Narratives of puerperal women about pregnancy and risk prenatal care

Abstract

Introduction: Pregnancy is a physiological phenomenon and therefore its evolution usually occurs uneventfully. However, it can pose risks for both the mother and the fetus and there are a number of women who, due to particular characteristics, are more likely to unfavorable evolution, which are called high-risk pregnancies. Therefore, this study aimed to know, from the narratives of mothers discharged from the Intensive Care Unit, the main doubts and complaints about pregnancy and risk prenatal care and describe the therapeutic itinerary throughout pregnancy. Method: Descriptive, qualitative study conducted in the homes of mothers enrolled in basic health services of the 4th Regional Unit in Fortaleza, Ceará, Brazil, from January to February 2015. A total of 10 mothers participated through narrative interview technique. For data analysis, authors adopted the proposal by Gomes and Mendonça and Gomes. Results and Discussion: Questions were directed to the pathology. The difficulties in the consultation were inadequate communication, focus on disease, difficulty in following guidelines and lack of explanations aimed at childbirth, nutrition, breastfeeding, later childcare and insufficient emphasis on emotional aspects. In addition, there were difficulties along the therapeutic path. Conclusion: It was noted the importance of carrying out actions/ strategies that enable the realization of a resolute care.