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Advisor(s)
Abstract(s)
A experiência de uma Interrupção Voluntária da Gravidez (IVG) é vivenciada e sentida por
cada mulher de forma única e individual. No entender da investigadora, mais que uma
questão médica, a IVG é uma questão social, onde o apoio que é proposto pelo quadro legal
(Lei n.º16/2007), pode não responder suficientemente à complexidade da situação. A
presente investigação tem como objectivo compreender o significado que as mulheres
grávidas em discernimento atribuem ao apoio e suporte sentido ao longo do processo de
decisão de uma IVG e, consequentemente, perceber qual o papel que o Serviço Social pode
desempenhar durante este processo.
Optou-se por realizar uma investigação de natureza metodológica qualitativa, repartida em
dois momentos: um estudo exploratório num Hospital Público no distrito de Lisboa, com o
objectivo de conhecer a realidade da IVG em contexto hospitalar; um estudo de caso de uma
linha telefónica de emergência que pretende apoiar qualquer mulher grávida com dúvidas
relativamente à sua gravidez. Foram realizadas entrevistas a seis mulheres que ligaram para
essa mesma linha, e a seis profissionais da equipa técnica que atende os telefonemas da linha.
De acordo com os dados recolhidos, considera-se que a decisão de interromper ou prosseguir
a gravidez é influenciada por razões sociais, razões pessoais e razões relacionais. No caso
de prosseguir a gravidez, os factores de influência prendem-se sobretudo com razões
pessoais (expectativas e planos de vida), e no caso de interromper prendem-se
maioritariamente com razões sociais (situação laboral e económica). É de notar a
ambivalência de sentimentos e emoções vividos pelas mulheres nesta fase, e a solidão
sentida pelas mesmas, o que reforça a necessidade de estas serem devidamente apoiadas e
acompanhadas. Espera-se que um profissional que acompanhe uma mulher em
discernimento crie uma relação empática com a mesma e que tenha como foco aquilo que
são os seus desejos e motivações. Propõe-se que este faça eco e repita aquilo que a mulher
vai expondo, de forma a que esta se possa ouvir a si própria e chegar à sua própria conclusão.
A informação transmitida deve ter em conta o estado emocional da mulher e aquilo que ela
está preparada para ouvir.
Every woman goes through and feels a Voluntary Termination of Pregnancy (VTP) as na unique and most individual experience. It is the author’s view that more than a medical issue, VTP is a social issue where the support provided under the relevant legal framework (Law no.16/2007) may not appropriately answer the complexity of the situation. This survey aims to understand what the advice and support provided throughout a VTP decision process means for pregnant women in discernment and, consequently, understand the role played by the Social Work during that process. We chose to make a qualitative methodological survey spread across two moments: an exploratory study conducted in a Public Hospital in the district of Lisbon, in order to learn about the VTP reality in a hospital context; a case study of an emergency helpline to support any pregnant woman having second thoughts regarding her pregnancy. We conducted interviews to six women who called the helpline and to six professionals of the technical team answering the helpline. According to the data collected, the decision to terminate or proceed with the pregnancy is influenced by social, personal and relational reasons. Where the woman decides to go ahead with the pregnancy, the influencing factors relate mostly to personal reasons (life expectations and plans) and, where she decides to terminate the pregnancy, they mostly relate to social reasons (work and economic situation). The ambivalence of feelings and emotions felt by women at this stage should be noted, the same way as the solitude they feel, a fact which strengthens their need of being duly supported and followed up. It is expected that a professional who will follow up a woman in discernment will create an emphatic relationship with her and that his/her focus will be the woman’s desires and motivations. It is suggested that he/she will echo and repeat what is stated by the woman, in order to make her hear what she is saying and thereby reach her own conclusion. The information transmitted shall take the woman’s emotional condition and what she is prepared to listen into account.
Every woman goes through and feels a Voluntary Termination of Pregnancy (VTP) as na unique and most individual experience. It is the author’s view that more than a medical issue, VTP is a social issue where the support provided under the relevant legal framework (Law no.16/2007) may not appropriately answer the complexity of the situation. This survey aims to understand what the advice and support provided throughout a VTP decision process means for pregnant women in discernment and, consequently, understand the role played by the Social Work during that process. We chose to make a qualitative methodological survey spread across two moments: an exploratory study conducted in a Public Hospital in the district of Lisbon, in order to learn about the VTP reality in a hospital context; a case study of an emergency helpline to support any pregnant woman having second thoughts regarding her pregnancy. We conducted interviews to six women who called the helpline and to six professionals of the technical team answering the helpline. According to the data collected, the decision to terminate or proceed with the pregnancy is influenced by social, personal and relational reasons. Where the woman decides to go ahead with the pregnancy, the influencing factors relate mostly to personal reasons (life expectations and plans) and, where she decides to terminate the pregnancy, they mostly relate to social reasons (work and economic situation). The ambivalence of feelings and emotions felt by women at this stage should be noted, the same way as the solitude they feel, a fact which strengthens their need of being duly supported and followed up. It is expected that a professional who will follow up a woman in discernment will create an emphatic relationship with her and that his/her focus will be the woman’s desires and motivations. It is suggested that he/she will echo and repeat what is stated by the woman, in order to make her hear what she is saying and thereby reach her own conclusion. The information transmitted shall take the woman’s emotional condition and what she is prepared to listen into account.
Description
Keywords
Voluntary Termination of Pregnancy Discernment Follow-up Decision Interrupção Voluntária da Gravidez Discernimento Acompanhamento Decisão