Normal ou cesárea? Quem decide? Os processos de decisão sobre a via de parto no Brasil: uma revisão integrativa

Abstract

The study aimed to identify what the scientific evidences reveals about the configuration of decision-making processes regarding the type of birth delivery in Brazil. We expect to contribute to the production of knowledge about what happens in maternity hospitals, whether public or private. For this, an integrative literature review was conducted, based on studies carried out on the topic of woman's decision-making process in choosing the type of birth delivery, according to the steps recommended by Whittemore and Knafl (2005). The search and selection of studies took place in the LILACS, MEDLINE and Web of Science databases. Regarding the results, 18 articles were included in this IR, having been gathered according to the types of research, as well as a thematic categorization of their contents. The year of publications ranged between 2013 and 2021, and the majority of authors are from the nursing field. The urgency of changing the birth scenario, whatever it is, is necessary to promote the empowerment of women, so that at this very special moment they do not have to fight, for their rights. Maternal autonomy should be guaranteed in public and private maternity hospitals. The technocratic and hierarchical model is hegemonic, and the women’s physical and psychological health is not the most relevant in this model. For health professionals, this research may arouse reflections about good practices in the daily routine of services, pointing out gaps to be filled with the improvement of conducts, whose care is challenging in the institutional conditions put in place.