Rita de Cássia Rocha Moreira

A fenomenologia como possibilidade de um olhar atentivo para as práticas obstétricas

Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brazil. Confl icts of interest: none to declare. Abstract Objective: Understand meanings of midwifery practices in care for women ready to give birth at a public hospital according the postpartum women. Methods: Heideggerian phenomenological study developed at a public hospital. The participants were 06 women over 18 years of age in the immediate postpartum. The phenomenological interview was applied as the data collection technique between January and May 2017. In the comprehensive analysis, the movements of phenomenological reduction, construction and destruction were followed, in accordance with the theoretical philosophical framework of Martin Heidegger and phenomenology experts. Results: The women experience the parturition phenomenon in the form of fear and solicitude and in the opening of the disposition towards oneself, represented by the existential structures described in the units of meaning: A – Fear in the normal birth experience – the woman’s perspective. B – The woman’s solicitude in the disposition to be herself, experiencing care as being there in the parturition process. Conclusion: There is a mismatch between evidence-based practices, comprehensive care and the daily reality of care for women ready to give birth, which is linked to the inauthentic mode of care, constantly occupied, and to the they. We argue that the practices implemented in the parturition process should be based on comprehensive solicitude, centered on the woman’s existential dimensions, and linked to the horizon of the existentiality and to the open way of being-in-the-world.

Prevention of cervical cancer in pregnant women: a phenomenological study

Problem: pap smear tests during pregnancy are part of pre-natal care routines. However, many pregnant women are not well informed regarding the importance of the exam. Aim: to understand the perception of cervical cancer from the point-of-view of pregnant women. Method: this is a Heideggerean phenomenological study, based on the methodological steps of phenomenological reduction, construction, and destruction. The development of this study followed the ethical standards described in Resolution 196/96. Results: the results show that pregnant women who experience the prevention of cervical cancer try to ignore the word ‘cancer,’ when referring to the possibility of being sick, as seen when they speak and the way they discuss the relationship between themselves and the health professionals. Conclusion: we need to deal with the challenge to recognize the fragility of the biomedical model to take care of the health of women, aiming to achieve more comprehensive care.

Sexuality and pregnancy: issues on woman's life – literature review

This article, constructed from a literature review, presents considerations on woman’s health, referring to issues of sexuality and human reproduction, pointed from a social, economical and cultural context. Considers the identity crisis lived not just by the pregnant, as well as be present at her partner, since the maternity experience could demand a previous lost of identity and the search of another not well defined. Points out considerations about the health professional’s actuation, in the rescue of humanization of attention on the cycle pregnancy and puerperal phase, from the establishment of a relation between individuals, based on the well-being integrality, in the perspective that each woman lived her pregnancy in a singular way, reminding that this period could creates doubts, fears, narrowness and fantasies, and the professionals could that can enrich this period of life transmitting more security to the pregnant woman. Keywords: sexuality and pregnancy - crisis identity - womens health.