Development of the principle of autonomy for overcoming obstetric violence

Abstract

This article analyzes how the principle of autonomy can contribute to overcoming obstetric violence,
strengthening the rights and dignity of pregnant women. Obstetric violence is addressed as a violation
of human rights, manifested by dehumanizing and non-consensual medical practices. A qualitative
methodology was used, with a hermeneutic approach and documentary review of jurisprudence and
national and international standards, from a bioethical and legal perspective. The results indicate a
disconnect between legislation and medical practice, evidencing non-compliance with informed consent.
It was observed that the lack of training in bioethics perpetuates the violation of the patients’ autonomy.
The discussions point to ethical tensions between autonomy, beneficence and emergency decisions.
It is concluded that the integration of bioethics in medical education contributes to reducing obstetric
violence and strengthening reproductive rights. The study also proposes a theoretical and practical
framework for the constitutionalization of autonomy and improvement of women-centered health policies.