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
Erzählen als Politikum - Erzählen als Hebammen und Elternprotest? Die Aktion Erzählcafés 'Der Start ins Leben'
Titelübersetzung:Storytelling as a political event - storytelling as a means of protest for parents and midwives? The "Storytelling Café - A Good Start in Life" project
Autor/in:
Colloseus, Cecilia
Quelle: GENDER - Zeitschrift für Geschlecht, Kultur und Gesellschaft, 9 (2017) 2, S 78-90
Inhalt: "Der vorliegende Beitrag stellt das bundesweite Kooperationsprojekt Erzählcafés 'Der Start ins Leben' vor. 2014 initiiert, will dieses Projekt Erfahrungen von Schwangeren und Gebärenden, aber auch von Vätern, Hebammen und Ärzt_innen sichtbar machen und diese dem negativ konnotierten Diskurs um die politische Situation der Geburtshilfe in Deutschland entgegenstellen. Es werden die Entstehung, das Vorgehen und die zentralen Ergebnisse der Aktion vorgestellt. Abschließend wird diskutiert, inwiefern die Aktion Erzählcafés Impulse sowohl für politische Protestformen und Veränderungen als auch für sozialwissenschaftliche Methodenentwicklung (im Sinne der partizipativen Forschung) geben kann." (Autorenreferat)
Inhalt: "This article presents the Germany-wide project Erzählcafés 'Der Start ins Leben' (Storytelling Café - A Good Start in Life) that was launched in 2014 as part of the political protest around birth and obstetrics that is ongoing in Germany. Its aim is to make the experiences of pregnant and birthing women, fathers, midwives and doctors visible in order to provide an alternative to the negative view of obstetrics in Germany. First, the political circumstances will be described. In a second step, the method and main results of the project will be presented. Finally, I discuss whether and how the project may be of use for bringing about political change as well as for developing new methods for the social sciences." (author's abstract)
Schlagwörter:Schwangerschaft; pregnancy; Geburtshilfe; obstetrics; Hebamme; midwife; Mutter; mother; Vater; father; Körper; body; Diskurs; discourse; Gesundheitsversorgung; health care; Geburt; birth; Erzählung; narrative; Erfahrung; experience; Federal Republic of Germany; Gebären; Erzählcafé; Narrative based Medicine; Hebammenprotest; partizipative Forschung
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.
Titelübersetzung:Gendered Innovation in Gesundheit und Medizin
Autor/in:
Schiebinger, Londa; Klinge, Ineke
Quelle: GENDER - Zeitschrift für Geschlecht, Kultur und Gesellschaft, 7 (2015) 2, S 29-50
Inhalt: "'Gendered Innovations' integriert eine Sex und Genderanalyse in alle Phasen der biomedizinischen und Gesundheitsforschung, um Exzellenz und Qualität auf Ergebnisseite zu sichern. Der Beitrag stellt die interdisziplinären internationalen Kooperationsbemühungen dar, in deren Rahmen sowohl zeitgemäße Methoden der geschlechterfokussierten Analyse im Bereich von Gesundheit und Medizin entwickelt als auch Fallstudien durchgeführt wurden: zur Osteoporoseforschung bei Männern, zu genetischen Faktoren der Geschlechtsbestimmung, Herzerkrankungen bei Frauen, Stammzellenforschung, Tierversuchen, Nutrigenomik und zum 'Degendering' bei Knieimplantaten. Der Beitrag schließt mit einem kurzen Blick auf kanadische, US-amerikanische und europäische Gesundheitsinstitute, medizinische Curricula und den Umgang peer-reviewter Zeitschriften mit Forschungsberichten über Sex-/Genderanalysen" (Autorenreferat)
Inhalt: "'Gendered Innovations' integrates sex and gender analysis into all phases of biomedical and health research to assure excellence and quality in outcomes. This article reports on the interdisciplinary, international collaboration that produced: 1) state-of-the-art methods of sex and gender analysis for health and medicine; and 2) case studies to illustrate how gender analysis leads to discovery in biomedicine and better outcomes in health research: osteoporosis research in men, the genetics of sex determination, heart disease in women, stem cell research, animal research, nutrigenomics and degendering knee implants. The article concludes with a short review of policy at the Canadian, US, and European institutes of health, medical curricula, and policies for peer-reviewed journals in relation to reporting sex/gender analysis in research." (Autorenreferat)
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
Sexual behavior in the elderly watched family health strategy
Titelübersetzung:Comportamento sexual de idosos assistidos na estratégia saúde da família
Autor/in:
Luz, Adão Charles Gomes; Machado, Ana Larissa Gomes; Felipe, Gilvan Ferreira; Teixeira, Emmanuela Moura; Silva, Maria Josefina da; Marques, Marilia Braga
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 2, S 2229-2240
Inhalt: Objective: To analyze the sexual behavior of elderly assisted on primary health care. Method: Transversal study, exploratory and quantitative. Results: The sample was comprised of 130 elderly people, these 60,8% were male, showing age between 60 and 92 years, with an average of 69 ± 7,04 years. With respect to the sexual profile, 63,1% elderly had active sex life, being more frequent among men with stable or married. With regard to sexual desire, 30% reported having no more desire for sexual practices, represented mostly by women and 12,3% maintained total desire, with most men. Among the sexually active seniors, 17% use some preventive method for sexually transmitted diseases. Conclusion: Highlights that there is a gradual decrease in the frequency of interest and sexual practices with age, reinforces the necessity of educational action of nurses in primary health care for the elderly.
Schlagwörter:alter Mensch; elderly; Sexualverhalten; sex behavior; Sexualität; sexuality; Grundversorgung; basic supply; Gesundheitsversorgung; health care
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.