Maltreatment and discrimination in induced abortion care: perception of women in Teresina, State of Piaui, Brazil/Maus-tratos e discriminacao na assistencia ao aborto provocado: a percepcao das mulheres em Teresina, Piaui, Brasil

• Published in: Ciência & saude coletiva Vol. 22; no. 8; p. 2771
• Main Authors: Madeiro, Alberto Pereira, Rufino, Andrea Cronemberger
• Format: Journal Article
• Language: Spanish
• Published: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO 01-08-2017
• Subjects: Estados Unidos
• ISSN: 1413-8123
• DOI: 10.1590/1413-81232017228.04252016

Treatment of complications resulting from induced abortion may be hampered by discriminatory attitudes manifested by healthcare professionals in hospitals and abortion services. This article retrieved stories of institutional abuse directed at women who had an induced abortion in illegal and unsafe conditions. Seventy-eight women admitted to a public hospital in Teresina for complications after an induced abortion were interviewed. A semi-structured script was used with questions about practices and itineraries of abortion and institutional violence during hospitalization. Discriminatory practices and maltreatment during care were reported by 26 women, especially among those who confessed to induction of the abortion. Moral judgement, threat of filing a complaint to the police, negligence in the control of pain, long wait for uterine curettage, and hospitalization with mothers who have recently given birth were the main types of institutional violence reported by women. Cases of institutional violence in the care of induced abortion violates the duty of the healthcare service and prevents women from receiving the necessary health care. Key words Induced abortion, Institutional violence, Abortion services, Maltreatment O tratamento das complicacoes do aborto provocado pode ser dificultado por atitudes de discriminacao praticadas por profissionais de saude nos hospitais e servicos de aborto. Este artigo recuperou historias de violencia institucional entre mulheres que provocaram o aborto em condicoes ilegais e inseguras. Foram entrevistadas 78 mulheres internadas em um hospital publico de referencia em Teresina por complicacoes do aborto provocado. Utilizou-se roteiro semiestruturado com perguntas sobre praticas e itinerarios de aborto e violencia institucional durante a internacao. Praticas discriminatorias e de maus-tratos durante a assistencia foram relatadas por 26 mulheres, principalmente entre aquelas que confessaram a inducao do aborto. Julgamento moral, ameacas de denuncia a policia, negligencia no controle da dor, longa espera pela curetagem uterina e internacao conjunta com puerperas foram os principais tipos de violencia institucional narrados. As praticas de violencia institucional na assistencia ao aborto provocado violam o dever de acolhimento do servico de saude e impedem que as mulheres tenham suas necessidades de saude atendidas. Palavras-chave Aborto induzido, Violencia institucional, Servicos de aborto, Maus-tratos