Vulnerability of high-risk pregnancy in the perception of pregnant women and their families

Authors

DOI:

https://doi.org/10.15253/2175-6783.20192040207

Keywords:

Pregnant Women; Prenatal Care; Pregnancy, High-Risk; Family; Health Vulnerability.

Abstract

Objective: to describe the perception of pregnant women and their relatives about the vulnerability of a high-risk pregnancy. Methods: qualitative research with eight pregnant women and ten relatives. Data were collected through semi-structured, audio-taped interviews, which, after transcription, were submitted to content analysis in the thematic modality proposed by Bardin. Results: three categories emerged: Experiences of relatives and pregnant women in relation to the diagnosis of a risky pregnancy; The family as the structuring axis of care in a high-risk pregnancy; and Invisibility of relatives in prenatal care. Conclusion: both the relatives and the pregnant women experienced worry, anxiety, fear and stress in the face of vulnerability, but the pregnant women perceived themselves to be more protected and safer with the support of the family, which although did not perceived to be valued by health professionals during prenatal consultations, plays an important role in encouraging and supervising care during pregnancy.

References

Ministério da Saúde (BR). Protocolos de Atenção Básica: Saúde das Mulheres. Instituto Sírio-Libanês de Ensino e pesquisa [Internet]. 2016 [citado 2019 jan. 22]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/protocolos_atencao_basica_saude_mulheres.pdf

Kassebaum NJ, Bertozzi AV, Coggeshall MS, Shackelford KA, Steiner C, Heuton KR, et al. Global, regional and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014; 384(9947):980-1004. doi: http://dx.doi.org/10.1016/S0140-6736-14-60696-6

Fortuna CM, Mesquita LP, Matumoto S, Monceau G. A análise de implicação de pesquisadores em uma pesquisa-intervenção na Rede Cegonha: ferramenta da análise institucional. Cad Saúde Pública. 2016; 32(9):e00117615. doi: http://dx.doi.org/10.1590/0102-311X00117615

Secretaria de Estado da Saúde do Paraná. Linha Guia – Rede Mãe Paranaense [Internet]. 2018 [citado 2019 jan 12]. Disponível em: http://www.saude.pr.gov.br/arquivos/File/LinhaGuiaMaeParanaense_2018.pdf

Amorim TV, Souza IEO, Salimena AMO, Melo MCSC, Paiva ACPC, Moura MAV. The everyday of a heart disease high-risk pregnancy: phenomenological study of care relationships. Esc Anna Nery 2016; 20(4):e20160091. doi: http://dx.doi.org/10.5935/1414-8145.20160091

Oliveira DC, Mandú ENT. Mulheres com gravidez de maior risco: vivências e percepções de necessidades e cuidado. Esc Anna Nery. 2015; 19(1):93-101. doi: http://dx.doi.org/10.5935/1414-8145.20150013

Cabrita BAC, Abrahão AL, Rosa AP, Rosa FSF. A busca do cuidado pela gestante de alto risco e a relação com a integralidade em saúde. Ciênc Cuid Saude 2015; 14(2):1139-48. doi: http://dx.doi.org/10.4025/cienccuidsaude.v14i2.24250

Fairbrother N, Young AH, Janssen P, Antony MM, Tucker E. Depression and anxiety during the perinatal period. BMC Psychiatr Online. 2015; 15(206):1-9. doi: http://dx.doi.org/10.1186/s12888-015-0526-6

Ferreira S, Fernandes AFC, Lô KKR, Melo TP, Gomes AMF, Andrade IS. Percepções de gestantes acerca da atuação dos parceiros nas consultas de pré-natal. Rev Rene. 2016; 17(3):318-23. doi: http://dx.doi.org/10.15253/2175-6783.2016000300003

Gioza PS, Tavares CMM, Marcondes FL. Suporte emocional às gestantes que convivem com doenças crônicas. Rev Port Enferm Saúde Mental. 2016; (spe4):63-8. doi: http://dx.doi.org/10.19131/rpesm.0143

Watts MCNC, Liamputtong P, Mcmichael C. Early motherhood: a qualitative study exploring the experiences of African Australian teenage mothers in greater Melbourne, Australia. BMC Public Health. 2015; 15:873. doi: https://doi.org/10.1186/s12889-015-2215-2

Nascimento LCN, Souza TV, Oliveira ICS, Moraes JRMM, Aguiar RCB, Silva LF. Theoretical saturation in qualitative research: an experience report in interview with school children. Rev Bras Enferm. 2018; 71(1):228-33. doi: http://dx.doi.org/10.1590/0034-7167-2016-0616

Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.

Nie C, Dai Q, Zhao R, Dong Y, Chen Y, Ren H. The impact of resilience on psychological outcomes in women with threatened premature labor and spouses: a cross-sectional study in Southwest China. Health Qual Life Outcomes. 2017; 15(1):15-26. doi: http://dx.doi.org/10.1186/s12955-017-0603-2

Williams CF, Steen M, Esterman A, Fielder A, Walus MA. “My midwife said that having a glass of red wine was actually better for the baby”: a focus group study of women and their partner’s knowledge and experiences relating to alcohol consumption in pregnancy. BMC Pregnancy Childbirth. 2015; 15:79. doi: http://dx.oi.org/10.1186/s12884-015-0506-3

Jackson C, Huque R, Satyanarayana V, Nasreen S, Kaur M, Barua D, et al. He doesn’t listen to my words at all, so i don’t tell him anything”- a qualitative investigation on exposure to second hand smoke among pregnant women, their husbands and family members from rural Bangladesh and urban India. Int J Environ Res Public Health. 2016; 13(11):e1098. doi: http://doi.org/10.3390/ijerph13111098

Pereira SB, Diaz CMG, Backes MTS, Ferreira CLL, Backes DS. Good practices of labor and birth care from the perspective of health professionals. Rev Bras Enferm. 2018; 71(3):1313-9. doi: http://dx.doi.org/10.1590/0034-7167-2016-0661

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégias/Coordenação Nacional de Saúde do Homem. Guia do Pré-natal do parceiro para profissionais de Saúde. Brasília: Ministério da Saúde; 2016.

Costa SF, Taquette SR. Atenção à gestante adolescente na rede SUS – O acolhimento do parceiro no pré-natal. Rev Enferm UFPE online [Internet]. 2017 [citado 2019 Jan. 12]; 11(Suppl5):2067-74. Disponível em: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/23360/18984

Marcelino LC, Rios CC, Torricelli L, Monteiro JCS, Gomes-Sponholz F. Aspectos sociodemográficos e obstétricos da morbidade materna grave. Cienc Enferm. 2017; 23(2):21-32. doi: http://dx.doi.org/10.4067/S0717-95532017000200021

Published

2019-04-25

How to Cite

Vieira, V. C. de L., Barreto, M. da S., Marquete, V. F., Souza, R. R. de, Fischer, M. M. J. B., & Marcon, S. S. (2019). Vulnerability of high-risk pregnancy in the perception of pregnant women and their families. Rev Rene, 20, e40207. https://doi.org/10.15253/2175-6783.20192040207

Issue

Section

Research Article

Most read articles by the same author(s)

<< < 1 2 3 4 5 6 > >>