoxon Signed Rank test was used. Internal consistency of the scale was confirmed with Cronbach's Alpha coefficients (.81 for expectations and .84 for perceptions).Findings: In all dimensions of the services a significant (P<0.001) negative quality gap was observed. The maximum quality gap was in the tangibility (-0.60±0.37) and the minimum one was in the responsiveness (-0.41±0.31) dimension. The findings of the research demonstrated that there was negative gap between clients' expectations and perceptions in all dimensions of the services. Thus, family health care managers should apply improvements in all five dimensions of the services.
Schlagwörter:quality; perception; Iran; Gesundheit; Erwartung; Iran; Management; Wahrnehmung; health care; Familie; Gesundheitsversorgung; expectation; public health services; Qualität; woman; management; family; health; Gesundheitsdienst; Patient; patient
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 8 (2016) 3, S 4668-4673
Inhalt: Objective: to investigate the nurses' knowledge of gynecological Pap smears performed in pregnant women attending Primary Health Units (UAPS), Fortaleza-CE. Methods: a descriptive, cross-sectional study conducted in three UAP, with a sample of 27 nurses. Data were obtained through a questionnaire and the analysis used was the Epi-info program. Results: the data showed that the majority of nurses, 17 (62,97%), does not perform the gynecological examination in pregnant women. From nurses who perform, 3 (7,4%) make the collection incorrectly. About participating in trainings on prenatal and gynecological examination, 24 (88,8%) reported previous participation. Conclusion: thus, systematic and effective training aiming to overhaul the welfare practices that are established in the family health programs are necessary.
Cervical cancer precursor lesions: significance for women in a referral center in brazil
Titelübersetzung:Lesões precursoras de câncer cervical: significado para mulheres em um centro de referência no brasil
Autor/in:
Melo, Rosana Oliveira de; Moreira, Rita de Càssia Rocha; Lopes, Regina Lúcia Mendonça
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 4, S 3327-3338
Inhalt: Objective: understand the experience of women with cervical cancer precursor lesions. Method: phenomenological study, with the reduction, construction, and destruction steps. Data interpretation was performed through Heidegger's comprehensive analysis. Results: the phenomena unveiled were related to women's doubts, due to lack of diagnosis; changes in relationships with partners; difficulties in making friends; family importance; coping strategies; relationship with health professionals and distrust in care; shame and embarrassment to undergo the Pap test; and fear of death. Conclusion: it was found that there is an urgent need to resize the care for a woman with cervical cancer precursor lesions, given the challenge of understanding the need that a health professional provides care from the Heideggerian perspective, establishing a relationship of being-with-the-other, appreciating her as a subject of possibilities.
Schlagwörter:Erfahrung; experience; woman; Krebs; cancer; Gesundheitsversorgung; health care; soziale Faktoren; social factors; Phänomenologie; phenomenology; Gesundheit; health; Arzt; physician; Arzt-Patient-Beziehung; physician-patient relationship; Familie; family; soziale Beziehungen; social relations; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
The meaning of humanized childbirth for pregnant women
Titelübersetzung:Significado de parto humanizado para gestantes
Autor/in:
Versiani, Clara de Cássia; Barbieri, Márcia; Gabrielloni, Maria Cristina; Fustinoni, Suzete Maria
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 1, S 1927-1935
Inhalt: Objective: To understand the meaning of a humanized childbirth in the conception of pregnant women. Method: This was a descriptive study of a qualitative nature with a phenomenological approach. Semistructured interviews were conducted with 15 pregnant women enrolled in an outpatient prenatal care at a university hospital in the city of Montes Claros/MG. Results: The central unveiled theme was: Understanding the humanized childbirth as one in which the professional has as prerogative the empathic relationship and technical expertise enabling the woman to experience labor and delivery as the physiological protagonist during the process. Conclusion: The pregnant women define the humanized childbirth based on the philosophical bases of childbirth humanization and birth advocated by the Ministry of Health, which has the interpersonal relationship and competent assistance as principles.
Schlagwörter:Humanisierung; humanization; Geburt; birth; woman; Schwangerschaft; pregnancy; Geburtshilfe; obstetrics; Gesundheitsvorsorge; health care
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Perception of nurses on humanization in nursing care in immediate puerperium
Titelübersetzung:Percepção de enfermeiros sobre a humanização na assistência de enfermagem no puerpério imediato
Autor/in:
Cassiano, Alexandra do Nascimento; Araújo, Mércio Gabriel de; Holanda, Cristyanne Samara Miranda de; Costa, Roberta Kaliny de Souza
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 1, S 2051-2060
Inhalt: Objective: To study the perception of nurses about the humanization of postpartum care in a public hospital in Seridó region, Rio Grande do Norte (RN). Method: this is an exploratory and descriptive study with a qualitative approach. The subjects were nurses who attend postpartum women during the postpartum period in hospital settings. Results: in the perception of nurses, humanization corresponds to adopting a different position before care, with the establishment of relationships wrapped in feelings of empathy, respect and affection. It also emerged the understanding that this is a complex process that involves the articulation of different levels of care, management of health institutions and good condition of infrastructure and human resources. Conclusion: the humanization is seen primarily as a subjective practice gifted of affective feelings toward the mothers, although enlarged conceptions have arisen.
