Objetivo: Compreender o entendimento dos trabalhadores da Rede Cegonha sobre a assistência ao pré-natal e suas implicações no processo de parto e nascimento, no município de Palmas. Método: Esta pesquisa é fruto de um projeto ampliado o qual teve um recorte qualitativo, de natureza descritiva e analítica. Foram entrevistados 19 Trabalhadores da Rede Cegonha de Palmas, sendo 09 do Hospital e Maternidade Dona Regina e 10 da Atenção Básica no período de fevereiro a julho de 2016. Para subsidiar a técnica de entrevista, foi utilizado roteiro semiestruturado com oito questões abertas. Resultados e Discussão: Observa-se uma fragmentação da rede ao passo que foi identificado uma grande lacuna na comunicação entre atenção primária e hospitalar. Isso é reflexo de uma qualidade na formação profissional insatisfatória e uma alienação no processo de trabalho. Nota-se ainda que falta informação e corresponsabilização da comunidade sobre a importância do pré-natal e suas implicações no processo de parto e nascimento. Conclusão: Faz-se necessário um monitoramento mais eficaz nos indicadores da Rede Cegonha no componente pré-natal para que haja uma efetiva implementação tanto intersetorial quanto intrasetorial. É irrevogável o contínuo desenvolvimento de ações educativas para melhorar a avaliação dessa importante estratégia política para redução da morbimortalidade materna infantil. / Objective: Understand the comprehension of the workers of the Stork Network on prenatal care and its implications in the process of childbirth and birth, in the city of Palmas. Method: This research is the result of an extended project, which had a qualitative cut of descriptive and analytical origin. We interviewed 19 workers from Palmas’ Stork Network, of which 09 were from the Hospital and Maternity Dona Regina and 10 from Basic Care in the period of February to July of 2016. To support the interview technique, a semi-structured script was used with 08 open questions. Results and Discussion: A network fragmentation was observed and a large gap was identified in the communication between primary and hospital care. This is a reflection of unsatisfactory professional training and alienation in the work process. It is still noticeable the lack of information and co-responsibility of the community on the importance of prenatal care and its implications in the process of childbirth and birth. Conclusion: Thus, it is necessary to monitor more effectively the indicators of the Stork Network in the prenatal component so that there is an effective implementation, both intersectorial and intrasectoral. Is irrevocable the continuous development of educational actions to improve the evaluation of this important political strategy to reduce maternal and child morbidity and mortality.

Background: Postnatal PTSD affects between 1 and 6% of women, whereas 30% are partially symptomatic. The mental health of new mothers is of public health concern as it could affect the marital relationship and the behavioural and emotional health of children. Little research has explored emotional regulation difficulties as predictors for postnatal PTSD. Treatments such as Cognitive Behavioural Therapy (CBT) have long waiting list times and may be hard to access for new mothers. Aim: The relationship between key predictors especially those associated with emotional regulation and PTSD in postnatal women was investigated. The feasibility of using internet based writing therapy for women with postnatal PTSD was assessed. Exploration of women's views about writing therapy as a therapeutic tool and their lived experience of PTSD was undertaken. Methods: Two literature reviews were conducted; firstly to identify the types of therapy previously used for women with postnatal PTSD, secondly to identify necessary conditions for effective writing therapy. The quantitative phase used measures for key predictors of PTSD and incorporated a feasibility study for a writing intervention. Regression analysis for a variety of predictors and PTSD and general and psychological health was conducted on data from 211 women. In the qualitative phase narrative analysis was used on interview transcripts from seven non-writers exploring access to writing and their experience of PTSD. An in depth case study was conducted on a woman who participated in the intervention and who was interviewed. Findings: The quantitative phase showed that planning the pregnancy; whether the baby slept or fed as expected; maternal confidence; past trauma; attachment patterns; self-efficacy; social support and partner support correlated with PTSD. However, the pain component of the birth experience mediated the effect of affects and alexithymia on general and psychological health. Most women did not access writing therapy. The qualitative phase showed that complicating factors and relationships with staff and mothers affect women's experience of PTSD and their view of themselves. Social media was used by women for support. Conclusion: Emotion regulation difficulties could impact postnatal mental health. Antenatal screening for alexithymia may be useful. Women value good relationships with staff during labour. The role of social media for postnatal mental health support should be investigated.

I focus on the nature of the discourses of the birth themselves and on the form of their controversies, which are tied to their confrontations in Czech web articles. I examine the discourses and their strife in the articles of active participants of the dispute and on the most popular website in the articles dedicated to (future) parents. The discourse of the actively medically controlled delivery, perceives a birth as an inscrutable risky phenomenon which is medically necessary to keep always in a hospital with a staffing and material background to deal with possible complications. This discourse criticizes the births that are led outside hospitals. The discourse of the natural birth sees a birth as a natural part of life, during which usually no complications occur, if there is present a trained expert, who does not interfere in the natural process of labor, except any required medical reasons. A natural birth can be taken place in home. The reader are warned by this discourse on the improper routine care in Czech hospitals, which is inconsistent with the needs of the mother and the child, and on complications of a birth caused by the active medical leading of labor. The articles on the popular website are mainly influenced by the discourse of the actively medically controlled birth. These...