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[The working process in labor care in Londrina-PR]
Thelma Malagutti Sodré1, Rúbia Aparecida Lacerda
1Departamento de Enfermagem da Universidade Estadual de Londrina. thelma@sercontel.com.br
Revista Da Escola De Enfermagem Da U S P
|June 5, 2007
Summary
Physicians exclusively control childbirth procedures like fasting and enemas in Londrina, Brazil. This medical decision-making power is reinforced by hospital settings and a clinical model prioritizing provider needs over patient care.
Area of Science:
- Sociology of Health
- Medical Anthropology
- Public Health Policy
Context:
- Investigates delivery care practices in Londrina, Paraná, Brazil.
- Focuses on health professionals' decisions regarding routine childbirth procedures (fasting, enema, trichotomy).
- Utilizes historical and dialectical materialism as a theoretical framework.
Purpose:
- To analyze the decision-making process in childbirth care.
- To identify the elements constituting the working process of health professionals in delivery care.
- To understand the power dynamics and knowledge base influencing procedural prescriptions.
Summary:
- Data collected through interviews with obstetricians, nurses, and a midwife in five institutions.
- Speech analysis and thematic extraction were used for data interpretation.
- Physicians hold exclusive decision-making power, reinforced by medical prescriptions, nursing roles, and the hospital environment.
- The prevailing clinical model emphasizes non-individualized interventions, prioritizing provider needs over the parturient's.
Impact:
- Highlights the concentration of power within the medical profession in childbirth care.
- Critiques the clinical model for its focus on provider-centric rather than patient-centric care.
- Provides insights into the social and systemic factors influencing obstetric interventions.
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