The authenticity of women who decided for a natural childbirth: experiences

Elayne Arantes Elias; Dayanne Teresinha Granetto Cardoso Floriani; Letycia Sardinha Peixoto Manhães; Andyara do Carmo Pinto Coelho Paiva; Fabrício Bruno Cardoso; Lauanna Malafaia da Silva; Nelson Augusto Mendes

doi:10.15253/2175-6783.20222372265

Authors

Elayne Arantes Elias Faculdade de Ciências, Educação, Saúde, Pesquisa e Gestão https://orcid.org/0000-0001-5380-8888
Dayanne Teresinha Granetto Cardoso Floriani Faculdade de Ciências, Educação, Saúde, Pesquisa e Gestão https://orcid.org/0000-0001-7831-856X
Letycia Sardinha Peixoto Manhães Faculdade de Ciências, Educação, Saúde, Pesquisa e Gestão https://orcid.org/0000-0003-4224-2158
Andyara do Carmo Pinto Coelho Paiva Universidade Federal de Juiz de Fora https://orcid.org/0000-0002-3567-8466
Fabrício Bruno Cardoso Faculdade de Ciências, Educação, Saúde, Pesquisa e Gestão https://orcid.org/0000-0002-0279-6079
Lauanna Malafaia da Silva Faculdade de Ciências, Educação, Saúde, Pesquisa e Gestão https://orcid.org/0000-0001-8904-5245
Nelson Augusto Mendes Faculdade de Ciências, Educação, Saúde, Pesquisa e Gestão https://orcid.org/0000-0002-5897-484X

DOI:

https://doi.org/10.15253/2175-6783.20222372265

Keywords:

Women; Natural Childbirth; Obstetric Nursing; Qualitative Research; Philosophy.

Abstract

Objective: to understand the meanings of experiences of women who have undergone natural childbirth. Methods: heideggerian qualitative phenomenological research with 14 women carried out through open audiorecorded interviews, transcribed and analyzed whose steps were the routing for constitution of units of meaning, understanding and hermeneutics. Results: most of them decided to give birth normally and this experience meant: having chosen and dreamed of natural birth because it was better, having planned to give birth, having known how the moment would be and that it was a great experience allied to the feeling of being more powerful and strong and that they would advise other women without any regrets. Despite the positive experience, many did not receive information about childbirth. Conclusion: the experience of natural birth proved to be authentic due to the women’s decision, with assertive reports, which is provided by quality assistance by obstetric nursing, active from prenatal to postpartum. Contributions to practice: reflection and strengthening of the obstetric nurse’s actions in this process, which goes from prenatal care to labor, childbirth, and puerperium, following the guidelines of good practice in women’s health care and public health policies.

References

Lopes GDC, Gonçalves AC, Gouveia HG, Armellini CJ. Attention to childbirth and delivery in a university hospital: comparison of practices developed after Network Stork. Rev Latino-Am Enfermagem. 2019;27:e3139. doi: http://dx.doi.org/10.1590/1518-8345.2643-3139

Alvares AS, Corrêa ACP, Nakagawa JTT, Valim MD, Jamas MT, Medeiros RMK. Hospital obstetric practices and their repercussions on maternal welfare. Rev Esc Enferm USP. 2020;54:e03606. doi: https://doi.org/10.1590/S1980-220X2018039003606

Sales JL, Quitete JB, Knupp VMAO, Martins MAR. Childbirth care in a Rio de Janeiro coastal lowlands hospital: challenges for respectful birth. Rev Pesq Cuid Fundam Online 2020;12:108-14. doi:https://doi.org/10.9789/2175-5361.rpcfo.v12.7092

Seijmonsbergen-Schermers AE, Van Den Akker T, Rydahl E, Beeckman K, Bogaerts A, Binfa L, et al. Variations in use of childbirth interventions in 13 high-income countries: a multinational cross-sectional study. PLoS Med. 2020;17(5):e1003103. doi: https://doi.org/10.1371/journal.pmed.1003103

Ayoubi S, Pazandeh F, Simbar M, Moridi M, Zare E, Potrata B. A questionnaire to assess women’s perception of respectful maternity care (WP-RMC): development and psychometric properties. Midwifery; 2020;80:e102573. doi: https://doi.org/10.1016/j.midw.2019.102573

