Atenção à saúde de puérperas em uma região de fronteira: fragilidades agravadas pela pandemia da Covid-19

• Autor(a) principal: Novakowiski, Rosenilda Duartes Fernandes
• Data de Publicação: 2022
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações do UNIOESTE
• Texto Completo: https://tede.unioeste.br/handle/tede/6385
• topic: Áreas de fronteira; Atenção primária à saúde; Covid-19; Puerpério; Teoria fundamentada; Border areas; Primary health care; Covid-19; Postpartum period; Grounded theory; Áreas fronterizas; Atención primaria de salud; Covid-19; Periodo posparto; Teoría fundamentada; CIENCIAS DA SAUDE::SAUDE COLETIVA

The objective of this study was to understand how health care for puerperal women occurs in a border region during the Covid-19 pandemic. This is a qualitative research of the Grounded Theory type, carried out in the municipality of Foz do Iguaçu, located in the triple border regionbetween Brazil, Argentina and Paraguay. It had 30 participants, distributed in three sample groups, the first formed by eight postpartum women residing in Foz do Iguaçu and five postpartum women residing in Paraguay, assisted in primary care in Foz do Iguaçu. The second group was formed by 13 health professionals, including nurses, nursing technicians and doctors, and the third group was formed by three health unit managers and a manager of maternal and child area. Interviews were conducted with a semi-structured questionnaire, remotely, with 13 participants and face-to-face with 17 participants. Data collection was carried out between August 2021 and May 2022. The results are presented in the form of two articles, the first being entitled: Health care for puerperal women in a border region: weaknesses aggravated by the Covid-19 pandemic. In this article, five categories were identified, according to the paradigmatic model, namely: Identifying postpartum care services; returning to primary health care in the puerperium; identifying factors that interfered in the care of postpartum women; pointing out strategies for health promotion in the puerperium; and a fragile puerperal care. The second article entitled: Intervening conditions in puerperal care in a border region, three subcategories were identified, the first being “accessing the health service”, followed by the subcategory “no counter-referral”, ending with the subcategory called “having an overloaded system”. It is concluded that there are existing weaknesses in puerperal care, aggravated by the pandemic of Covid-19. It is recommended to qualify counter-referral and information sharing between care networks, teleservice associated with face-to-face consultation, in situations where face-to-face consultation may pose a greater risk to the health of the mother-child dyad.