Users' and providers' perspectives on technological procedures for 'normal' childbirth in a public maternity hospital in Salvador, Brazil

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Auteur principal: Cecilia McCallum
Format: Artículo científico
Langue:en
Publié: Instituto Nacional de Salud Pública 2008
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author Cecilia McCallum
author_facet Cecilia McCallum
contents Users' and providers' perspectives on technological procedures for 'normal' childbirth in a public maternity hospital in Salvador, Brazil Cecilia McCallum Ana Paula dos Reis Salud Brazil culture health services Obstetric delivery techniques Objective. To reveal the effect of cultural practices on the way in which normal birth is conducted in a public hospital in Brazil. Material and Methods. This article about a public maternity hospital in Salvador, Brazil, compares the points of view of providers and users on four technological normal childbirth procedures: trichotomy, episiotomy, oxytocin infusion, and epidural analgesia. Fieldwork carried out from2002 to 2003 combined qualitative and quantitative methods. Results. Institutional practices make childbirth unnecessarilydifficult for women. Nonetheless, most women accept the conditions because the medical procedures make sense according to their cultural understandings. Service providers support the use of such procedures, although doctors are aware that they contradict recommendations found in scientific medical literature. This article argues that from the perspective of both providers and users, the technologicalprocedures are infused with a culturally specific set of meanings and values. Conclusions. Policymakers must addressthe cultural understandings of both users and health care professionals in order to improve maternal healthcare in public hospitals in Brazil. 2008 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10650107 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.1 Vol.50
format Artículo científico
id redalyc_10650107
institution Redalyc
language en
publishDate 2008
publisher Instituto Nacional de Salud Pública
spellingShingle Users' and providers' perspectives on technological procedures for 'normal' childbirth in a public maternity hospital in Salvador, Brazil
Cecilia McCallum
Salud
Brazil
culture
health services
Obstetric delivery techniques
Users' and providers' perspectives on technological procedures for 'normal' childbirth in a public maternity hospital in Salvador, Brazil Cecilia McCallum Ana Paula dos Reis Salud Brazil culture health services Obstetric delivery techniques Objective. To reveal the effect of cultural practices on the way in which normal birth is conducted in a public hospital in Brazil. Material and Methods. This article about a public maternity hospital in Salvador, Brazil, compares the points of view of providers and users on four technological normal childbirth procedures: trichotomy, episiotomy, oxytocin infusion, and epidural analgesia. Fieldwork carried out from2002 to 2003 combined qualitative and quantitative methods. Results. Institutional practices make childbirth unnecessarilydifficult for women. Nonetheless, most women accept the conditions because the medical procedures make sense according to their cultural understandings. Service providers support the use of such procedures, although doctors are aware that they contradict recommendations found in scientific medical literature. This article argues that from the perspective of both providers and users, the technologicalprocedures are infused with a culturally specific set of meanings and values. Conclusions. Policymakers must addressthe cultural understandings of both users and health care professionals in order to improve maternal healthcare in public hospitals in Brazil. 2008 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10650107 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.1 Vol.50
title Users' and providers' perspectives on technological procedures for 'normal' childbirth in a public maternity hospital in Salvador, Brazil
topic Salud
Brazil
culture
health services
Obstetric delivery techniques
url https://www.redalyc.org/articulo.oa?id=10650107