Name: Lorrane Matos Ferrari de Andrade
Type: MSc dissertation
Publication date: 25/06/2020
Advisor:

Namesort descending Role
Kallen Dettmann Wandekoken Advisor *

Examining board:

Namesort descending Role
Flávia Batista Portugal Internal Examiner *
Francis Sodré Internal Alternate *
Kallen Dettmann Wandekoken Advisor *
Maristela Dalbello de Araujo External Alternate *
Paula Land Curi External Examiner *

Summary: Currently in Brazil, abortion is considered a punishable crime, being legalized in
only three situations: in cases of risk of maternal life, pregnancy resulting from
sexual violence (rape) and in cases of anencephalic fetus. Although permitted by
law in these situations, the condition of illegality in most cases influences
professional practice, producing effects with regard to health care. We bet on the
need to discuss abortion, whether legal or illegal, as it is a social and public health
concern, which may be linked to some failures in assistance and guarantees of
rights. To this end, this dissertation analyzed the discourse of health professionals
who work in assisting women who experienced abortion, in a referral hospital in the
state of Espírito Santo. Based on the research, we circumscribe possible elements
that facilitate or hinder the assistance to be offered in a humanized way,
contributing to a reflection on health policies and professional practices. Thirteen
(13) health professionals who worked at the hospital during the collection period
(between September and December 2019) participated in the study and who at
some point directly participated in the provision of care to the person who
experienced the abortion or after complications from it. We invited professionals to
produce several narratives in order to transmit their experiences. For the
interpretation and discussion of the findings we started from the assumptions of the
Thematic Analysis followed by the Enunciation Analysis - both derived from the
Content Analysis, thus we organized three major categories: Category 1 -
Arrangements that produce distances: the justifications surrounding the refusal to
participate in the procedure ; Category 2 - Hierarchization and valuation of life:
WHERE the conflict is updated; Category 3 - Monopoly of knowledge and authority of
the specialist. We deepen the nuances of these categories through subcategories.
We concluded that abortion implies a confrontation of values. If, on one hand, there
is a guarantee of the woman managing her own body in situations permitted by
law, on the other there is the right, which can be claimed by conscientious
objection. In this respect, religious values come into play, in which professionals
seek to justify not participating in the process of inducing abortion based on
arguments based on a religious culture. The crossing of these values in their
professional practices contributes to the naturalization of discriminatory attitudes.
In addition to the religious influence, we also highlight the aversion to the induction
method and the value of preserving the potential of life existing in the embryo.
Such conflicts will have an effect on the care offered, especially to legal abortion
applicants. Abortion is marked by the hegemony of scientific knowledge, which
often erases stories and singularities, in addition to voiding the guarantee of
women's rights.

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