Transtorno de estresse pós traumático relacionado ao parto e disparidades etnico-raciais: uma revisão da literatura
DOI:
https://doi.org/10.25118/2763-9037.2026.v16.1566Palavras-chave:
transtornos de estresse pós-traumáticos, minorias étnicas e raciais, trabalho de parto, TEPTResumo
Transtorno de Estresse Pós-Traumático (TEPT) relacionado ao parto é uma condição na qual sintomas pós-traumáticos se desenvolvem como resultado de uma experiência traumática de parto. A probabilidade de desenvolver TEPT relacionado ao parto é fortemente dependente de uma experiência de parto subjetiva, na qual a qualidade da interação com os profissionais de saúde tem grande influência. Particularmente, mulheres de minorias étnico-raciais enfrentam um alto risco de desenvolvimento de TEPT relacionado ao parto. A presente revisão analisa a literatura existente sobre disparidades étnico-raciais, com o objetivo de fornecer uma estrutura para discutir o impacto do contexto étnico-racial na experiência subjetiva do parto, bem como a influência na qualidade da interação com profissionais de saúde. Achados literários indicam que mulheres de minorias étnico-raciais frequentemente relatam interações de baixa qualidade com profissionais de saúde durante o parto, citando manejo inadequado da dor, problemas de comunicação, abusos verbais, que podem incluir comentários racistas, e violações da autonomia. Certos estereótipos relacionados à tolerância à dor, à inteligência e ao comportamento de mulheres de minorias étnico-raciais podem influenciar a decisão de profissionais de saúde quanto ao manejo medicamentoso da dor, bem como a tomada de decisão e a comunicação conjunta entre paciente e profissional. Apesar das importantes implicações negativas desses fatores, várias medidas podem ser tomadas para reduzir seu impacto, como um tratamento culturalmente sensível no pré-natal e prática informada sobre trauma no cuidado intraparto.
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