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Publication
A saúde reprodutiva e o género: a questão da laqueação de trompas
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Advisor(s)
Abstract(s)
Este estudo pretendeu conhecer e compreender quais os motivos subjacentes
nas mulheres para recorrerem à laqueação de trompas como método
anticoncepcional. Decisão esta que é voluntária e que poderá representar o
término de um ciclo.
O estudo desenvolveu-se tendo por base as narrativas das participantes sobre
as suas opções. Os dados foram obtidos através de entrevistas não estruturadas
áudio-gravadas, efectuadas a 10 mulheres, que se encontravam internadas no
serviço de Ginecologia do Hospital de São Francisco Xavier, para realizarem
laqueação de trompas. Foram igualmente consultados os processos clínicos
destas participantes, os quais permitiram complementar informações pertinentes
para a investigação.
Os resultados obtidos permitiram-nos compreender a questão de investigação
inicial: “O que predispõe as mulheres a optarem pela laqueação de trompas como
método anticoncepcional?”
Para proceder à análise dos dados, utilizámos a técnica de análise de
conteúdo segundo Jorge Vala. Surgiram 14 temas agrupados em 6 categorias.
Foi resultante desta análise que encontrámos os pontos fulcrais da “opção pela
laqueação de trompas”: a liberdade de escolha acima do conhecimento; a
laqueação de trompas marca o fim de uma etapa/ciclo de vida; a mulher é
autónoma nas suas decisões; a vivência da masculinidade não passa pela opção
da vasectomia; o fim da maternidade é o início para uma nova realidade; o prazer
sexual sobrepõe-se ao acto cirúrgico.
O contributo das participantes revelou que é necessário difundir a informação
acerca dos métodos contraceptivos menos divulgados de modo a facilitar a opção
de escolha de um modo consciente. Para além disso, torna-se peremptório
envolver os homens na responsabilização da sua saúde sexual e reprodutiva, a
qual influenciará por sua vez a das mulheres.
This study focused on the identification and understanding of the motivations underlying women’s voluntary option for transection of fallopian tube as a contraceptive method, which may represent the closure of a biological cycle. The study was based on data obtained directly from 10 women at S. Francisco Xavier Hospital at Lisbon, hospitalized for transection of fallopian tube. A direct random interview methodology was used and data was recorded using an audioregistered procedure. As a complement, additional data from their personal clinical files were included in order to strengthen the research process. The results obtained brought about important insights on the initial question of our project: “What are women’s motivations to make an option for transection of fallopian tube as a contraceptive method?” The Jorge Vala’s analytical content technique was used as a methodology for data treatment. As a result 14 themes were obtained and grouped into 6 categories. From our analysis, the most important reasons for making an option for the transection of fallopian tube became clear: (1) freedom of choice, over knowledge; (2) transection of fallopian tube as a method allowing the closure of the reproductive cycle; (3) the affirmation of women’s autonomous decision; (4) the absence of a real alternative on the male’s side, since vasectomy is still affected by a masculine unfavourable social environment; (5) the end of the maternity cycle as a challenging beginning for a new reality; (6) sexual pleasure overcomes the surgical act. A final conclusion that could be drawn from the women’s contributions was the need to divulge information about less well-known contraceptive methods in order to facilitate more conscious choices. Moreover, it is imperative to involve and hold men responsible for their sexual and reproductive health, which will in turn influence those of women.
This study focused on the identification and understanding of the motivations underlying women’s voluntary option for transection of fallopian tube as a contraceptive method, which may represent the closure of a biological cycle. The study was based on data obtained directly from 10 women at S. Francisco Xavier Hospital at Lisbon, hospitalized for transection of fallopian tube. A direct random interview methodology was used and data was recorded using an audioregistered procedure. As a complement, additional data from their personal clinical files were included in order to strengthen the research process. The results obtained brought about important insights on the initial question of our project: “What are women’s motivations to make an option for transection of fallopian tube as a contraceptive method?” The Jorge Vala’s analytical content technique was used as a methodology for data treatment. As a result 14 themes were obtained and grouped into 6 categories. From our analysis, the most important reasons for making an option for the transection of fallopian tube became clear: (1) freedom of choice, over knowledge; (2) transection of fallopian tube as a method allowing the closure of the reproductive cycle; (3) the affirmation of women’s autonomous decision; (4) the absence of a real alternative on the male’s side, since vasectomy is still affected by a masculine unfavourable social environment; (5) the end of the maternity cycle as a challenging beginning for a new reality; (6) sexual pleasure overcomes the surgical act. A final conclusion that could be drawn from the women’s contributions was the need to divulge information about less well-known contraceptive methods in order to facilitate more conscious choices. Moreover, it is imperative to involve and hold men responsible for their sexual and reproductive health, which will in turn influence those of women.
Description
Keywords
Sociologia da saúde Mulheres Controlo de natalidade Sexualidade Género Reprodução (biológia) Gender Sexuality Reproductive health Contraception
Citation
Roque, Susana Maria de Oliveira Carneiro - A saúde reprodutiva e o género [Em linha]: a questão da laqueação de trompas. Lisboa: 2007. 137 p.