Contribuições da psicanálise winnicottiana às rotinas neonatais

Abstract

This dissertation introduces the question of the existing subtleness in the basal mother-baby relation, and the neonatal procedures in maternity ward interventions provoked by this relationship. This study is based on Donald W. Winnicott s theory on primitive emotional development, being aimed to investigate, through the criteria and routines included in a maternity ward protocol, whether the mentioned procedures may or not evoke disturbances in the first mother-baby relationships of life, and what are the Winnicottian psychoanalytic contributions to this theme. Performing this study is justified by the increasing interest in Winnicott s ideas as well as by the original and innovative proposal of his theories, presented here as accounting on the progress of psychoanalysis. By way of getting an understanding on the proposed theme, a study has been carried out on the initial states of the being, the duties of the initial maturation process, as well as the role of environment that may facilitate or complicate the development. It was also investigated the conception of good enough mother that contributes to the establishment of a healthy personality, the inadequate maternal cares, and the relationship between the mother and the medical staff. The study was performed in a provincial maternity ward of Sao Paulo, and the adopted methodological procedure was to analyze neonatal texts of patterns and routines. It was found that, on the institutional side, there is a whole work aiming to birth humanization, and a concern about promoting and stimulating the maternal milking. In regard to this issue, it was raised the question on the propagandistic aspect of the breast feeding counteracted by the emotional issues involved in the mother-baby relationship, as well as the relevance of the personal formation and professional training of those who are involved in the very first infancy care. Some suggestions contributing to an integrated assistance to the mother and the newborn were also presented.