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ShowHideCatarina Barata Instituto de Ciências Sociais, Universidade de Lisboa, Av. Professor Aníbal de Bettencourt 9, 1600-189 Lisbon, Portugal; catarina.barata@ics.ulisboa.pt
In this article, I address the issues of obstetric violence and racism within the Portuguese obstetric care system. Based on data collected through interviews and participatory artistic creation, I analyze the perceptions of three Afro-Brazilian migrant women regarding their perinatal experiences in the Portuguese public healthcare sector between 2013 and 2019. Their experiences share many similarities with those of Portuguese, non-racialized women who have reported obstetric violence. However, specific aspects of their experiences are shaped by their identities as Brazilian, migrant, and Black. These include xenophobic discrimination, their positioning within systems of stratified reproduction—such as the presumed predisposition to cesarean births—and self-policing behaviors influenced by the stereotype of Brazilian women as flirtatious. I examine various manifestations of obstetric violence and racism, from overt to more subtle forms, to explore how, in a country where these issues are only beginning to be recognized as systemic, multiple forms of discrimination intersect and impact women's experiences of their bodies during pregnancy, childbirth, postpartum, and breastfeeding.
Pedro Candeias, Violeta Alarcão, Miodraga Stefanovska-Petkovska, Osvaldo Santos, Ana Virgolino, Sónia Pintassilgo, Patrícia M. Pascoal, Andreia Silva Costa, and Fernando Luís Machado.
This study underscores the need to address disparities in national policies to ensure the protection of migrants' sexual and reproductive health (SRH) and their access to essential services, with a particular focus on sexual education and reproductive justice. The application of the Delphi method provided valuable insights for developing inclusive and integrative strategies to inform better decision-making within healthcare systems. In the context of the COVID-19 pandemic, these findings are particularly relevant, as prior advancements in health equity have been undermined. The results can support healthcare systems in adapting to the needs of migrant populations, ensuring the effective and inclusive delivery of SRH services. To achieve this, a life-course approach is proposed for planning, implementing, and evaluating key SRH indicators across different population groups and life stages.
