Violence against woman in clinical and hospital settings: Hypotheses of criminal protection
DOI:
https://doi.org/10.33448/rsd-v14i10.49587Keywords:
Medical violence, Women, Legal protectionAbstract
The present work aims to address medical violence against women in clinical and hospital contexts, with a focus on the hypotheses of civil, administrative, and criminal liability provided for in the Brazilian legal system. It is based on the constitutional protection of fundamental rights such as life, physical and moral integrity, sexual dignity, and consent, which are pillars of human dignity and demand effective enforcement by the State and society. The research distinguishes medical violence from medical error, highlighting that the former involves intentional or negligent acts that violate patients’ fundamental rights, causing physical, psychological, or moral harm. Although it can affect all genders, the study focuses on violence against women, exposing structural inequalities and practices such as obstetric violence and abuses in gynecological care. The methodology relies on bibliographic analysis of scientific articles, case law, legislation, and official documents related to physicians’ duties and responsibilities. Subcategories of violence with specific legal provisions were identified, stressing the importance of recognition for effective legal responses. Civil liability of health professionals in such cases is a sensitive and complex issue. The lack of specific legislation to punish medical violence remains a significant barrier to accountability. Therefore, articulation between civil, administrative, and criminal spheres is essential to prevent new occurrences, provide effective redress to victims, and strengthen the ethical and legal commitment of professionals.
References
Arce, J. (2021, December 16). The long history of forced sterilization of Latinas. Unidos US Blog.
https://unidosus.org/blog/2021/12/16/the-long-history-of-forced-sterilization-of-latinas/
Bitencourt, C. R. (2024). Tratado de direito penal: Parte especial (Vol. 4, 18ª ed.). Saraiva Jur. https://app.minhabiblioteca.com.br/books/9786553629295
Bowser, D., & Hill, K. (2010, September 20). Exploring evidence for disrespect and abuse in facility-based childbirth: Report of a landscape analysis. Harvard School of Public Health, University Research Co., LLC.
Brasil. (1940, December 31). Código Penal: Decreto-Lei nº 2.848, de 7 de dezembro de 1940. Diário Oficial da União. https://www.planalto.gov.br/ccivil_03/decreto-lei/del2848compilado.htm
Brasil. (1988). Constituição da República Federativa do Brasil. Senado Federal. https://www.planalto.gov.br/ccivil_03/constituicao/constituicao.htm
Brasil. (1996, August 1). Decreto nº 1.973, de 1º de agosto de 1996. Promulga a Convenção Interamericana para Prevenir, Punir e Erradicar a Violência contra a Mulher. Diário Oficial da União. https://www.planalto.gov.br/ccivil_03/decreto/1996/d1973.htm
Bulos, U. L. (2025). Curso de direito constitucional (17ª ed.). SRV. https://app.minhabiblioteca.com.br/reader/books/9788553621217/
Castro, R., & Frías, S. M. (2019, April 8). Obstetric violence in Mexico: Results from a 2016 national household survey. Violence Against Women, 26(6–7), 555–572. https://doi.org/10.1177/1077801219836732
Ciello, Cariny et al. Parto do Princípio – Mulheres em Rede Pela Maternidade Ativa (org.). Violência Obstétrica: parirás com dor. Parirás com dor. 2012. https://www.senado.gov.br/comissoes/documentos/SSCEPI/DOC%20VC M%20367.pdf
Conselho Federal de Medicina. (2009). Código de ética médica – Resolução 1931/2009: Capítulo III – Responsabilidade profissional. https://portal.cfm.org.br/etica-medica/codigo-2010/codigo-de-etica-medica-res-1931-2009-capitulo-iii-responsabilidade-profissional/
D’Oliveira, A. F. P. L., Diniz, S. G., & Schraiber, L. B. (2002, May). Violence against women in health-care institutions: An emerging problem. The Lancet, 359(9318), 1681–1685. https://doi.org/10.1016/S0140-6736(02)08592-6
Lacerda, J. (2025, August 5). Vítimas de violência obstétrica denunciam negligências médicas. Agência Câmara Notícias. https://www.camara.leg.br/noticias/1005005-vitimas-de-violencia-obstetrica-denunciam
Lamont, J. A., & Woodward, C. (1994, May 1). Patient-physician sexual involvement: A Canadian survey of obstetrician-gynecologists. Canadian Medical Association Journal, 150(9), 1433–1439. https://www.cmaj.ca/content/150/9/1433
Lopes, I. F., Silva, A. M., & Sousa, J. da S. (2024, May 10). A responsabilidade civil do médico na violência obstétrica. RevistaFT, 28(134). https://doi.org/10.5281/zenodo.11175048
Mendonça, V. S., & Custódio, E. M. (2016, January). Nuances e desafios do erro médico no Brasil: As vítimas e seus olhares. Revista Bioética, 24(1), 136–146.
Mesenburg, M. A., et al. (2018, March 27). Disrespect and abuse of women during the process of childbirth in the 2015 Pelotas Birth Cohort. Reproductive Health, 15(1), 54. https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-018-0495-6
National Women’s Law Center. (2022, January 24). Forced sterilization of disabled people in the United States. Justice for Her, Justice for All. https://nwlc.org/wp-content/uploads/2022/01/%C6%92.NWLC_SterilizationReport_2021.pdf
Open Society Foundations. (2011). Against her will: Forced and coerced sterilization of women worldwide. https://www.opensocietyfoundations.org/publications/against-her-will-forced-and-coerced-sterilization-of-women-worldwide
Prado, L. R. (2022). Curso de direito penal brasileiro: Volume único (20ª ed.). Forense.
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [e-book gratuito]. Santa Maria/RS. Ed. UAB/NTE/UFSM.
Rother, E. T. (2007). Revisão sistemática x revisão narrativa. Acta Paulista de Enfermagem. 20(2): 5-6.
Sarlet, I. W. (2012). A eficácia dos direitos fundamentais: Uma teoria geral dos direitos fundamentais na perspectiva constitucional (11ª ed.). Livraria do Advogado.
Sando, D., et al. (2014, December). Disrespect and abuse during childbirth in Tanzania. JAIDS Journal of Acquired Immune Deficiency Syndromes, 67(Suppl 2), S228–S234. https://journals.lww.com/jaids/fulltext/2014/12011/disrespect_and_abuse_during_childbirth_in.9.aspx
Silva, J. A. da. (2019). Curso de direito constitucional positivo. Malheiros.
Silva, J. C. O., Brito, L. M. C., Alves, E. S., Medeiros Neto, J. B., Santos Junior, J. L. P., Marques, N. M., Lopes, T. M. O., Alexandre, J. A., & Santos, L. J. R. P. (2023). Impacts of obstetric violence in Brazil: A literature review. Research, Society and Development, 12(2), e10812239950. https://doi.org/10.33448/rsdv12i2.39950
Villarroel, R. (2025, August 12). Ex-anestesista é condenado por estupro contra duas pacientes no Rio. CNN Brasil. https://www.cnnbrasil.com.br/nacional/sudeste/rj/ex-anestesista-e-condenado-por-estupro-contra-duas-pacientes-no-rio/
World Health Organization. (2014). Prevention and elimination of disrespect and abuse during childbirth. WHO. https://www.who.int/publications/i/item/WHO-RHR-14.23
Zanardo, G. L. de P., et al. (2017). Violência obstétrica no Brasil: Uma revisão narrativa. Psicologia & Sociedade, 29, e155043.
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