Vaginal delivery after cesarean: women's perceptions
DOI:
https://doi.org/10.33448/rsd-v11i12.34740Keywords:
Women's health; Vaginal birth after cesarean section; Qualitative research; Labor; Pains of labor.Abstract
Objective: To understand the experience of women who have had a normal birth after a cesarean section. Method: Descriptive study with a qualitative approach. Data collection took place between June and October 2019. Twelve women who had at least one normal delivery after a cesarean section were interviewed, in maternity hospitals that exclusively serve SUS in the 17th Health Regional of Paraná. Data were analyzed by thematic content analysis proposed by Bardin. Results: From the analysis, it was possible to apprehend two thematic units that allowed describing the woman's experience with vaginal delivery after a cesarean. Pain was reported as the most striking event for women when experiencing a vaginal delivery, however, it is minimized after the baby is born, generating satisfaction in relation to this type of delivery when compared to cesarean section. The negative perception of vaginal delivery was related to the time of labor. Only two women revealed satisfaction with the cesarean section, and the others reported physical limitations and contact with the newborn, emphasizing the need for help from other people to perform the care of the newborn. Final considerations: Women prefer vaginal delivery, emphasizing faster recovery and independence to care for the baby.
References
Bardin, L. Análise de conteúdo. Lisboa: Edições 70; 2004
Campos, V.S., Morais, A.C., Araújo, P.O., Morais, A.C., Almeida, B.S., Silva, J.S. Experiência de puérperas com a dor do parto normal. Revista Eletrônica Acervo Saúde. (2020). 40: e2396. https://acervomais.com.br/index.php/saude/article/view/2396.
Carneiro, L. M. A., Paixão G. P. N., Sena C. D., Souza A. R., Silva R.S., Pereira. A. (2015). Parto natural X parto cirúrgico: percepções de mulheres que vivenciaram os dois momentos. Revista de Enfermagem do Centro-Oeste Mineiro. 5(2):1574–1585. http://www.seer.ufsj.edu.br/index.php/recom/article/view/744/859.
Domingues, R. M. S. M., Dias, M.A.B., Nakamura-Pereira, M., Torres, J.A., D'Orsi, E., Pereira, A.P.E. et al. Process of decision-making regarding the mode of birth in Brazil: From the initial preference of women to the final mode of birth. Cadernos de Saude Publica. (2014). 30:101-116. https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2014001300017&lng=en&nrm=iso&tlng=en.
Figueiredo, N.S.V., Barbosa, M.C.A., Silva, T.A.S., Passarini, T.N., Lana, B.N., Barreto, J. Fatores culturais determinantes da escolha da via de parto por gestantes. HU Revista. (2010). 36(4): 296-306. https://periodicos.ufjf.br/index.php/hurevista/article/view/1146.
Leite, M. G., Rodrigues, D. P., Sousa, A. A. S., Melo, L. P. T. & Fialho, A. V. M. (2014). Sentimentos advindos da maternidade: revelações de um grupo de gestantes. Psicologia em estudo. 19(1), 115-24. www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-73722014000100013&lng=en&nrm=iso.
Lavado, M.M., Silveira, C.D., Carniel, D., Hopf, F.S., Dutra, F.W., Rigon, M.L. et al. Fatores associados à via de parto atual em mulheres com cesariana prévia. Arquivos Catarinenses de Medicina (2015) 44(3):11–22. http://www.acm.org.br/acm/seer/index.php/arquivos/article/view/34.
Melo, J.K.F., Davim, R.M.B., Silva, R.R.A. Vantagens e desvantagens do parto normal e cesariano: opinião de puérperas. Revista cuidado é fundamental online. (2015). 7(4): 3197-3205. https://www.redalyc.org/pdf/5057/505750948005.pdf.
Paiva, A.C.P.C., Reis, P.V., Paiva, L.C., Sá Diaz, F.B.B., Luiz, F.S., Carbogim, F.C. Da decisão à vivência da cesariana: a perspectiva da mulher. Revista de Enfermagem do Centro-Oeste Mineiro (2019). 9:e3115. http://www.seer.ufsj.edu.br/index.php/recom/article/view/3115.
Pereira, G.V., Pinto, F. A. Episiotomia: uma revisão de literatura. Ensaios e Ciência Biológicas, Agrárias e da Saúde. (2011). 15(3): 183-196. https://www.redalyc.org/pdf/260/26021120015.pdf.
