title: [Women's representations and experiences with vaginal and cesarean delivery in public and private maternity hospitals].
abstract: This study analyzes the different representations and experiences of women from different social classes, including issues related to their relations with hospital staff in different institutional settings. This qualitative study focused on women who had experienced both types of delivery, in three maternity hospitals in Rio de Janeiro, Brazil (one public, one fully private, and another private under an outsourcing agreement with the public health system). The study showed that variations in public and private service models result in different types of delivery care and different relations with staff, and are reflected in different birthing experiences for the women. However, a critical gender perspective shows that in both cases, the service models reproduce the medicalization of childbirth and women's submission as objects in the birthing process. Although this is manifested in different ways in the three groups, the end result is to reduce the range of care and the possibility of women's empowerment during childbirth.
authors: Faculdade de Serviço Social, Universidade do Estado do Rio de Janeiro, Rua Professor Gastão Bahiana 399, Rio de Janeiro, Brazil. andreasgama@gmail.com
authors: Andréa de Sousa
authors: Ade S
authors: Gama
authors: Karen Mary
authors: KM
authors: Giffin
authors: Antonia
authors: A
authors: Angulo-Tuesta
authors: Gisele Peixoto
authors: GP
authors: Barbosa
authors: Eleonora
authors: E
authors: d'Orsi
mesh_terms: D000328:Adult; D001938:Brazil; D002585:Cesarean Section / Q000523:psychology; D036861:Delivery, Obstetric / Q000379:methods* / Q000523:psychology; D005260:Female; D006771:Hospitals, Maternity; D016304:Hospitals, Private; D006779:Hospitals, Public; D006801:Humans; D007231:Infant, Newborn; D048949:Labor Pain / Q000523:psychology*; D008427:Maternal Health Services; D011247:Pregnancy; D011368:Professional-Family Relations; D012959:Socioeconomic Factors; D055815:Young Adult