Hadjigeorgiou E, Katsie C, Papadopoulou M, Christofi MD, Christoforou A. Women’s experiences of VBAC in Cyprus: a qualitative study. BMC Pregnancy Childbirth 2021;21(1):766. doi: https://doi.org/10.1186/s12884-021-04193-7

Entringer AP, Pinto M, Dias MAB, Gomes MASM. Análise de custo-efetividade do parto vaginal espontâneo e da cesariana eletiva para gestantes de risco habitual no Sistema Único de Saúde. Cad Saúde Pública; 2018;34(5):e00022517. doi: https://doi.org/10.1590/0102-311X00022517

Souza MA, Cabeça LPF, Melo LL. Pesquisa em enfermagem sustentada no referencial fenomenológico de Martin Heidegger: subsídios para o cuidado. Av Enferm. 2018;36(2):230-7. doi: https://doi.org/10.15446/av.enferm.v36n2.67179

Moreira H. Critérios e estratégias para garantir o rigor na pesquisa qualitativa. Rev Bras Ens Cien Tecnol. 2018;11(1):405-24. doi: https://doi.org/10.3895/rbect.v11n1.6977

Guerrero-Castañeda RF, Menezes TMO, Ojeda-Vargas MG. Characteristics of the phenomenological interview in nursing research. Rev Gaúcha Enferm. 2017;38(2):e67458. doi: https://dx.doi.org/10.1590/1983-1447.2017.02.67458

Braga JO, Thevenaz P. O que é a fenomenologia?: Parte I, a fenomenologia de Husserl. Rev Abordagem Gestalt [Internet]. 2017 [cited Dec 22, 2021]; 23(2):247-56. Available from: http://pepsic.bvsalud.org/pdf/rag/v23n2/v23n2a12.pdf

Hassanzadeh R, Abbas-Alizadeh F, Meedya S, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M. Perceptions of primiparous women about the effect of childbirth preparation classes on their childbirth experience: a qualitative study. Midwifery. 2021;103:103154. doi: https://doi.org/10.1016/j.midw.2021.103154

Arik RM, Parada CMGL, Tonete VLP, Sleutjes FCM. Perceptions and expectations of pregnant women about the type of birth. Rev Bras Enferm. 2019;72(Suppl 3):46-54. doi: https://doi.org/10.1590/0034-7167-2017-0731

Russo J, Nucci M, Silva FL, Chazan LK. Escalando vulcões: a releitura da dor no parto humanizado. Mana. 2019;25(2):519-50. doi: https://doi.org/10.1590/1678-49442019v25n2p519

Alvares AS, Corrêa ACP, Nakagawa JTT, Teixeira RC, Nicolini AB, Medeiros RMK. Humanized practices of obstetric nurses: contributions in maternal welfare. Rev Bras Enferm. 2018;71(suppl 6):2776-83. doi:http://dx.doi.org/10.1590/0034-7167-2017-0290

Ayres LFA, Henriques BD, Amorim WM. A representação cultural de um “parto natural”: o ordenamento do corpo grávido em meados do século XX. Ciênc Saúde Coletiva. 2018;23(11):3525-34. doi: https://dx.doi.org/10.1590/1413-812320182311.27812016

Pereira RM, Fonseca GO, Pereira ACCC, Gonçalves GA, Mafra RA. Novas práticas de atenção ao parto e os desafios para a humanização da assistência nas regiões Sul e Sudeste do Brasil. Ciênc Saúde Coletiva. 2018;23(11):3517-24. doi: https://doi.org/10.1590/1413-812320182311.07832016

Almeida RR, Tolfo R. O conceito de inautenticidade no pensamento heideggeriano de Ser e Tempo. Rev PHILIA. 2019;1(2):461-83. doi: https://doi.org/10.22456/2596-0911.93083

Silva TPR, Dumont-Pena E, Sousa AMM, Amorim T, Tavares LC, Nascimento DCP, et al. Obstetric Nursing in best practices of labor and delivery care. Rev Bras Enferm. 2019;72(Suppl 3):235-42. doi: https://doi.org/10.1590/0034-7167-2018-0561