Fatores associados à satisfação na condução do parto e violência obstétrica em um estado do Nordeste brasileiro

Abstract

Background: To evaluate puerperal women satisfaction with the assistance provided and to describe the prevalence of violence during labor and its association with socio-demographic and obstetric variables. Methods: A cohort study in all the 11 maternity hospitals from a Brazilian state between June 2015 and April 2016. Face to face and telephone interviews were carried out with 768 puerperal women, after 6 hours and 45-60 days after delivery. They were asked about their satisfaction with labor and childbirth and about the existence of obstetric violence, and what kind (verbal, physical or psychological) according to: ethnicity, educational level, age, mode of delivery, companion presence and way of service. Fisher’s exact test was used to evaluate associations between categorical variables. The R core team 2017 was used, and the adopted significance level was 5%. Results: Satisfaction with obstetric assistance was considered “good” or “excellent” by 85,7% of the women, and the most associated factors were: private sector, higher education, older age, elective cesarean. Obstetric violence was reported by 60 patients (12, 2%), and verbal violence was more frequent among public service patients (private= 0% x public= 8, 9%; p= 0, 002). Conclusions: Satisfaction with obstetric assistance was high. The prevalence of obstetric violence was low, and verbal violence was more prevalent among women in the public health service.