Perineal trauma as an existential change: a qualitative study with women experiencing humanized birth

Objective: To investigate how women experienced perineal trauma during a humanized birth. Methods: A qualitative study with 22 postpartum women was performed from January to December 2018. The Husserlian phenomenology was used as theoretical framework using individual, in-depth interviews that we...

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Main Authors: Raquel Vivancos, Aline Almeida, Fabiana Mamede, Alessandra Marcolin, Pedro Henrique Martins Valério, Luiz Gustavo Oliveira Brito
Format: Article
Language:Portuguese
Published: Universidade de São Paulo 2022-02-01
Series:Medicina
Subjects:
Online Access:https://www.revistas.usp.br/rmrp/article/view/182626
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author Raquel Vivancos
Aline Almeida
Fabiana Mamede
Alessandra Marcolin
Pedro Henrique Martins Valério
Luiz Gustavo Oliveira Brito
author_facet Raquel Vivancos
Aline Almeida
Fabiana Mamede
Alessandra Marcolin
Pedro Henrique Martins Valério
Luiz Gustavo Oliveira Brito
author_sort Raquel Vivancos
collection DOAJ
description Objective: To investigate how women experienced perineal trauma during a humanized birth. Methods: A qualitative study with 22 postpartum women was performed from January to December 2018. The Husserlian phenomenology was used as theoretical framework using individual, in-depth interviews that were audio-taped and transcribed verbatim. Results: Twenty-four categories emerged from women´s reports. During the prenatal phase, we found lack of information regarding perineal trauma, the alterity as a facilitating process to incentive women towards vaginal delivery and the perception of the beginning of an existential transition. During labor, it was noticed trust and attachment with the health professional giving physical and emotional support, the fear of the unknown linking to insecurity, the need for internal surrender to the process, empowerment as a result of trust and commitment, to give herself to the moment and no concerns with intrapartum injury but at the same time, having the possibility to share a decision-making process of suturing(or not). The postpartum period has shown the completion of the existential transition, the body as a place of estrangement, the loosening of some ties, but the construction of new networks of personal support to overcome postpartum. Conclusions: Most of women after humanized birth perceived perineal trauma as an existential transition that was initiated during antenatal period.
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spelling doaj.art-5fe9b3af228e451ba86bfb4f04a2615a2022-12-21T19:29:31ZporUniversidade de São PauloMedicina0076-60462176-72622022-02-01544Perineal trauma as an existential change: a qualitative study with women experiencing humanized birthRaquel Vivancos0Aline Almeida1Fabiana Mamede2Alessandra Marcolin3Pedro Henrique Martins Valério4Luiz Gustavo Oliveira Brito5University of São PauloUniversity of São PauloUniversity of São PauloUniversity of São PauloUniversity of São PauloUniversity of São Paulo Objective: To investigate how women experienced perineal trauma during a humanized birth. Methods: A qualitative study with 22 postpartum women was performed from January to December 2018. The Husserlian phenomenology was used as theoretical framework using individual, in-depth interviews that were audio-taped and transcribed verbatim. Results: Twenty-four categories emerged from women´s reports. During the prenatal phase, we found lack of information regarding perineal trauma, the alterity as a facilitating process to incentive women towards vaginal delivery and the perception of the beginning of an existential transition. During labor, it was noticed trust and attachment with the health professional giving physical and emotional support, the fear of the unknown linking to insecurity, the need for internal surrender to the process, empowerment as a result of trust and commitment, to give herself to the moment and no concerns with intrapartum injury but at the same time, having the possibility to share a decision-making process of suturing(or not). The postpartum period has shown the completion of the existential transition, the body as a place of estrangement, the loosening of some ties, but the construction of new networks of personal support to overcome postpartum. Conclusions: Most of women after humanized birth perceived perineal trauma as an existential transition that was initiated during antenatal period. https://www.revistas.usp.br/rmrp/article/view/182626Humanized birthPerineal traumaPhenomenologyMidwife
spellingShingle Raquel Vivancos
Aline Almeida
Fabiana Mamede
Alessandra Marcolin
Pedro Henrique Martins Valério
Luiz Gustavo Oliveira Brito
Perineal trauma as an existential change: a qualitative study with women experiencing humanized birth
Medicina
Humanized birth
Perineal trauma
Phenomenology
Midwife
title Perineal trauma as an existential change: a qualitative study with women experiencing humanized birth
title_full Perineal trauma as an existential change: a qualitative study with women experiencing humanized birth
title_fullStr Perineal trauma as an existential change: a qualitative study with women experiencing humanized birth
title_full_unstemmed Perineal trauma as an existential change: a qualitative study with women experiencing humanized birth
title_short Perineal trauma as an existential change: a qualitative study with women experiencing humanized birth
title_sort perineal trauma as an existential change a qualitative study with women experiencing humanized birth
topic Humanized birth
Perineal trauma
Phenomenology
Midwife
url https://www.revistas.usp.br/rmrp/article/view/182626
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