Me deixa parir!: medicalização, vulnerabilidade e resiliência no sistema de marketing do parto

Abstract

This research aims to investigate the existence of resilient behaviors in women who gave birth through normal delivery, their construction and their perceptions about this type of delivery, when there was no medical indication for surgical intervention. We also analyzed aspects of the functioning of this market, from the point of view of women, since there is an imbalance in the delivery marketing system, and that pregnant women who want normal delivery, as consumers, may be harmed. To this end, we conducted telephone interviews with women who had vaginal births between November 2017 and August 2021, using a semi-structured script that addressed their childbirth experience, the history of their pregnancy and their relationship with the actors in the delivery system. marketing of childbirth. We also asked questions using two electronic forms, one with sociodemographic questions and the other about obstetric violence and the pandemic. The research has a qualitative and exploratory approach. Data were analyzed using content analysis supported by the ATLAS.ti Cloud software. After transcribing, coding and categorizing these data, the results obtained show that there is a lack of structural, assistance and medical training in the delivery marketing system, which makes it easier for parturients to experience experiences of vulnerability. At the same time, resilient behaviors are developed based on both family and professional support, and on the information that made pregnant women more empowered to decide on their choices regarding vaginal delivery, both in prepartum and during delivery itself. We conclude that there is an urgent need for a change in the delivery marketing system, regarding the provision of physical and medical facilities. Social marketing actions that identify and suggest systemic change at the macro and meso/exo levels need to be carried out. From the implementation of efficient public policies, it is possible to sustain the system in a stable, fair and inclusive way for the majority of interested actors.