Pré-natal coletivo na perspectiva da mulher que busca o parto domiciliar planejado

• Autor(a) principal: Cursino, Thaís Peloggia
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da METODISTA
• Texto Completo: http://tede.metodista.br/jspui/handle/tede/2045
• topic: Cuidado pré-natal; Pré-natal coletivo; Parto domiciliar; Psicologia da Saúde; Parteria; Prenatal care; Group prenatal care; Home birth; Health psychology; Midwifery; CIENCIAS HUMANAS::PSICOLOGIA

Prenatal care is an important tool for health promotion, prevention and treatment. Group prenatal care (GPC) is an innovative method of care and tends to improve care in order to provide quality information, contact with other pregnant women and their questions, favoring the decisions of women / families, based on the autonomy and horizontal care. Regarding the Brazilian reality, most women undergo cesarean section, often unnecessarily. Thus, such care model in which the focus of care is, in addition to gestational pathophysiological issues, informative, is considered positive for women seeking an alternative to Brazilian reality, such as planned home birth (PHB). Thus, this study aimed to understand the perception of low risk pregnant women about a GPC model for those who plan PHB, and investigate the motivations and perceptions of these women about PHB, and their postnatal perceptions about the GPC model. Data were collected through semi-structured interviews with 5 women at two moments: in the third trimester of pregnancy and within three months after delivery. From the content brought in the interviews, using thematic-categorical content analysis technique, 8 prenatal categories emerged and 5 postpartum categories. Concerning the women’s motivations for PHB, the women interviewed choose this model of assistance due to previous experiences, either because of the desire not to repeat them, or because of the desire to have an even better experience, all demonstrating great knowledge about the benefits associated with this choice. As a result, the GPN model developed with the following triggering themes: The home birth team, materials taken and transfer plans; How to experience a healthy pregnancy?; PHB information and security terms; Evidence and risks in specific cases (prolonged amniotic ruptured, VBAC, prolonged pregnancy); Labor: phases and signs, and Care of the newborn after birth. The women interviewed considered the GPN model satisfactory, emphasizing the horizontality of care, the gain of information, the encouragement to exercise autonomy over their pregnancy and childbirth processes, in addition to considering the coexistence with other women who seek the same type of care to be positive. They raised the negative aspects of the limitations related to privacy and expressed a desire for more individual time with the assistance team. Another aspect pointed out was the “imbalance” between group participants, especially between primiparous and multiparous women, and even the suggestion of a previous “leveling” appeared. At the time of postpartum, the GPN model was evaluated as positive and satisfactory by women, who emphasized a predilection for topics with technical content and also for those with dynamic and self-knowledge proposals about their bodies and about birth itself. The conclusion of the study was that the proposed GPN model brought satisfaction to the interviewees, however, some changes can bring benefits, especially for multiparous women who have had contact with information about the humanization of childbirth before the current pregnancy. Therefore, selecting groups between primiparous and multiparous women can be an alternative to this issue, in addition to opening up to on-demand topics, so that these women take greater advantage of this assistance model. This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES) – Finance Code 001.