Selling Beautiful Births: The Use of Evidence by Brazil’s Humanised Birth Movement
نویسندگان
چکیده
Abstract Maternal health care continues to be excessively medicalised in many national systems. Global, national, and local level policy initiatives seek normalise low-risk birth optimise the use of clinical interventions, informed by strong evidence supporting that is centred on women’s preferences needs. Challenges remain translating into practice settings where primarily clinician-led hospital-based, such as Brazil. I conducted an ethnography movement for humanised childbirth São Paulo between 2015 2018. draw interviews focus groups with members (including mothers, doulas, midwives, obstetricians, politicians, programme leads, researchers), observations facilities implementing protocols, state council meetings, key fora conferences, campaigning events, social media). Key actors this have been involved development implementation evidence-based programmes “humanise” childbirth. Scientific used strategically alongside rights-based language, “obstetric violence”, legitimise moral ideological aims. When faced resistance from pro-c-section doctors, make other strategies improve access quality care, stimulating demand private sector. In Brazil, has led a greater public awareness risks excessive medicalisation but can reinforce existing inequalities high-quality maternity care. Lessons might drawn wider relevance policymakers are trying reduce iatrogenic harm unnecessary interventions supporters normal working barriers midwifery-led, woman-centred
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ژورنال
عنوان ژورنال: Global maternal and child health
سال: 2022
ISSN: ['2522-8390', '2522-8382']
DOI: https://doi.org/10.1007/978-3-030-84514-8_11