Pereira, S.B., Diaz, C.M.G., Backes, M.T.S., Ferreira, C.L.L., Backes, D.S. Boas práticas de atenção ao parto e ao nascimento na perspectiva de profissionais de saúde.Revista Brasileira de Enfermagem. (2018). 71: 1393-1399. https://www.scielo.br/pdf/reben/v71s3/pt_0034-7167-reben-71-s3-1313.pdf.
Rezai, S., Labine, M., Gottimukkala, S., Karp, S., Sainvil, L., Isidore, G. et al. Trialof Labor afterCesarean (TOLAC) for Vaginal BirthafterPreviousCesareanSection (VBAC) Versus RepeatCesareanSection; A Review. Obstetrics e GynecologyInternationalJournal. (2016). 4(6): 1–7. https://medcraveonline.com/OGIJ/trial-of-labor-after-cesarean-tolac-for-vaginal-birth-after-previous-cesarean-section-vbac-versus-repeat-cesarean-section-a-review.html
Santos, R.C.S., Riesco, M.L.G. Implementação de práticas assistenciais para prevenção e reparo do trauma perineal no parto. Revista Gaúcha de Enfermagem. (2016). 37: e68304. https://www.scielo.br/scielo.php?pid=S1983-14472016000500410&script=sci_abstract&tlng=pt.
Santos, S., Fabbro, M.R.C. A difícil tarefa de escolher o parto natural. Ciencia e Enfermeria. (2018). 24(11). https://www.scielo.br/scielo.php?pid=S1983-14472016000500410&script=sci_abstract&tlng=pt.
Silva, S. P. C. E., Prates, R. D. C. G., Campelo, B. Q. A. Parto normal ou cesariana? Fatores que influenciam na escolha da gestante. Revista de Enfermagem da UFSM. (2014). 4(1):1–9. https://periodicos.ufsm.br/reufsm/article/view/8861/pdf.
Silva, G.P.S., Jesus, M.C.P., Merighi, M.A.B., Domingos, S.R.F., Oliveira, D.M. Experiência de mulheres com a cesariana sob a ótica da fenomenologia social. Online brazilianjournalofnursing. (2012). (1): p. 5–14. file:///C:/Users/User/Downloads/4214-Article%20Text-19875-1-10-20140520.pdf.
Silva, R.C.F., Souza, B.F., Wernet, M., Fabbro, M.R.C., Assalin, A.C.B., Bussadori, J.C.C. R.C.F. et al. Satisfação no parto normal: encontro consigo. Revista Gaúcha de Enfermagem (2018). 39: e20170218. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472018000100450&lng=pt&nrm=iso.
Silva, T.P.R., Dumont-Pena, E., Sousa, A.M.M., Amorim, T., Tavares, L.C., Nascimento, D.C.P. et al. Enfermagem Obstétrica nas boas práticas da assistência ao parto e nascimento. Revista Brasileira de Enfermagem. (2019). 72: 245-253. https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000900235&lng=pt&nrm=iso&tlng=pt.
Velho, M.B., Santos, E.K.A., Collaço, V.S. Natural childbirthandcesareansection: social representationsofwomenwhoexperiencedthem. Revista brasileira de enfermagem. (2014). 67(2): 282–28. https://www.scielo.br/scielo.php?pid=S0034-71672014000200282&script=sci_abstract.
Velho, M.B., Santos, E.K.A., Brüggemann, O.M., Camargo, B.V. Vivência Do Parto Normal Ou Cesáreo : Revisão integrativa sobre a percepção de mulheres. Texto Contexto Enfermagem. (2012). 21(2): 458–66. https://www.scielo.br/scielo.php?pid=S0104-07072012000200026&script=sci_abstract&tlng=pt
Viana, T. G. F., Martins, E., Sousa, A. M. M., Souza, K., Rezende, E.M., Matozinhos, F.P. Reasons for performing a cesarean section according to the puerperal women reports and the registry of medical records in maternity hospitals in Belo Horizonte. REME: Revista Mineira de Enfermagem. (2018). 22: 1–8. https://www.researchgate.net/publication/324765396_Reasons_for_performing_a_cesarean_section_according_to_the_puerperal_women_reports_and_the_registry_of_medical_records_in_maternity_hospitals_in_Belo_Horizonte.
WORLD HEALTH ORGANIZATION. Who recommendations: intrapartum care for a positive childbirth experience.Geneva: WHO; 2018.
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Copyright (c) 2022 Ana Carolina Souza Morgueti; Ludmilla Laura Miranda ; Adriana Valongo Zani; Rosangela Aparecida Pimenta Ferrari ; Silvana Regina Kissula Souza ; Catia Campaner Ferrari Bernardy
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