title: [Re-signifying pain, overcoming loneliness: childbirth experiences among working-class adolescents in a public maternity hospital in Salvador, Bahia, Brazil].
abstract: This article examines childbirth in a public maternity hospital in Salvador, Bahia, Brazil, from the perspective of young and adolescent women, mostly black and working-class. As an anthropological study, it is based on the analysis of birth narratives and hospital ethnography, especially in the obstetric ward. The women describe labor as dominated by fear, loneliness, and pain. These feelings are transformed into love with the birth of the child. Viewing childbirth as a biosocial process, the authors show how the young women construct meanings during the birth; meanwhile, social interactions specific to hospital birth develop, particularly with healthcare professionals. Symbolically, women construct birth as a rite of passage legitimating motherhood, against the institution's effective de-legitimization of sexual reproduction in low-income black mothers and stigmatization of adolescent motherhood.
authors.affiliation: School of Social Sciences, University of Manchester, Manchester, UK.
authors.forename: Cecilia
authors.initials: C
authors.lastname: McCallum
authors.forename: Ana Paula
authors.initials: AP
authors.lastname: dos Reis
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D005195:Family Relations; D005260:Female; D006771:Hospitals, Maternity / Q000592:standards*; D006779:Hospitals, Public; D006801:Humans; D048949:Labor Pain / Q000523:psychology; D008427:Maternal Health Services / Q000592:standards; D008429:Maternal Welfare / Q000523:psychology*; D009035:Mothers / Q000523:psychology*; D036801:Parturition / Q000208:ethnology / Q000523:psychology*; D011247:Pregnancy; D011369:Professional-Patient Relations; D012923:Social Class