Práticas culturais e estratégias de cuidado à saúde materno infantil em Sobral - CE

Abstract

The gestational period is crossed by physical transformations and changes that involve the family context, social and cultural group of the woman. The objective of the research was to know the cultural practices used as strategies of maternal and child health care in the city of Sobral-CE, in the daily practices of the subjects. This work is characterized by being a qualitative research, with analysis of semi-structured interviews carried out with pregnant women, accompanied in two health units of the municipality. We analyze the norms of the ministry of health that guide the context of maternal and child health. The analytical treatment was through the critical analysis of discourse, which investigates the dialectical relationship between language and social practices. As for the official documents, we observed a maintenance of the maternity profile, the mother-woman as guarded and passive in the relationship with the health professional. The analysis of the interview speeches showed that the experience of the pregnant woman is related to several factors, among them: physical alterations, psychological states, family and partner relationships, body self perception and the spouse's perception of body changes. The choice of the modes of representation is related to the particular interests and the practices and positions emphasized in the representation of the subjects, in this way, the popular practices in the pregnancy present diverse representations, among them the one of healing, spirituality, familiar values, other ways of dealing with gestational living. The pregnant women demonstrate to ally both practices related to the popular care as to the medical field. Therefore, it is necessary to create networks of care that consider the role of women and fundamentally, provide spaces for pregnant women and partners to elaborate on the meanings of their bodies and experiences.