Pain and the Protagonism of Women in Parturition
Bibliographic record
Abstract
To understand through the theory of social representations the sociocultural dimensions of pain and its impact on the protagonism of women in parturition. In this investigation, we used a qualitative methodology with the theoretical reference of phenomenology and the theory of social representation. Forty-five semi-structured interviews were conducted with gravidas in public and private health services of Joinville, SC, Brazil, who had at least four prenatal visits and were in the third trimester of pregnancy. From analysis of content reported in interviews, three empirical categories were formed: fears and concerns, experience, and sociocultural influence, which allowed the building of three interpretative categories: biomedical model, lack of information, and the role of women in the decision regarding the mode of delivery. The findings reported here indicate pain as one of the elements that form female social representations in parturition. It was observed that pain influences the behavior of gravidas from fear and becomes the genesis of other aversive feelings and concerns that involve parturition. In this context, pain represented one of the main building blocks of female social representations on parturition, contributing to the ascending curve of cesarean section indices in Brazil. Compreender pela teoria das representações sociais, as dimensões socioculturais da dor e seu impacto no protagonismo da mulher na parturição. Para a investigação, utilizou-se a metodologia qualitativa, com o referencial teórico da fenomenologia e da teoria da representação social. Foram realizadas 45 entrevistas semiestruturadas com gestantes dos serviços público e privado de saúde de Joinville, SC, com no mínimo quatro consultas de pré-natal e que estavam no terceiro trimestre de gestação. Da análise de conteúdo das falas, emergiram três categorias empíricas: medos e preocupações, vivências e influência sociocultural, as quais possibilitaram construir três categorias interpretativas: modelo biomédico, desinformação e papel da mulher na decisão pela via de parto. Os achados relatados neste artigo evidenciam a dor como um dos elementos construtores das representações sociais feminina sobre a parturição. Observou-se que a dor influencia o comportamento da gestante a partir do medo e se torna a gênese de outros sentimentos aversivos e preocupações que envolvem o evento da parturição. Nesse contexto, a dor revela-se como um dos principais construtores das atuais representações sociais femininas sobre a parturição e contribui para a curva ascendente nos índices de cesárea no Brasil. Comprender, por medio de la teoría de las representaciones sociales, las dimensiones socioculturales del dolor y su impacto en el protagonismo de la mujer en el parto. Para la investigación, se usó la metodología cualitativa, con el referente teórico de la fenomenología y de la teoría de la representación social. Se hicieron 45 entrevistas semiestructuradas con embarazadas de los servicios público y privado de salud de Joinville, SC, con el mínimo de cuatro consultas de prenatal y que estaban en el tercer trimestre de gestación. Del análisis de contenido de los testimonios, surgieron tres categorías empíricas: miedos y preocupaciones, y vivencias e influencia sociocultural, que posibilitaron construir tres categorías interpretativas: modelo biomédico, falta de información y el rol de la mujer en la toma de decisión por el parto. Los hallazgos relatados en este artículo, indican el dolor como siendo uno de los elementos constitutivos de las representaciones sociales femeninas sobre el parto. Vimos también que el dolor influye en el comportamiento de la embarazada a partir del miedo y se convierte en la génesis de otros sentimientos de aversión y en preocupaciones que involucran el evento del parto. En ese sentido, el dolor se revela como siendo uno de los principales constructores de las actuales representaciones sociales femeninas sobre el parto y contribuye para la curva ascendente en los indicadores de cesárea en Brasil.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".