Communication in maternal near miss cases: an analysis based on Habermas

This study sought to understand the network of meanings mutually experienced among women who survived maternal near miss due to lapses in care during pregnancy, labor and birth, based on Habermas' theory of communication. A qualitative methodology was selected, with the participation of 14 wome...

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Bibliographic Details
Published in:Ciência & saude coletiva 2024-10, Vol.29 (10), p.1
Main Authors: Veras Moraes Brilhante, Aline, Oliveira Branco, July Grassiely de, Silva Fontenele Colares, Monalisa, Andrade da Mota Sampaio, Luciana
Format: Article
Language:English
Subjects:
Analysis
Habermas, Jurgen
Interpersonal relations
Pregnancy
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Summary:This study sought to understand the network of meanings mutually experienced among women who survived maternal near miss due to lapses in care during pregnancy, labor and birth, based on Habermas' theory of communication. A qualitative methodology was selected, with the participation of 14 women who survived maternal near miss by means of the autobiographical narrative interview proposed by Schutze, based on the Communicative Action theory of Jurgen Habermas. From the analysis, two categories emerged: "Selective listening, clashes and negligence' and "Blaming the Patient and Violent Communication." The narratives reveal that the interpersonal relationship was not based on dialogue, but on superior knowledge as opposed to acknowledging the other, reflecting an authoritarian, non-reflexive posture of the professionals, without self-criticism or genuine critical freedom, with important repercussions on user care. The primacy of strategic rationality and the defense of verticalized technical success contributed to important communication lapses in the care of women who progressed to maternal near miss.
ISSN:1413-8123
DOI:10.1590/1413-812320242910.08582023EN