DECISÃO COMPARTILHADA DURANTE O TRABALHO DE PARTO: CONTRIBUIÇÕES PARA A REDUÇÃO DA VIOLÊNCIA OBSTÉTRICA.

Abstract

This study addresses shared decision-making in the context of prenatal and childbirth care, considering the challenges related to the pregnant woman's autonomy and the persistence of interventionist practices. Obstetric care in Brazil still presents challenges related to the pregnant woman's autonomy and the occurrence of practices that constitute obstetric violence. In this scenario, shared decision-making emerges as a fundamental strategy to promote woman-centered care, based on dialogue, respect, and the valuing of her choices. This is a literature review, with a qualitative approach, carried out through the analysis of scientific articles available in databases such as 1 PubMed and the Virtual Health Library (VHL), published between 2021 and 2026. Therefore, the study aims to analyze the contributions of shared decision-making in nursing practice, aiming at promoting more humanized and woman-centered care. The results show that the active participation of the pregnant woman in decisions contributes to greater satisfaction with childbirth, strengthening the bond with health professionals, and reducing unnecessary interventions. However, structural, cultural, and organizational factors still hinder the effective implementation of this practice in daily care. The role of the nurse in promoting shared decision-making is highlighted, through strategies such as health education, active listening, and encouragement of the development of a birth plan. It is concluded that shared decision-making constitutes an essential tool for the humanization of care, being indispensable for the prevention of obstetric violence and for the construction of more ethical, respectful, and woman centered care.