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      VIOLÊNCIA CONTRA A MULHER: PERCEPÇÕES DE PROFISSIONAIS DA SAÚDE DE UMA MATERNIDADE Translated title: VIOLENCIA CONTRA LAS MUJERES: PERCEPCIONES DE LOS PROFESIONALES DE LA SALUD DE UNA MATERNIDAD Translated title: VIOLENCE AGAINST WOMEN: PERCEPTIONS OF MATERNITY HEALTH PROFESSIONALS

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          Abstract

          RESUMO Objetivo: conhecer a percepção dos profissionais de saúde acerca do atendimento às mulheres em situação de violência que são atendidas no Hospital Sofia Feldman em Belo Horizonte, Minas Gerais. Métodos: estudo descritivo de abordagem qualitativa realizado de maio a junho de 2018. Foram incluídos no estudo 21 profissionais que atuam na assistência direta à mulher na maternidade e no pronto-atendimento ou que estabelecem contato com mulheres em situação de violência durante o acompanhamento na instituição. Os dados foram obtidos por meio da técnica de grupo focal, realizando o total de quatro grupos focais, com duração média de 50 minutos e submetidos à análise de conteúdo na modalidade temática. Resultados: na análise dos dados foram identificadas as seguintes categorias -formas de manifestação da violência contra a mulher; como a mulher expressa que se encontra em situação de violência; o que fazem os profissionais de saúde frente à mulher em situação de violência; rede de apoio à mulher em situação de violência. As distintas formas de violência configuram um desafio para os profissionais de saúde, que se sentem despreparados para lidar com as necessidades de cuidado das mulheres que vivem em situação de violência. Conclusão: percebe-se a necessidade de treinamentos, capacitações, criações de protocolos e a promoção de um trabalho multiprofissional para um atendimento integral à saúde de mulheres em situação de violência.

          Translated abstract

          RESUMEN Objetivo: conocer la percepción de los profesionales de la salud sobre la atención a las mujeres en situación de violencia que son atendidas en el Hospital Sofia Feldman en Belo Horizonte, Minas Gerais. Métodos: estudio descriptivo con abordaje cualitativo realizado de mayo a junio de 2018. Fueron incluidos 21 profesionales que laboran en la atención directa a la mujer en los servicios de maternidad y atención de emergencia o que establecen contacto con mujeres en situación de violencia durante el seguimiento en la institución. Los datos se obtuvieron mediante la técnica de grupos focales, realizando un total de cuatro grupos focales, con una duración promedio de 50 minutos y sometidos a análisis de contenido en la modalidad temática. Resultados: en el análisis de los datos se identificaron las siguientes categorías - formas de manifestación de la violencia contra la mujer; cómo las mujeres expresan que están en situación de violencia; qué hacen los profesionales de la salud con las mujeres en situación de violencia; Red de apoyo a mujeres en situación de violencia. Las diferentes formas de violencia representan un desafío para los profesionales de la salud, quienes se sienten poco preparados para atender las necesidades de atención de las mujeres en situación de violencia. Conclusión: existe la necesidad de formación, capacitación, elaboración de protocolos y promoción del trabajo multidisciplinario para la atención integral de la salud de la mujer en situación de violencia.

          Translated abstract

          ABSTRACT Objective: to know the perception of health professionals about the care of women in situations of violence who are assisted at Hospital Sofia Feldman in Belo Horizonte, Minas Gerais. Methods: this is a descriptive study with a qualitative approach carried out from May to June 2018. Twenty-one professionals who work in direct assistance to women in the maternity and emergency care services or who establish contact with women in situations of violence during follow-up at the institution were included in the study. Data were obtained through the focus group technique, performing a total of four focus groups, with an average duration of 50 minutes, and submitted to content analysis in the thematic modality. Results: in the data analysis, the following categories were identified - ways of manifestation of violence against women; how women express that they are in a situation of violence; what health professionals do with women in situations of violence; support network for women in situations of violence. The different forms of violence represent a challenge for health professionals, who feel unprepared to deal with the care needs of women living in situations of violence. Conclusion: there is a clear need for training, qualification, creation of protocols, and the promotion of multidisciplinary work for comprehensive health care for women in situations of violence.

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          Most cited references24

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          O desafio do conhecimento: pesquisa qualitativa em saúde

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            World report on violence and health: summary

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              Exploring the Prevalence and Correlates Associated With Intimate Partner Violence During Pregnancy in Bangladesh

              Intimate partner violence (IPV) during pregnancy is known to have multiple detrimental consequences for the woman and potentially for her unborn child. However, little is known about the nature and extent of IPV during pregnancy, particularly in developing countries, which compromises efforts to address the problem. Relying on population-based data, this article examines the extent, patterns, and correlates associated with physical, sexual, and psychological IPV during pregnancy in Bangladesh. Cross-sectional survey data were collected between October 2015 and January 2016 from 426 new mothers, aged 15 to 49 years, who were in the first 6 months postpartum. IPV was assessed with a validated set of survey items. Multivariate logistic regression analyses were conducted to evaluate correlates associated with different types of IPV. Overall, 66.4% of women experienced any IPV during pregnancy. The prevalence of physical, sexual, and psychological IPV was 35.2%, 18.5%, and 65%, respectively. These forms of IPV often overlap, particularly physical and psychological IPV. Pregnant women who report limited social support and have controlling husbands are at significantly increased risk for all three types of IPV during pregnancy. Women who cling to traditional gender roles and those with low self-esteem exhibit increased risk for physical and psychological IPV during pregnancy. Psychological IPV during pregnancy is also correlated with low decision-making autonomy and childhood exposure to violence. Women whose husband's demand a dowry at marriage are at increased risk of sexual IPV during pregnancy. Results reinforce the need to conduct routine screening during pregnancy to identify women with a history of IPV and to be able to offer help and support. The findings also reinforce calls for gender equity and women's equal access to family and social resources thereby increasing women's social support networks, their self-esteem, and autonomy, and reducing their risk of IPV during pregnancy.
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                Author and article information

                Journal
                reme
                Reme: Revista Mineira de Enfermagem
                Reme : Rev. Min. Enferm.
                Escola de Enfermagem da Universidade Federal de Minas Gerais-UFMG (Belo Horizonte, MG, Brazil )
                1415-2762
                2316-9389
                2021
                : 25
                : e-1390
                Affiliations
                [1] Belo Horizonte MG orgnameHospital Sofia Feldman - HSF Brasil
                Article
                S1415-27622021000100229 S1415-2762(21)02500000229
                10.5935/1415.2762.20210038
                9fbd457e-9d00-483f-b40a-f812e6728524

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 22 September 2020
                : 17 June 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 24, Pages: 0
                Product

                SciELO Revista de Enfermagem

                Categories
                Pesquisa

                Salud de la Mujer,Violencia de Pareja,Violencia contra la Mujer,Assistência Integral à Saúde,Saúde da Mulher,Violência por Parceiro Íntimo,Violência contra a Mulher,Atención Integral de Salud,Violence Against Women,Intimate Partner Violence,Women´s Health,Comprehensive Health Care

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