Atuação do enfermeiro no enfrentamento à violência obstétrica revisão integrativa

Abstract

Introduction. The Brazilian Society of Family and Community Medicine (2020), states that obstetric violence against women covers situations such as physical violence, occurred by an unnecessary practice or intervention or without the woman's consent with the use of serum with oxytocin, episiotomy, Kristeller maneuver, use of forceps, deprivation of eating or drinking, moving or choosing the position in which you want to give birth, cesarean section without indication, among others. Objective. To describe the role of nurses in coping with obstetric violence, according to publications produced nationally and internationally on the subject, from 2018 to 2022. Methodology. Integrative literature review, characterized as a method that provides the synthesis of knowledge and the incorporation of the applicability of results of significant studies in practice. This type of study is based on six phases that include: 1) Elaboration of the guiding question; 2) Search or sampling in the literature; 3) Data collection; 4) Critical analysis of included studies; 5) Discussion of results; 6) Presentation of the integrative review. Results and discussions. By searching the LILACS, VHL/BDENF, PubMed/MEDLINE databases, carried out in August 2022, a total of 17 articles were found, of which 04 fully met the inclusion criteria. The studies highlighted the role of the health team in the context of obstetric violence and the understanding of the term for women; identification of obstetric nurses' perceptions about obstetric violence; analysis of the knowledge of puerperal women about obstetric violence and the investigation of a potential link between the mistreatment of women in obstetric care. They emphasized that there is an occurrence of obstetric violence in the reality of health services and that it is associated with the quality of care provided. It was found that providing women with guidance that promotes comprehensive care during the pregnancy-puerperal period, with qualified and holistic care for the mother-child binomial, is essential. Conclusion. It was concluded that there is a need to implement investments, both in research and in professional training so that women's rights are guaranteed. The professional nurse has a significant role within the health team in the adoption of practices that transform the reality around obstetric violence.