Alcance de la implementación en Cataluña de las estrategias de salud reproductiva (2008-2017)

Marta Benet, Ramon Escuriet, Manuela Alcaraz-Quevedo, Sandra Ezquerra, Margarida Pla

Producció científica: Article en revista indexadaArticleAvaluat per experts

6 Cites (Scopus)

Resum

Objective: We analyse how reproductive health strategies have been incorporated into the everyday activities of the services and the resulting transformation of professional and user practices. Method: Cartographic research taking a multi-sited ethnographic approach that seeks to reveal the processes of transformation. Data generation techniques featuring participant observation and situated interviews. Discourse analysis of the text corpus using three analytical axes based on three main lines of action promoted by the strategies. Results: We identified transformations in: 1) demedicalisation: an increase in midwives’ know-how and autonomy, changes in episiotomy practice and the facilitation of bonding practices; 2) warmth of care: incorporation of women's needs and expectations and improvements in the comfortableness of birth settings, especially in assistance at physiological birth; and 3) participation: actions that foster shared decision-making and the involvement of the persons accompanying women in labour. Conclusions: Above all, transformation is visible in the incorporation of new attitudes, sensibilities and practices that have developed around the old structures, especially during physiological childbirth. The more technological areas have been less permeable to change. Risk management in decision-making and addressing diversity are identified as areas where transformation is less evident.

Títol traduït de la contribucióThe extent of the implementation of reproductive health strategies in Catalonia (Spain) (2008-2017)
Idioma originalCastellà
Pàgines (de-a)472-479
Nombre de pàgines8
RevistaGaceta Sanitaria
Volum33
Número5
DOIs
Estat de la publicacióPublicada - 1 de set. 2019
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