Autora: Sónia Pintassilgo


Artigo| Pintassilgo, S.; Carvalho, H. (2017), Trends and consequences of the technocratic paradigm of childbirth in Portugal: a population-based analysis of birth conditions and social characteristics of parents, Sexual and Reproductive Healthcare, vol.13, 58-67


Resumo: Objective: The aim of this paper is to analyse the evolution of birth conditions in Portugal and to establish a correspondence between maternity care and the socio-economic characteristics of new mothers. Methods: A multivariate quantitative analysis (Multiple Correspondence Analysis and Cluster Analysis) was used, based on official quantitative data from different surveys. Results: There is a consistent trend to a technocratic model of birth in the Portuguese context, where socio-economic characteristics appear to influence fertility rates and birth conditions. The evolution of birth conditions in Portugal reveal the institutionalisation of birth, with a strong presence of doctors, a higher frequency of births on certain weekdays, an increase in the proportion of births in private hospitals and an increase in the frequency of caesarean sections. There is an association between higher social status and more medicalised forms of assistance in childbirth. Women with higher levels of education, aged between 30 and 39 years and who were married tended to be distinguished from the population of Portuguese women as a whole by three factors: birth in a hospital, the standardisation of pregnancy duration and the presence of a doctor at the birth. Women’s educational and professional status also appears to influence their adoption of alternative models of birth, however, such as home birth. Discussion: Limiting the study of childbirth to its medical aspects leaves important dimensions out of the analysis: women’s perception of birth-related risks associated with the medicalised offer of maternity care, and the implications of this childbirth paradigm for health outcomes and for future care.


Autora: Vanessa Cunha


Capítulo de livro| Atalaia, S., Cunha, V. (2017), O impacto da crise nos nascimentos em Portugal: uma perspetiva territorial. In: João Ferrão & Ana Delicado (Eds.), Portugal Social em Mudança. Retratos Municipais, pp.33-41, Instituto de Ciências Sociais da Universidade de Lisboa


Resumo: A diminuição de casais com filhos e do número de filhos por casal são tendências que acompanham a queda da natalidade em Portugal. O impacto da recente crise económica veio expor um território contrastante, que opõe os municípios do Norte, Centro e Regiões Autónomas aos da Área Metropolitana de Lisboa, Alentejo e Algarve.


Consultar: https://repositorio.ul.pt/handle/10451/29177

Autor: Mário JDS Santos


Capítulo de livro| Clausen, J., Santos, M. (2017), Capturing the complexity of practice as an insider: in-labour ethnography, in Church, Sarah et al. (eds.), New Thinking on Improving Maternity Care: International Perspectives, London: Pinter & Martin Ltd.


Autor: Mário JDS Santos


Artigo| Santos, M. (2017), Where the thread of home births never broke – an interview with Susanne Houd, Women and Birth, Vol.30, Issue 2


Resumo: Background The option of a planned home birth defies medical and social normativity across countries. In Denmark, despite the dramatic decline in the home birth rates between 1960 and 1980, the right to choose the place of birth was preserved. Little has been produced documenting this process. Aim To present and discuss Susanne Houd’s reflection on the history and social dynamics of home birth in Denmark, based in an in-depth interview. Methods This paper is part of wider Short Term Scientific Mission (STSM), in which this interview was framed as oral history. The whole interview transcript is presented, keeping the highest level of detail. Findings In Susanne Houd’s testimony, four factors were highlighted as contributing to the decline in the rate of home births from the 1960s to the 1970s: new maternity hospitals; the development of obstetrics as a research-based discipline; the compliance of midwives; and a shift in women’s preference, favouring hospital birth. The development of the Danish home birth models was described by Susanne Houd in regard to the processes associated with the medicalisation of childbirth, the role of consumers, and the changing professional dynamics of midwifery. Conclusion An untold history of home birth in Denmark was documented in this testimony. The Danish childbirth hospitalisation process was presented as the result of a complex interaction of factors. Susanne Houd’s reflections reveal how the concerted action of consumers and midwives, framed as a system-challenging praxis, was the cornerstone for the sustainability of home birth models in Denmark.


Consultar: https://www.sciencedirect.com/science/article/abs/pii/S1871519216301159

Autora: Eva Diniz Schiro


Artigo | Diniz, E., De Sousa, D., Koller, S.H., & Volling, B.L. (2017). Longitudinal effects of contextual and proximal factors on mother-infant interactions among Brazilian adolescent mothers. Infant Behavior and Development, 43, 36-43


Resumo: Adolescent mothers often come from vulnerable backgrounds which might impact the quality of both maternal and infant behavior. Despite the negative impact of adolescent motherhood for maternal and infant behavior, social support may decrease the risks and promote maternal behavior toward the infant. The aim of this study was to investigate longitudinally the effects of proximal (maternal behavior) and distal (mother’s perceived social support) variables on infant development in a sample of Brazilian adolescent mothers and their infants. Thirty-nine adolescent mothers (Mage=17.26years; SD=1.71) were observed interacting with their infants at 3 and 6 months postpartum and reported on social support. Results revealed that maternal and infant behavior were associated within and across times. Mothers’ perceived social support at 3 months had an indirect effect on infant behavior at 6 months, totally mediated by maternal behavior at 6 months. Our findings revealed the mutual influence between maternal and infant behavior, revealing a proximal process. The results also underscored the importance of the passage of time in the interplay between mother-infant interactions and their developmental context.


Consultar: https://pubmed.ncbi.nlm.nih.gov/27110652/

Autora: Catarina Delaunay


Artigo | Delaunay, C. (2017). L’insupportable et l’incertain: proximité et dés- attachement dans l’assistance médicale à la procréation avec tiers donneur. Anthropologie & Santé, 15.


Resumo: This paper addresses the emerging tensions among couples with infertility problems who use assisted reproductive technologies with a third-party donor in France and Portugal. It is based on empirical data collected through interviews and relies on the sociological model of a plurality of regimes of engagement. Furthermore, it posits the concepts of unbearable and uncertain to analyze the relationship towards the third-party donor, which can be viewed as problematic, as well as the uncertainties of these couples as to the success of the project of having a child using biomedical technologies, after successive tests and failures. Moreover, it observes an operation of detachment from the third-party donor, through dynamics of differentiation between the living (the gametes) and the human (a child). We see operations of revision, or complete exit from the project, caused by capacity exhaustion or by the difficulty to define through that project the completeness of the person or the couple.


Autora: Catarina Delaunay


Artigo |Delaunay, C. (2017), Activismos virtuais em matéria de Procriação Medicamente Assistida em França e em Portugal. Fórum Sociológico, 30.


Resumo: Neste artigo, abordamos o envolvimento das mulheres através das plataformas online da Asso-ciação Portuguesa de Fertilidade e da sua congénere francesa, a Association MAIA, na promoção do direito à saúde e do acesso à Procriação Medicamente Assistida (PMA) com dadores terceiros (ovócitos e/ou espermatozoides). Além de recolherem informações e partilharem de experiências, os membros das associações afirmam o seu direito a participar publicamente e de forma ativa na luta contra a falta de dadores de gâmetas, de informações sobre as doenças associadas à infertilidade ou sobre as técnicas de PMA disponíveis, em particular os tratamentos com recurso a doação de gâmetas. A internet funciona como fonte de responsabilização e ativismo. A partir do nosso projeto de pós-doutoramento, propomo-nos abordar esta questão, teórica e empiricamente, com base na análise de fóruns de discussão online de associações de doentes com infertilidade e de entrevistas com mulheres que recorreram à PMA com doação de gâmetas.


Consultar: https://journals.openedition.org/sociologico/1779?lang=en