Dear colleagues,

I'm sending some echoes from Brazil regarding to produce evidence about our overmedeicalized and quite defined as a violent childbirth care model and it impact on wome's health.

This is a paper produced by a colleague from School of Public Health at Sao Paulo University.

Best regards,

Camilla



Journal of Human Growth and Development 2013; 23(2): 190-197

GROGGY AND WITH TIED HANDS: THE FIRST CONTACT WITH THE
NEWBORN ACCORDING TO WOMEN THAT HAD AN UNWANTED
C-SECTION

Heloisa de Oliveira Salgado1, Denise Yoshie Niy1, Carmen Simone Grilo Diniz1 [log in to unmask]
1 Departamento de Saúde Materno-Infantil da Faculdade de Saúde Pública da Universidade de São Paulo.

Corresponding author: [log in to unmask]
Suggested citation: Salgado HO, Niy DY, Diniz CSG. Groggy and with tied hands: the first contact with the newborn according to
women that had an unwanted C-section;

Manuscript submitted Sep 18 2012, accepted for publication Mar 29 2013.


Abstract
Objective: to describe and analyze the experience and feelings of mothers who had an unwanted Csection,
with regard to the first contact with their newborn. Methods: this is a qualitative webbased
research, whose call for participants was published in October 2011 on a social network of
mothers website. The women were interviewed in regard to their experience with C-section, referred
to as an unwanted outcome, invited to make narratives about the feelings associated with the
experience of labor and childbirth and to the postpartum period. The analysis was conducted within
a gender perspective. Results: the 20 women interviewed age ranged from 17 to 41 years, 19
women had studied for 12 or more years and were married or lived with a partner. Only two women
remained with their newborns right after birth. The other ones were kept apart from their babies for
periods that ranged between one hour (three women) and more than four hours (six women). Most
women could not have a partner/companion during the immediate postpartum period, although in
Brazil this is a right guaranteed by law. The majority had also suffered some kind of violence and
many also regretted being under the influence of medication for sedation during their first contact
with the newborn. Regarding this first contact, three groups were identified: women with feelings of
fulfillment, those with ambiguous feelings, and those without any positive feelings about the first
contact with their newborn. Conclusion: women referring to their C-section as an unwanted outcome
had their frustration towards the birth experience amplified by the conditions of the first contact
with their newborn. These conditions were negatively influenced by the immediate postpartum
assistance routines.
Key words: cesarean section; mother-child relations; gender and health; violence against women;
social networking.



Dr Camilla Schneck RM PhD
Lecturer in Midwifery
Midwifery Programe
School of Arts Sciences and Humanities
Sao Paulo University - Brazil
www.each.usp.br
[log in to unmask]

Pos-doc visiting fellow
School of Health Sciences
City University London
skype: camilla_midwife