Autora: Sónia Pintassilgo


Capítulo de livro (e-book) | Pintassilgo, Sónia (2019), Nascer.pt — Laboratório de Estudos Sociais sobre Nascimento. In D. M. Neves, M. Santos, & S. Pintassilgo (Eds.), Nascimento e outros debates: Género, parentalidade e criação (pp. 73–77). Lisboa: CIES- IUL.


Resumo: Este capítulo dá a conhecer, em traços gerais, o nascer.pt – Laboratório de Estudos Sociais sobre Nascimento. O nascer.pt consiste num projeto que resulta da identificação, por parte de um grupo de investigadores, da necessidade de reconhecer e desenvolver um campo científico emergente em Portugal, decorrente do cruzamento de diferentes áreas do saber, no qual se analisam e estudam, a partir de perspetivas teóricas e metodológicas diferenciadas, as condições do nascimento, o seu enquadramento social, político, cultural, institucional, bem como resultados decorrentes dessas realidades. Não se configura, aqui, o nascimento como um acontecimento reduzido ao momento do parto ou até da conceção. Entende-se o nascimento como um processo que começa muito antes desses momentos e das diferentes etapas que os interligam, sendo possível mapear um conjunto de dispositivos, normas e práticas sociais que o enquadram e o regulam.


Consultar: https://repositorio.iscte-iul.pt/handle/10071/20486

Autora: Violeta Alarcão


Artigo| Alarcão, V.; Stefanovska- Petkovska, M.; Virgolino, A.; Santos, O.; Ribeiro, S.; Costa, A.; Nogueira, P.; Pascoal, M. P.; et al. (2019), Fertility, migration and acculturation (FEMINA): a research protocol for studying intersectional sexual and reproductive health inequalities, In Reproductive health, 19 (140).


Resumo: Sexual health and reproductive health are equally important parts of personal health and development. For many years the focus of research on sexual health has concentrated mostly on issues such as the prevention of diseases, infections and unplanned pregnancies. Nowadays the focus of this research has expanded to include sexual and reproductive health rights that encompass our sexual health, gender equality and empowerment of women. However, despite the advancements being made, challenges in terms of the fulfillment of the diversity of sexual and reproductive health needs across life course and populations still exist. Migrant populations can be particularly vulnerable to sexual and reproductive health issues due to gender and socioeconomic inequalities, cultural and social norms around sexuality, and other social and structural factors. These include, among other things, how old is the migrant population, how the migrant population will adapt to the host culture, how well will it be able to navigate through the health system and linguistic barriers, and how all these factors will impact not only their fertility capacity and status, but also their achievement of sexual health. Thus, some researchers have considered that the process of postmigration cultural adjustment (i.e., acculturation) may induce a change in how individuals make decisions about important events such as when and whether to have a child. However proper evidence that establishes the link between migration, sexual health and reproductive decisions is still lacking. Therefore, there is a need to study how different generations and genders in immigrant families in Portugal perceive the concepts of family and sexuality based on the institutional and policy context that surround them. The FEMINA (FErtility, MIgratioN and Acculturation) study proposes to explore whether sexual and reproductive health inequalities impact on fertility among Cape Verdean immigrant and Portuguese native families in Portugal.


Consultar: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978- 019-0795-5

Autora: Susana Mourão


Artigo| Mourão, S.; Bernardes, S. F. (2019), What determines immigrant caregivers’ adherence to health recommendations from child primary care services? In Primary Health Care Research & Development


Resumo: Aim: To investigate the diversity and specificity of the determinants of immigrant caregivers’ adherence to child primary care (CPC) health recommendations. Background: Immigrant caregiver’s adherence to CPC health recommendations is of utmost importance to minimize their children’s health-related vulnerabilities. Some research has been conducted on the determinants of immigrants’ access to health services, but much less is known about the determinants of their adherence to health professionals’ recommendations once they get there, especially in a primary health care context. This study contributes to bridge these gaps. Methods: Interviews and focus groups were conducted, with immigrant and non-immigrant caregivers living in Portugal (n=35), from heterogeneous socioeconomic backgrounds. Focus group and individual interview scripts were developed to explore caregivers’ understanding and use of CPC services and, particularly, their adherence to CPC recommendations. A socio- demographic questionnaire was also administered. Qualitative data were analyzed using a grounded theory methodology. Findings: ‘Adherence to CPC health recommendations’ is a core and multidimensional concept. Several determinants were identified at individual, interpersonal, organizational and structural levels. Some determinants were highlighted both by immigrant and non-immigrant caregivers: Valuing children’s health, usefulness of recommendations, perceived health-care professionals’ competence, central role of vaccination in CPC and caregivers’ socio-economic conditions. Other determinants were specifically mentioned by immigrant caregivers: Expectations about traditional versus pharmacological treatments, cultural mismatches in children’s care practices, perceived quality of Portuguese CPC services versus CPC from countries of origin. These results provide innovative theoretical and empirical contributions to the field of primary health care and, particularly, to immigrant caregivers’ adherence behaviors. Implications for research on treatment adherence in primary care contexts, the development of interventions that promote caregivers’ adherence to CPC health recommendations and for child protection will be discussed.


