Tagma Marina Schneider Donelli

O antes e o depois: expectativas e experiências de mães sobre o parto

Labour represents an important event in a womans life, having a deep impact on the physical, emotional and social domains. It is anticipated during pregnancy, in the womans fantasies and will be relived in the mothers memories. The present longitudinal study investigated the expectations and the later report of the labour experience of 28 primiparous women, aged 20 to 37. Individual interviews were carried out during the 3rd trimester of pregnancy and 3 months after labour. Qualitative content analysis indicated that mothers reported, during pregnancy, both positive and negative expectations regarding herself and the baby during labour. As far as labour experience is concerned, there was a trend towards polarization, with some mothers reporting only positive feelings whereas others reported only negative ones. Supporting the initial expectation of the study, the results show that labour is an event which encompasses the whole process of pregnancy and postpartum having a deep impact on the mothers history.

A place where verbalisation has no meaning

Abstract This paper, which is based on observations of women in labour in the obstetric centre of a public hospital, describes the challenges for mothers, as well as for the observer, who enters the ‘sacred place’, a place where verbalisation has no meaning. We hope to show that perhaps the greatest challenge for the observer is to reconnect with the helplessness which accompanies human beings from the beginning to the end of life. In childbirth, we suggest, the experience of both physical and emotional regression psychically challenges most women to the limit. The paper draws on previous experience of applying Bicks infant observation method and on Winnicotts theory of primitive emotional development. The paper assumes that the mothers primitive psychic and physical experiences during labour and delivery reflect a state of regression which develops during pregnancy and continues for some time after delivery. This is assumed to enable the mother to connect with her baby and his state of helplessness.

Writing as a challenge in the observer's journey through the Bick method of infant observation

Abstract This paper discusses certain challenges in the observers journey throughout the three stages of the Bick method of infant observation (observation, written report and seminar group discussion), with special emphasis on writing. One of the biggest challenges of writing, in this context, is communicating something which was experienced in a predominantly sensory and solitary way. The observer finds him or herself exposed to a series of sensations that emerge again at the stage of the written report, and which are shared with the seminar group. In this journey, we could consider a fourth, optional stage in the method – the publication of the observational material for research purposes. As in the second stage, once again, the observer is confronted with the challenge of writing and communicating an experience. It is relevant to note that the challenge of writing is present throughout the observers journey, especially when this writing needs to be published.

Unveiling the emotional experience of delivery through the Bick Method

O presente estudo aplicou o Metodo Bick, para fins de pesquisa, com o objetivo de desvendar e conhecer a vivencia emocional da mulher sobre o parto. Foram realizadas observacoes em um centro obstetrico durante dezenove meses. As observacoes foram relatadas, supervisionadas e posteriormente analisadas. Os dados apontam o parto como um momento potencialmente desorganizador, capaz de produzir sobrecarga emocional e desencadear estado de vulnerabilidade psiquica nas mulheres, produzindo impacto emocional tambem no observador e na equipe. Foi constatado o uso de mecanismos defensivos na equipe, que prejudicava a interacao profissional-paciente. A aplicacao do Metodo Bick possibilitou a aproximacao da vivencia emocional do parto atraves da disponibilidade psiquica e da postura nao-intrusiva do observador. O estudo sugere a necessidade de revisar praticas relacionadas ao manejo dos aspectos emocionais das parturientes. Implicacoes clinicas e para a pesquisa tambem sao abordadas.

Revelando la experiencia emocional del parto por el Método Bick

O presente estudo aplicou o Metodo Bick, para fins de pesquisa, com o objetivo de desvendar e conhecer a vivencia emocional da mulher sobre o parto. Foram realizadas observacoes em um centro obstetrico durante dezenove meses. As observacoes foram relatadas, supervisionadas e posteriormente analisadas. Os dados apontam o parto como um momento potencialmente desorganizador, capaz de produzir sobrecarga emocional e desencadear estado de vulnerabilidade psiquica nas mulheres, produzindo impacto emocional tambem no observador e na equipe. Foi constatado o uso de mecanismos defensivos na equipe, que prejudicava a interacao profissional-paciente. A aplicacao do Metodo Bick possibilitou a aproximacao da vivencia emocional do parto atraves da disponibilidade psiquica e da postura nao-intrusiva do observador. O estudo sugere a necessidade de revisar praticas relacionadas ao manejo dos aspectos emocionais das parturientes. Implicacoes clinicas e para a pesquisa tambem sao abordadas.

Descortinando a vivência emocional do parto através do Método Bick

O presente estudo aplicou o Metodo Bick, para fins de pesquisa, com o objetivo de desvendar e conhecer a vivencia emocional da mulher sobre o parto. Foram realizadas observacoes em um centro obstetrico durante dezenove meses. As observacoes foram relatadas, supervisionadas e posteriormente analisadas. Os dados apontam o parto como um momento potencialmente desorganizador, capaz de produzir sobrecarga emocional e desencadear estado de vulnerabilidade psiquica nas mulheres, produzindo impacto emocional tambem no observador e na equipe. Foi constatado o uso de mecanismos defensivos na equipe, que prejudicava a interacao profissional-paciente. A aplicacao do Metodo Bick possibilitou a aproximacao da vivencia emocional do parto atraves da disponibilidade psiquica e da postura nao-intrusiva do observador. O estudo sugere a necessidade de revisar praticas relacionadas ao manejo dos aspectos emocionais das parturientes. Implicacoes clinicas e para a pesquisa tambem sao abordadas.