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But de l\u2019\u00e9tude\u00a0: Analyser, \u00e0 partir de donn\u00e9es ethnographiques, les pratiques des technologies biom\u00e9dicales et leurs rapports avec les violences gyn\u00e9cologiques et obst\u00e9tricales. R\u00e9sultats\u00a0: Trois pratiques principales sont syst\u00e9matis\u00e9es, \u00e0 des fins didactiques\u00a0: le traitement des complications de l\u2019avortement \u00e0 la maternit\u00e9, l\u2019\u00e9chographie et le curetage. Malgr\u00e9 l\u2019existence de normes nationales \u2013\u00a0r\u00e9sultat des avanc\u00e9es du mouvement sanitaire et f\u00e9ministe br\u00e9silien\u00a0\u2013 et de normes internationales, il subsiste une r\u00e9sistance institutionnelle \u00e0 l\u2019adoption de pratiques qui donnent la priorit\u00e9 au bien-\u00eatre des femmes. Conclusions\u00a0: Le mode d\u2019organisation et de mat\u00e9rialisation du service et l\u2019adoption de certaines pratiques et technologies (ainsi que l\u2019omission d\u2019autres) reproduisent les violences obst\u00e9tricales. Les pratiques quotidiennes \u00e0 l\u2019h\u00f4pital n\u2019\u00e9chappent pas \u00e0 la moralisation de l\u2019avortement, et aux fortes in\u00e9galit\u00e9s de classe, de race et de genre qui d\u00e9passent l\u2019espace institutionnel de l\u2019h\u00f4pital. L\u2019analyse nous permet de comprendre que la pratique des technologies biom\u00e9dicales fa\u00e7onne et est fa\u00e7onn\u00e9e de mani\u00e8re symbolique et situ\u00e9e, et peut servir d\u2019instrument pour les pratiques de violence incarn\u00e9e. Enfin, il est n\u00e9cessaire de revoir le mod\u00e8le des soins post-avortement.<\/jats:p>","DOI":"10.3917\/spub.215.0675","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T00:00:29Z","timestamp":1648512029000},"page":"675-683","source":"Crossref","is-referenced-by-count":3,"title":["Violences gyn\u00e9cologiques et obst\u00e9tricales, technologies\u00a0biom\u00e9dicales et avortement dans une maternit\u00e9 publique du nord-est du Br\u00e9sil"],"prefix":"10.3917","volume":"Vol. 33","author":[{"given":"Mariana","family":"Ramos Pitta Lima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia Anne","family":"McCallum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greice Maria","family":"de Souza Menezes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1 http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&amp;pid=S0102-311X2020001300504&amp;lng=en Galli\u00a0B. Challenges and opportunities for access to legal and safe abortion in Latin America based on the scenarios in Brazil, Argentina, and Uruguay [Internet]. Cad Sa\u00fade P\u00fablica. 2020;36(Suppl\u00a01): e00168419. [Visit\u00e9 le 22\/02\/2021]. En ligne\u00a0: ."},{"key":"rb2","doi-asserted-by":"publisher","first-page":"e552","DOI":"10.1016\/S2468-2667(19)30204-X","article-title":"Abortion in Brazil: the case for women's rights, lives, and choices","volume":"4","author":"Malta Monica","year":"2019","journal-title":"The Lancet Public Health","ISSN":"https:\/\/id.crossref.org\/issn\/2468-2667","issn-type":"print"},{"key":"rb3","doi-asserted-by":"publisher","first-page":"null","DOI":"10.1590\/0102-311x00168116","article-title":"Delays in access to care for abortion-related complications: the experience of women in Northeast Brazil","volume":"34","author":"Ara\u00fajo Th\u00e1lia Velho Barreto de","year":"2018","journal-title":"Cadernos de Sa\u00fade P\u00fablica","ISSN":"https:\/\/id.crossref.org\/issn\/1678-4464","issn-type":"print"},{"key":"rb4","doi-asserted-by":"crossref","unstructured":"4 https:\/\/doi.org\/10.1016\/S0140-6736(11)60138-4 Victora\u00a0CG, Aquino\u00a0EM, do\u00a0Carmo\u00a0Leal\u00a0M, Monteiro\u00a0CA, Barros\u00a0FC, Szwarcwald\u00a0CL. 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