• Cadernos de saúde pública · Nov 2013

    [Institutional violence, medical authority, and power relations in maternity hospitals from the perspective of health workers].

    • Janaina Marques de Aguiar, Ana Flávia Pires Lucas d'Oliveira, and Lilia Blima Schraiber.
    • Faculdade de Medicina, Universidade de São Paulo, São Paulo.
    • Cad Saude Publica. 2013 Nov 1;29(11):2287-96.

    AbstractThe current article discusses institutional violence in maternity hospitals from the health workers' perspective, based on data from a study in the city of São Paulo, Brazil. Eighteen health workers from the public and private sectors were interviewed, including obstetricians, nurses, and nurse technicians. A semi-structured interview was used with questions on professional experience and the definition of violence. The analysis revealed that these health workers acknowledged the existence of discriminatory and disrespectful practices against women during prenatal care, childbirth, and the postpartum. Examples of such practices cited by interviewees included the use of pejorative slang as a form of "humor", threats, reprimands, and negligence in the management of pain. Such practices are not generally viewed by health workers as violent, but rather as the exercise of professional authority in what is considered a "difficult" context. The institutional violence is thus trivialized, disguised as purportedly good practice (i.e., "for the patient's own good"), and rendered invisible in the daily routine of care provided by maternity services.

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