Saúde bucal e o cuidado da gestante: oficinas como estratégia de problematização de práticas na atenção básica nos morros de Santos

• Autor(a) principal: Nunes Neto, Ricardo Antonio [UNIFESP]
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=4356216; https://www2.unifesp.br/centros/cedess/mestrado/baixada_santista_teses/050_bx_dissertacao_ricardo_neto.pdf; https://repositorio.unifesp.br/handle/11600/46542
• topic: Continuing education; Primary health care; Pregnancy; Oral health; Health personnel; Educação permanente em saúde; Atenção primária à saúde; Gestação; Saúde bucal; Profissional de saúde

Historically, oral health activities in Brazil took place in parallel and distanced form of organization of other health services, with a curative vision based only in assistance, which failed to respond to oral health needs of the population. Among the specific actions of Dentistry in primary health care, there is attention to the oral health of pregnant women, since the relationship between oral diseases, especially periodontal disease, and preterm and low birth weight is well documented in literature. This study aimed to problematize attention to oral health during prenatal care in facilities of primary health care in the area of the hills of Santos, São Paulo. The research had a qualitative approach and was carried out in three primary care facilities that have different forms of organization, namely: traditional basic unit of health, family health unit with oral health team and Family Health Unit without oral health team. For the production of data was used document analysis, field diary, semi-structured interviews applied to service managers and questioning workshops on attention to oral health with the teams that were studied. The transcribed material was analyzed using thematic analysis. All participants signed a free and informed consent. The unit managers report difficulties in understanding the work processes of the oral health team, and the difficulty of users in the service access is the problem with greater visibility for management. The teams try to organize dental agendas giving priority to pregnant women, but show difficulties in monitoring compliance, the use of protocols and the approach to oral health theme during the educational groups are used as strategies for improving adherence. Regardless of the organization of the basic attention unit, the teams attribute the search for care for pregnant women just in acute situations of pain, and fear of harm to the fetus caused by dental treatment as the main cause of treatment dropout. Some professionals had doubts about the use of local anesthetics by pregnant women. The appreciation of the monitoring of oral health during prenatal care was not unanimous among professionals and the strategy of permanent education in the Healthcare field applied to the services proved to be able to lead the teams to discuss their practice, creating opportunities reflection practices in the pursuit of integrality.