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A realidade das puérperas do Hospital Nacional Simão Mendes no período de janeiro a fevereiro de 2021
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Contexto: O cuidado pré-natal oferece uma oportunidade única para melhorar a saúde
materno-fetal, reduzindo o risco de morbilidade e mortalidade materna, desde que seja de
boa qualidade e utilizado regularmente por gestantes. É essencial que todas as mulheres
tenham acesso a cuidados de saúde de alta qualidade durante a gravidez, parto e pós parto. Atualmente na Guiné-Bissau a maioria das mulheres gravidas têm um mínimo de
quatro consultas pré-natais, contudo a taxa de mortalidade materna ainda é elevada. Nesse
contexto o presente estudo tem como objetivo descrever a realidade vivida pelas
puérperas guineenses que recorrem ao Hospital Nacional Simão Mendes, no que concerne
a procura de cuidados de saúde durante a gestação até ao momento do parto.
Método: Realizamos um estudo descritivo de abordagem qualitativa. A amostra foi
constituída por 54 mulheres guineenses em pós-parto no HNSM, selecionadas
intencionalmente por variação máxima. Os dados foram recolhidos através de uma
entrevista em profundidade semiestruturada, realizada entre 1 e 20 de Fevereiro. O
“modelo de três atrasos” informou o processo analítico de conteúdo.
Resultados: Da análise de conteúdo efetuada emergiram sete categorias: Como
descobriram que estavam grávidas/diagnostico de gravidez; procura de atendimento após
o diagnóstico de gravidez; Uso de serviço de saúde materna; Decisão em procurar
atendimento; Conhecimento sobre cuidados de saúde materna; Barreiras de
acessibilidade; Perceção de serviço de qualidade. Identificaram-se barreiras que
influenciaram a procura e utilização de cuidado pré-natal: a perceção da própria mulher
sobre a importância do recurso a cuidados de saúde, e a influencia da família como
principais causas do primeiro atraso; após tomada a decisão em procurar atendimento
enfrentam as barreiras de acessibilidade física, económica e de informação constituindo
o segundo atraso; nas unidades de saúde o terceiro atraso deve-se a longos tempos de
espera, encaminhamento inadequado e greves.
Conclusões: No presente estudo as barreiras descritas vivenciadas pelas puérperas
refletem a realidade vivida por mulheres guineenses durante a gestação. Contribuindo
para atrasos na procura e utilização oportuna de cuidado pré-natal, assim como, atrasos
em receber cuidado de saúde de qualidade. Em síntese as barreiras identificadas servem
de pontos estratégicos para elaborar estratégias e políticas focadas nos fatores que atrasam
a procura e utilização de cuidados pré-natal e nos fatores relacionadas a oferta de serviços
para a prestação de cuidados de saúde à mulher grávida, com o objetivo de melhorar a
saúde materna na Guiné-Bissau.
Context: Prenatal care offers a unique opportunity to improve the maternal context, the risk of maternal pregnancy, from maternity, from maternity, from maternity, and its regular use by the maternity. It is essential that all women have access to high-quality health care during pregnancy, childbirth and postpartum. Currently in Guinea-Bissau most pregnant women have a minimum of four prenatal consultations, however the maternal mortality rate is even higher. The present study aims to describe the reality experienced by Guinean puerperal women who resort to the Simão Mendes National Hospital, with no objective of health care during pregnancy until the moment of delivery. Method: We carried out a descriptive study with a qualitative approach. The sample consisted of 54 Guinean women in postpartum at the HNSM, intentionally selected by maximum women. Data were collected from February through a semi-structured in-depth interview, carried out between February 1 and 20. The “three delay model” informed the content analytics process. Results: of the content analysis emerged seven categories: diagnosis that she was pregnant/pregnant; Seeking care after pregnancy diagnosis; Use of maternal health service; Decision to seek care; Knowledge about maternal health care; Accessibility barriers; Perception of quality service. Barriers that firstly influenced the search and use of prenatal care were identified: the perception of the very importance of using health care, and the family of the family as the main causes of delay; making the decision to seek care as barriers to physical, economic and information accessibility constituting the second delay; in health facilities the third delay is due to long waiting times, prevention, and strikes. Conclusions: Conclusions: In the present study, the described barriers experienced by puerperal women reflect the reality experienced by Guinean women during pregnancy. Contributing to delays in seeking and timely utilization of antenatal care, as well as delays in receiving quality health care. In summary, the identified barriers serve as strategic points to develop strategies and policies focused on the factors that delay the demand and use of prenatal care and on factors related to the provision of services for the provision of health care to pregnant women, with the objective of to improve maternal health in Guinea-Bissau.
Context: Prenatal care offers a unique opportunity to improve the maternal context, the risk of maternal pregnancy, from maternity, from maternity, from maternity, and its regular use by the maternity. It is essential that all women have access to high-quality health care during pregnancy, childbirth and postpartum. Currently in Guinea-Bissau most pregnant women have a minimum of four prenatal consultations, however the maternal mortality rate is even higher. The present study aims to describe the reality experienced by Guinean puerperal women who resort to the Simão Mendes National Hospital, with no objective of health care during pregnancy until the moment of delivery. Method: We carried out a descriptive study with a qualitative approach. The sample consisted of 54 Guinean women in postpartum at the HNSM, intentionally selected by maximum women. Data were collected from February through a semi-structured in-depth interview, carried out between February 1 and 20. The “three delay model” informed the content analytics process. Results: of the content analysis emerged seven categories: diagnosis that she was pregnant/pregnant; Seeking care after pregnancy diagnosis; Use of maternal health service; Decision to seek care; Knowledge about maternal health care; Accessibility barriers; Perception of quality service. Barriers that firstly influenced the search and use of prenatal care were identified: the perception of the very importance of using health care, and the family of the family as the main causes of delay; making the decision to seek care as barriers to physical, economic and information accessibility constituting the second delay; in health facilities the third delay is due to long waiting times, prevention, and strikes. Conclusions: Conclusions: In the present study, the described barriers experienced by puerperal women reflect the reality experienced by Guinean women during pregnancy. Contributing to delays in seeking and timely utilization of antenatal care, as well as delays in receiving quality health care. In summary, the identified barriers serve as strategic points to develop strategies and policies focused on the factors that delay the demand and use of prenatal care and on factors related to the provision of services for the provision of health care to pregnant women, with the objective of to improve maternal health in Guinea-Bissau.
Descrição
Palavras-chave
Saúde pública Cuidados pré-natais Grávidas Saúde materna Guiné Bissau