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Enfermería: Cuidados Humanizados

versión impresa ISSN 1688-8375versión On-line ISSN 2393-6606

Resumen

CONCEICAO DEMETRIO, Renata; SANTOS FARIAS, Thainá  y  ARAUJO MOREIRA, Michelle. Situations of Obstetric Violence Identified by Doulas in Brazil. Enfermería (Montevideo) [online]. 2026, vol.15, n.1, e4842.  Epub 01-Jun-2026. ISSN 1688-8375.  https://doi.org/10.22235/ech.v15i1.4842.

Introduction:

Obstetric violence is defined as any act committed against a woman during pregnancy, childbirth, the postpartum period, or abortion that causes physical, psychological, sexual, or moral harm.

Objective:

To analyze instances of obstetric violence identified by doulas in Brazil.

Methodology:

A descriptive and exploratory qualitative study grounded in the theory of social representations, conducted between August 2024 and February 2025 in southern Bahia. The study included doulas selected according to pre-established criteria. Data collection was conducted through semi-structured interviews and snowball sampling. Socioeconomic and professional profiles were analyzed using descriptive statistics, and discourses were analyzed using Bardin’s content analysis.

Results:

Participants were between 29 and 59 years old, had between 2 and 10 years of experience, 80 % worked in home and hospital settings, and their monthly incomes ranged from 1 to 6 minimum wages. The situations identified were grouped into verbal, physical, and psychological violence. The accounts reveal a lack of respect for autonomy, verbal insults, impositions, and interventions without consent, reflecting a technocratic and authoritarian model of care.

Conclusion:

Despite the adversities, doulas act as agents of support and empowerment for women, promoting a respectful and humanized birth experience.

Palabras clave : obstetric violence; doulas; social representation.

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