The quality of an integrated network: accessibility and coverage in prenatal care
Titelübersetzung:A qualidade de uma rede integrada: acessibilidade e cobertura no pré-natal
Autor/in:
Silva, Luana Asturiano da; Alves, Valdecyr Herdy; Rodrigues, Diego Pereira; Padoin, Stela Maris de Mello; Branco, Maria Bertilla Lutterbach Riker; Souza, Rosangela de Mattos Pereira de
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 2, S 2298-2309
Inhalt: Objective: analyzing the values expressed in the speech of women/mothers in the accessibility of monitoring examinations of prenatal care. Method: a phenomenological, descriptive, exploratory study with a qualitative approach. There were interviwed fifty women/pregnant of the Prenatal Program of Niteroi, Rio de Janeiro, Brazil. The data analyzed allowed formulating themes articulated with the Theory of Values. Results: barriers experienced by women on laboratory/images examinations: delay in results, misinformation and lack of a service of quality, a value considered of vital use for them. We realize the need for change in monitoring prenatal, considering a network of unified and integrated health with quality services at different levels of care, promoting wellness, comfort and safety to pregnant women as a vital value to their health. Conclusion: the health network should be unified for a better quality of services offered to women.
Schlagwörter:woman; Mutterschaft; motherhood; Schwangerschaft; pregnancy; Gesundheitsvorsorge; health care; Netzwerk; network; Dienstleistung; service; Gesundheit; health; Wertsystem; value system; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
The profile of hypertensive women in climacterium attended at the program hiperdia
Titelübersetzung:O perfil de mulheres hipertensas no climatério atendidas no programa hiperdia
Autor/in:
Pasklan, Amanda Namíbia Pereira; Sardinha, Ana Hélia de Lima; Nascimento, Jucian Silva do; Gomes, Bruna
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 6 (2014) 1, S 249-260
Inhalt: Objective: To characterize climacteric women according to the socio-economic and demographic profile, beyond analyzing the life habits and food and clinical-laboratorial profiles and gynecological characteristics. Methods: This is a descriptive study, of a quantitative approach, evaluated with 59 hypertensive women in climacterium, enrolled in Hiperdia, the Program of the Ministry of Health in São Luís-Maranhão. Results: It was found that this group is characterized mostly by women withbrown color, in old age, with low education, working at home, have no smoking or consuming alcohol, do not exercise, do diet, already entered to menopause starting between 45 and 49 years old. Conclusion: It was found in this study the importance of health professionals of this level of complexity to develop strategies for early diagnosis, prevention, health promotion to hypertensive women during the climacterium.
Schlagwörter:woman; Klimakterium; menopause; Gesundheit; health; Gesundheitsförderung; health promotion; Prophylaxe; prophylaxis; Gesundheitsvorsorge; health care; Lebensweise; way of life; soziale Faktoren; social factors; demographische Faktoren; demographic factors; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Sociodemographic factors associated with mortality of women in fertile age in Rio Grande do Norte
Titelübersetzung:Fatores sociodemográficos associados com a mortalidade de mulheres em idade fértil no Rio Grande do Norte
Autor/in:
Lima, Iraci Duarte de; França, Thaís Lorena Barbosa de; Silva, Juliano José; Silva, Kamila Maiane Pessoa da
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 6 (2014) 4, S 1464-1474
Inhalt: Objective: Identifying sociodemographic factors associated with mortality of women in fertile age in Rio Grande do Norte in the period from 2006 to 2010. Method: a descriptive, quantitative study with collected data through the Mortality Information System and processed by the test of association chi-square. Results: 59.1% of the deaths occurred from preventable causes and the main underlying causes: cancer, heart disease and circulatory system and external causes. Deaths grow proportionally with age and were associated with: educational attainment, occupation and origin of the institution of occurrence. Conclusion: the results indicate weaknesses in the quality of care and point to the need of investing in actions that reduce inequality in access to primary care services that ensure quality and resolution at all levels of health care.
Schlagwörter:woman; Gesundheit; health; Sterblichkeit; mortality; Ursache; cause; Gesundheitsversorgung; health care; soziale Faktoren; social factors; demographische Faktoren; demographic factors; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung