Parto nota 10!
Autor: Braulio Zorzella Boss | Publicado: 2013-03-11T17:25:00-07:00

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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Para alguns entendimentos,
mudanças de paradigmas e crenças, nada melhor do que analogias que aproximam a
mente humana daquilo que ela já conhece e assim concebe àquilo que de obscuro
ou incerto passa a ter lógica.
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Pressuposto entendidas as
diferenças entre o Parto Normal e a Cesárea, os benefícios da espera pela hora
certa e principalmente da ausência de intervenções desnecessárias no processo
de nascimento vamos à analogia proposta:


&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Se o pré-natal fosse uma aula (o que muitas vezes o é, quando as partes envolvidas estão dispostas a transmitir
e aprender, compartilhar e dividir, entender e ser entendido) e se as
gestantes fossem as alunas, &nbsp;poderíamos
dar notas para os partos observando as características técnicas de cada um dos
desfechos visando os MENORES RISCOS e consequentemente os MAIORES BENEFÍCIOS no
resultado para mãe e bebê na ordem decrescente na forma a saber:









Nota 10,0 – Parto Natural (sem intervenções)




Nota 9,0&nbsp;&nbsp; – Parto Normal com analgesia (farmacológica)




Nota 8,0&nbsp;&nbsp; – Parto Normal com intervenções quando necessárias
com ou sem analgesia (episiotomia, ocitocina, rompimento artificial de
membranas)




Nota 7,0&nbsp;&nbsp; – Parto normal com analgesia e fórceps




Nota 6,0&nbsp;&nbsp; – Cesárea em trabalho de parto com indicação
clínica




Nota 5,0&nbsp;&nbsp; – Cesárea antes do trabalho de parto (com hora
marcada ou em fase latente sem indicação clínica)




Nota 4,0&nbsp;&nbsp; – Qualquer via de parto + seqüela para mãe ou bebê




Nota 3,0&nbsp;&nbsp; – Qualquer via de parto com seqüela para ambos




Nota 2,0&nbsp;&nbsp; – Qualquer via de parto com morte de mãe ou bebê
(por causas evitáveis)




Nota 1,0&nbsp;&nbsp; – Qualquer via de parto com a morte de ambos (por
causas evitáveis)




Nota zero – Qualquer violência obstétrica, independente da
via de parto e dos resultados finais.









Nessa ‘escola’ a nota de corte
para ser aprovado, sempre partindo do 10 e abaixando a nota conforme a
necessidade, seria 6,0. Menos que isso inaceitável!




Com essa analogia, creio que fica
mais fácil entender o que queremos dizer e assim aproximar, ou pelo menos estimular, a
curiosidade para o assunto daqueles tão incutidos ainda dentro da Matrix. Fica
mais fácil para quem houve a necessidade de uma cesárea em trabalho de parto
conseguir entender que não seria esse o motivo para considerar o seu parto nota
zero. Ajuda também a entender porque tanta gente “paga uma cesárea” para fugir
da violência obstétrica encontrada em inúmeros atendimentos no Brasil (veja
o&nbsp; Mapa da Violência Obstétrica no
Brasil: https://violenciaobstetrica.crowdmap.com/),
já que infelizmente muitas vezes essa é a forma de ter um nascimento o mais
próximo possível do que se considera digno, mesmo apesar dessa nota ser abaixo do
corte, mas ser a única opção em alguns locais no país do Miojo... Kinojo!!!





Algumas referências 'biblioblográficas' para entender o porquê das notas:



Indicações reais e fictícias de cesáreas

http://estudamelania.blogspot.com.br/2012/08/indicacoes-reais-e-ficticias-de.html



Assistência ao parto baseada em evidências

http://estudamelania.blogspot.com.br/2012/09/assistencia-ao-parto-baseada-em.html



Aleitamento materno x cesáreas eletivas

http://estudamelania.blogspot.com.br/2012/08/cesariana-eletiva-e-aleitamento-materno.html