Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-01-27T19:12:32Z No. of bitstreams: 1 FranciscoAmericoMicussi_DISSERT.pdf: 9249981 bytes, checksum: 572c653683e2af16777d794f6d7e3e9b (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-02-02T22:29:41Z (GMT) No. of bitstreams: 1 FranciscoAmericoMicussi_DISSERT.pdf: 9249981 bytes, checksum: 572c653683e2af16777d794f6d7e3e9b (MD5) / Made available in DSpace on 2016-02-02T22:29:41Z (GMT). No. of bitstreams: 1 FranciscoAmericoMicussi_DISSERT.pdf: 9249981 bytes, checksum: 572c653683e2af16777d794f6d7e3e9b (MD5) Previous issue date: 2014-09-19 / A gesta??o ? um per?odo singular na vida da mulher, demandando aten??o especial da fam?lia e dos profissionais de sa?de. No Brasil, o Minist?rio da Sa?de adotou o Cart?o da Gestante para acompanhamento do Pr?-natal, o que n?o tem se mostrado instrumento capaz de contribuir para a melhoria da qualidade dessa assist?ncia, considerando que os registros s?o falhos, dificultando a compreens?o dos mesmos por parte das gestantes. O projeto de interven??o que resultou nesta disserta??o teve por objetivo implantar uma Caderneta da Gestante visando o aprimoramento ao atendimento ? mulher no ciclo grav?dico-puerperal. O local da interven??o foi a Unidade Sa?de da Fam?lia do Campo da Mangueira, no munic?pio de Maca?ba/RN, Brasil. A Caderneta foi adotada como ferramenta tecnol?gica da gest?o do cuidado, de modo inclusivo e participativo, incluindo gestantes e equipe em todas as fases da implanta??o. Foram selecionadas e acompanhadas 09 (nove) gestantes, na faixa et?ria de 19 (dezenove) a 30 (trinta) anos, sendo a m?dia de idade de 24 (vinte e quatro) anos e no per?odo gestacional compreendido de 07 (sete) a 11 (onze) semanas durante abril a julho de 2014. No total foram realizadas 46 (quarenta e seis) consultas, dentre as quais 27 (vinte e sete) pelo m?dico, 19 (dezenove) pela enfermeira, al?m dos atendimentos realizados pelo dentista, imuniza??o e visitas domiciliares. O registro do processo de implanta??o da caderneta constou de anota??es em prontu?rios e relat?rios dos momentos de encontros com gestantes e com equipe de sa?de. Constatou-se que al?m de uma constru??o coletiva, humanizada e interdisciplinar houve a satisfa??o demonstrada pelas gestantes contribuindo dessa maneira para a ades?o ao Pr?-Natal - PN, maior estabelecimento de v?nculos, melhora da autoestima das gestantes e melhoria na qualidade do PN. Considera-se que a implanta??o da Caderneta da Gestante na referida Unidade de Sa?de contribuiu para mudan?as nos modos de fazer a aten??o materno-infantil na Estrat?gia de Sa?de da Fam?lia e pode ser recomendada para implanta??o na rede municipal. / Pregnancy is a unique period in a woman's life, demanding attention from family and health professionals. In Brazil, the Ministry of Health adopted the Pregnant Card to monitor the Prenatal, which has not proven means of contributing to improving the quality of that care, considering that the records are flawed, making the understanding of them more difficult for the pregnant women. The intervention project that resulted in this dissertation sought to deploy a Handbook of the Pregnant aimed at improving the treatment of women in pregnancy and childbirth. The intervention site was the Family Health Unit of the Campo da Mangueira, in the municipality of Maca?ba/RN, Brazil. The Handbook was adopted as a technological tool of management of care, in an inclusive and participatory manner, including pregnant women and staff in all phases of the deployment. Were selected and monitored nine (09) patients, aged between nineteen (19) and thirty (30) years old, with an average age of 24 (twenty four) years and comprised the gestation period of seven (07) to eleven (11) weeks during the period April-July 2014. Altogether were made 46 (fortysix) queries, among which 27 (twenty-seven) by the doctor, nineteen (19) by the nurse in addition to the services performed by the dentist, immunization and home visits. The record of the deployment process of the book consisted of notes in medical records and reports of the moments of encounters with pregnant women and health care team. It was found that in addition to a collective, humanized and interdisciplinary construction, there was the satisfaction demonstrated by pregnant women, thus contributing to adherence to Prenatal - PN, higher establishment of links, improved self-esteem of pregnant women and improving the quality of PN. It is considered that the implementation of the Handbook in the mentioned Health Unit contributed to changes in ways of doing the maternal and childcare in the Family Health Strategy and can be recommended for deployment in the municipality of Maca?ba.