Title: A experiência da cesárea indesejada: perspectivas das mulheres sobre decisões e suas implicações no parto e nascimento
Abstract: Introduction:According to the literature, 70-80% of women who underwent a cesarean wanted a normal delivery in early pregnancy.Among the related factors, we identify decisions along with the team that accompanied the prenatal and labor.We can infer that the frustration of this desire may have implications in the postpartum period, especially in relation MotherBaby, breastfeeding and postpartum mental health.Goals: To describe and analyze the experience of cesarean section (CS) self-reported as unwanted by women seeking a vaginal delivery and the mechanisms associated with the disagreement between the original desire (normal delivery) and the outcome (CS) and its implications in the postpartum period, namely in breastfeeding, in the occurrence of depression/babyblues and in bonding.Methods: Qualitative research which included filling out a script of semi-structured questions, via email, by women who take part in social media and the analysis of data from pre-determined categories and new categories that came from the analysis.Results: This study documented the routine use of inappropriate and disrespectful practices, such as the persuasion to perform a cesarean section based on threatening information, the disregard for the physical and emotional welfare of women, the lack of resources and procedures based on scientific evidence for conducting pre-natal and labor, the disrespect of the "Lei do Acompanhante" (Law of the Escort), the deprivation of contact with the baby after birth, the use of medication to sedate women after childbirth among other occurrences analyzed under the perspective of the obstetrics institutional violence.Conclusion: The process that leads women to an unwanted cesarean section is marked by an assistance that virtually precludes the possibility of female protagonism and informed choice, prioritizing convenience and needs of the team and the institution that accompany them, with significant emotional impact on the post delivery and the MotherBaby relationship.