Consultar: https://repositorio.iscte-iul.pt/handle/10071/17706

Autor: Mário JDS Santos


Artigo| Santos, M. (2019), Augusto, A.; Clausen, J. A., Shabot, S. C. (2019) Essentialism as a form of resistance: an ethnography of gender dynamics in contemporary home births, Journal of Gender Studies, vol.28, Issue 8


Resumo: Feminist scholars have criticised the essentialist construction of femininity associated with ‘natural’ childbirth movements. Along these debates, planned midwife-attended home births stand as the typical representation of this counterculture. In this article, we present data from a multi-sited ethnography on Portuguese home births where we analyse how gender ideologies are reproduced and operationalised by families and home birth professionals. Our findings illustrate how home birth care and associated practices are configuring apparently contradicting gender ideologies. Essentialist perspectives, which conceive birth as an opportunity to reconnect with women’s oppressed femininity, coexist with non-binary conceptions of gender, where masculinity and femininity are regarded as fluid forms of energy that everyone has in different degrees, and where men are potentially welcomed in the birth setting, either as fathers or as professionals. Given the androcentric references of modern obstetrics and the marginal position of home birth, we argue that essentialism was constructed as a form of resistance.


Autor: Mário JDS Santos


Capítulo de livro (e-book)| Santos, M. (2019). Os cuidados de saúde materna na perspetiva das utilizadoras: Conclusões do Babies Born Better Portugal. In D. M. Neves, M. Santos, & S. Pintassilgo (Eds.), Nascimento e outros debates: Género, parentalidade e criação (pp. 65–71). Lisboa: CIES-IUL.


Resumo: O inquérito Babies Born Better é um projeto de investigação que pretende aferir da qualidade dos cuidados de saúde materna, privilegiando a experiência subjetiva das mulheres e a sua própria descrição dessa experiência. A análise dos resultados deste inquérito vem revelar que, para a grande maioria das mulheres, a experiência do parto é fortemente condicionada pela prestação dos profissionais de saúde e pelas suas competências relacionais, podendo influenciar positiva ou negativamente esta experiência. Tendo em conta as diferenças quanto a locais de parto, podemos perceber que não só a experiência subjetiva das mulheres é distinta, como a própria forma como estas experiências são reportadas parece revelar diferenças interessantes, tornando visíveis estratégias narrativas específicas para cada local – hospital publico, hospital privado e domicílio


Consultar: https://repositorio.iscte-iul.pt/handle/10071/20486

Autora: Manuela Néné


Artigo| Sofia Rodrigues; Néné, Manuela. “The place of episiotomy in history: A sore review”. Journal of Nursing Education and Practice 9 4 (2019): 122-128.


Resumo: Background and objective: During childbirth some practices are common and widely accepted though they have no scientific basis. Despite of being implemented some centuries ago, they last in time up to the present day, as for example episiotomy. Currently it is a controlled use intervention in some countries, especially in northern Europe, and a liberal (and almost unquestionable) use intervention in other countries: It is so common that, there is not even accounting for this procedure as a quality care indicator. In the present time, there is a conflict that involves the advocated minimally invasive care versus defensive practices… Episiotomy perfectly illustrates this dichotomy. To synthesize the current knowledge about intrapartum perineal care, regarding the origin and introduction of episiotomy in the midwives practice over time, in order to comprehend the evolution of the concept and methods of perineal preservation. Methods: A literature search was conducted in the electronic databases CINAHL, Cochrane Database of Systematic Reviews, MedicLatina, PubMed, Scopus and Web of Science, using descriptors MeSH and natural language. The results were synthesized and evidenced throughout this review. Results: A total of 27 articles were identified, which fully comply with the inclusion criteria. The most representative categories of papers are literature reviews (37%) and nonempirical articles (26%). Conclusions: Although scarce, the existing literature on this subject is very meticulous. One third of the articles are from midwives/nurse-midwives authorship which reveals special interest and concern of this professional class for this subject, that admittedly belongs to its field of expertise whether theoretical or practical. Major milestones were identified in the history of episiotomy which led to significant changes in midwifery intrapartum care patterns, with supremacy of the biomedical model.


Consultar: http://www.sciedupress.com/journal/index.php/jnep/article/view/13797.

Autora: Dulce Morgado Neves


Capítulo de livro (e-book)| Neves, Dulce M. (2019), “Maternidade naturalizada: roteiro de um projeto”, in Neves, D. M.; Santos, M.; Pintassilgo, S. (Orgs.), Nascimento e Outros Debates: Género, parentalidade e criação, Lisboa, CIES-IUL.


Resumo: Neste capítulo a autora apresenta uma pesquisa que teve por objetivo perceber como é que o naturalismo, enquanto referencial ético e normativo da contemporaneidade, se expressa no domínio da maternidade — em particular na gravidez, no parto e na criação dos filhos — e, por outro lado, que consequências é que a adesão a tais ideários acarreta para as relações de género, nomeadamente no contexto da vida familiar e da conjugalidade


Consultar: https://repositorio.iscte-iul.pt/handle/10071/20486

Autor: Amélia Augusto


Artigo| Santos, M. (2019), Augusto, A.; Clausen, J. A., Shabot, S. C. (2019) Essentialism as a form of resistance: an ethnography of gender dynamics in contemporary home births, Journal of Gender Studies, vol.28, Issue 8


Tema: ; Representações sociais e práticas da

Resumo: Feminist scholars have criticised the essentialist construction of femininity associated with ‘natural’ childbirth movements. Along these debates, planned midwife-attended home births stand as the typical representation of this counterculture. In this article, we present data from a multi-sited ethnography on Portuguese home births where we analyse how gender ideologies are reproduced and operationalised by families and home birth professionals. Our findings illustrate how home birth care and associated practices are configuring apparently contradicting gender ideologies. Essentialist perspectives, which conceive birth as an opportunity to reconnect with women’s oppressed femininity, coexist with non-binary conceptions of gender, where masculinity and femininity are regarded as fluid forms of energy that everyone has in different degrees, and where men are potentially welcomed in the birth setting, either as fathers or as professionals. Given the androcentric references of modern obstetrics and the marginal position of home birth, we argue that essentialism was constructed as a form of resistance.


Consultar: https://www.tandfonline.com/doi/abs/10.1080/09589236.2019.1650256?journalCode=cjgs20