O Corte silencioso: episiotomia como prática médica de controle dos corpos durante o parto.

Abstract

The present study aims to analyze the preservation of the routine practice of episiotomy in the present Day, for this we will analyze the speeches brought by the Ministry of Health, like the Humanization Program in Prenatal and Birth, as well as documents elaborated by the World Health Organization (WHO) that deal with the iatrogeny of the episiotomy, which happens to be carried out in about 90% of the parturient, number well divergent than the evidence-based Medicine literature shows as safe (10%). We analyze the historical processes that constructed this technique and the way in which this practice, as well as institutional protocols, are perpetuated in the current obstetric scenario and demarcate a place of knowledge about the pregnant woman's body. Such practices limit the autonomy of women, bringing their life losses in the physical, emotional and sexual spheres. Given the information collected, it was possible to perceive a certain inertia in performing research that shows alternatives to the practice of episiotomy, being necessary to start new studies that can change the reality, aiming that the women can have access to the correct information, promoting autonomy so that they can return to the place of protagonism of their own body.