À margem da humanização?: Experiências de parto de usuárias de uma maternidade pública de Porto Alegre-RS

Abstract

This paper reflects on the experiences of women regarding childbirth care in a public maternity hospital in Porto Alegre-RS. It adopts a human rights perspective, understanding humanization as a broad guarantee of women’s rights to a safe, socially supported and pleasurable parturition. This is an exploratory qualitative study, using participant observation techniques, semistructured interviews and documentary research. Twenty-five postpartum women, aged between 18 and 38, took part in the study. Participant reports and field records were examined through Discourse Analysis. As a result, it was identified a fragmented nature of the practices considered as “humanizing”, linked to protocols of procedures in the management of childbirth and often linked to inflexibility regarding these protocols. The overrating of interventionist technologies/ practices in women’s body, as well as the hierarchies between professionals and users appeared in the reports and the observations. Subjective experiences of motherhood seemed not to be considered and were left on the margins of care. It was identified specific modes of obstetric violence experienced by grassroots women, which are trivialized by the women themselves in accordance with what they expected from a public service. These situations reinforce reproductive hierarchies and end up leaving these pregnant women “on the fringes of humanization”.