VIA DE PARTO SOBRE PERSPECTIVA MATERNA: UMA REVISÃO INTEGRATIVA SOBRE FATORES DECISIVOS

Abstract

Objective: To analyze the factors that influence women's choice of delivery method. Methods: This is an integrative review, conducted in the second half of 2024, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. The search was conducted using the following databases: Virtual Health Library, Scopus, ScienceDirect, and PubMed. Original articles in any language and from any period were included, and duplicates, theses, and dissertations were excluded. Of the 976 studies initially identified, 15 comprised the final sample. Results: The analysis highlighted socioeconomic, sociocultural, and family factors, previous experiences, fear of pain, and insecurity about childbirth, in addition to the influence of health professionals. Cesarean section was often associated with predictability, less pain, and a greater sense of safety for the baby, while vaginal delivery was valued for its naturalness, faster recovery, and strengthening of the maternal bond. However, it was observed that the autonomy of pregnant women is limited by the lack of clear information and the medicalization of the childbirth process. Conclusion: It is concluded that multiple factors influence women's decisions about the mode of delivery, highlighting the need to strengthen prenatal health education to promote more conscious choices that respect women's autonomy.