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Previous issue date: 2011-03-29 / The consultation for women during the postpartum period should occur between the seventh
and tenth days, and 42 days after childbirth, to decrease the incidence of maternal and
neonatal morbidity and mortality. However, the effectiveness of such assistance in primary
health care has not been achieved, especially in the forty-second day of puerperium. Facing
this reality, the research aimed to understand the views of women about postpartum
consultation. This is an exploratory and descriptive research with qualitative approach,
developed in the municipality of Lajes/RN, Brazil, with women inscribed on the four teams
that make up the Family Health Strategy. Data were collected through semistructured
interviews with 15 women who met the following criteria: be enrolled in ESF; have health
mental preserved, have been entered in the Humanization Program of Prenatal and Birth, and
that was, at maximum, 60 days postpartum. The data were organized according to the precepts
of content analysis according to Bardin, generating three categories: prevention of puerperal
complications, feelings related to life changes after childbirth, and postpartum care. This
process of coding and categorizing a central theme emerged: the experience of women in the
postpartum period. The data were analyzed according to the principles of symbolic
interactionism, according to Blumer. The study revealed that the meanings attributed to the
postpartum period for prevention of complications were directly related to home, to the
consultation and postpartum care provided by family members and health professionals. The
interviewees strictly complied with the rest under the influence of the context in which they
were entered. But that has not happened with the postpartum revision because few mothers
underwent this procedure. Therefore, the interaction of the interviewed people in their living
standard as well as the feelings that permeated the post-partum were crucial to consider
whether or not the post-partum visit as significant. According to the results, it was noted that
disability guidelines and counter-references has impaired the access of women to postpartum
review. Thus, further studies are needed on the subject, as well as a reorientation of health
care activities in view of the consolidation of postpartum consultation in primary care / A consulta ? mulher durante o puerp?rio deve acontecer entre o s?timo e o d?cimo dia, e com
42 dias ap?s o nascimento da crian?a, visando diminuir a incid?ncia de morbidade e
mortalidade materna e neonatal. No entanto, a efetiva??o dessa assist?ncia no n?vel prim?rio
de aten??o ? sa?de ainda n?o foi conseguida, principalmente no quadrag?simo segundo dia de
puerp?rio. Frente a essa realidade, a pesquisa teve como objetivo compreender as concep??es
da mulher acerca da consulta p?s-parto. Trata-se de um estudo explorat?rio e descritivo de
abordagem qualitativa, desenvolvido no Munic?pio de Lajes/RN, Brasil, com mulheres
adscritas nas quatro equipes que comp?em a Estrat?gia Sa?de da Fam?lia. Os dados foram
obtidos por meio de entrevista semiestruturada junto a 15 mulheres que atenderam aos
seguintes crit?rios de inclus?o: ser adscrita na ESF; ter sa?de mental preservada; ter sido
inscrita no Programa de Humaniza??o do Pr?-Natal e Nascimento, e que estivesse, no
m?ximo, com 60 dias p?s-parto. As informa??es coletadas foram organizadas conforme os
preceitos de an?lise de conte?do segundo Bardin, originando tr?s categorias: preven??o de
complica??es puerperais; sentimentos relacionados ?s mudan?as de vida ap?s o parto; e
cuidados p?s-parto. Desse processo de codifica??o e categoriza??o emergiu uma tem?tica
central: Viv?ncia da mulher no puerp?rio. Os dados foram analisados conforme os princ?pios
do Interacionismo Simb?lico, segundo Blumer. O estudo revelou que os significados
atribu?dos ao puerp?rio relativos ? preven??o de complica??es estavam diretamente
relacionados ao repouso, ? realiza??o da consulta puerperal e aos cuidados prestados pelos
familiares e profissionais de sa?de. As entrevistadas cumpriram rigorosamente o repouso sob
influ?ncia do contexto no qual estavam inseridas. Por?m, isso n?o aconteceu com a revis?o
p?s-parto, pois pequeno n?mero de pu?rperas se submeteu a esse procedimento. Portanto, a
intera??o das entrevistadas com as pessoas do seu conv?vio habitual, bem como os
sentimentos que permearam o p?s-parto foram decisivos para considerarem, ou n?o, a
consulta puerperal significativa. De acordo com os resultados obtidos, percebeu-se que a
defici?ncia de orienta??es e da contrarrefer?ncia, tem dificultado o acesso dessa mulher ?
revis?o p?s-parto. Assim, se fazem necess?rios novos estudos sobre o assunto, bem como uma
reorienta??o das a??es assistenciais, na perspectiva da consolida??o da consulta p?s-parto na
aten??o b?sica
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14715 |
| Date | 29 March 2011 |
| Creators | Santos, Flavia Andreia Pereira Soares dos |
| Contributors | CPF:12389595472, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4794971P8&dataRevisao=null, Diniz, Norm?lia Maria Freire, CPF:43253890406, http://lattes.cnpq.br/1881283437408319, Germano, Raimunda Medeiros, CPF:00446114472, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4721938D8, Farias, Glaucea Maciel de, CPF:02567415491, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4792903Z9&dataRevisao=null, Brito, Rosineide Santana de |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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