Barriers to implementing childbirth recommendations in Brazil: the women’s perspective

The objective of this study is to identify barriers to the implementation of National Childbirth Guidelines in Brazil from the women’s perspective. A descriptive exploratory study was performed using a qualitative approach and an interpretive perspective. The hermeneutic unit of analysis was established based on the contribution of users to a public online consultation about the National Childbirth Guidelines in Brazil, performed in 2016 by the National Committee for Health Technology Incorporation into the Unified Health System (CONITEC). Content analysis techniques were used to examine the answers provided to the specific question. Barriers were related to 1) professional training and culture (which highlighted the centrality of physicians, not women, in childbirth), 2) social culture (general population not well informed), and 3) political and management issues (little interest on the part of managers, lower physician compensation for vaginal childbirth vs. Caesarian section, and poor hospital infrastructure). Aspects of professional training and culture, social culture, and political as well as management issues are critical points to be considered in future interventions aiming at overcoming or weakening the barriers to implementing childbirth recommendations in Brazil.

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Vidal, Á. T., J. O. M. Barreto, and D. Rattner (2020). Barriers to implementing childbirth recommendations in Brazil: the women’s perspective. Pan American Journal of Public Health. https://doi.org/10.26633/RPSP.2020.164