the results indicate the need to pay greater attention to women aged 35 and over since they had higher rates of near miss.
RESUMOA gestação está intimamente relacionada com saúde e vida, e neste contexto o diagnóstico de risco pode provocar alterações multidimensionais na gestante e em todo o grupo familiar. Este estudo teve como objetivo conhecer a percepção dos acompanhantes sobre a gestação de alto risco e o impacto que ela exerce no âmbito domiciliar. O estudo foi realizado no ambulatório de pré-natal de alto risco do hospital universitário de um município do Estado do Paraná. Os dados foram coletados no período de maio a junho de 2010, por meio de entrevista semiestruturada com treze familiares e/ou acompanhantes das gestantes e posteriormente submetidos à análise de conteúdo do tipo temático. Os resultados mostraram que as gestações e suas complicações alteraram a estrutura e a dinâmica familiar. As vivências relatadas permitiram a identificação de três categorias: 1) A família reconhecendo a necessidade de cuidados especiais devido à gestação de risco; 2) A gravidez de risco mudando o cotidiano familiar; e 3) Percebendo a importância do acompanhante na consulta gestacional. Verificou-se um expressivo envolvimento dos familiares na gestação tanto em termos emocionais como comportamentais, caracterizado por preocupações, ansiedades, manifestações de apoio material e emocional prestado à gestante e a participação deles em diversas atividades relativas à gestação.Palavras-chave: Gravidez de Alto Risco. Relações Familiares. Cuidado Pré-natal. ABSTRACTPregnancy is closely related to life and health. Given this reality, the diagnosis of risk can lead to dimensional changes to the pregnant woman and for the whole family group. This study aimed to understand the perception of companions on the high-risk pregnancy and the impact it has on the family. Thirteen families and / or companions of pregnant women who had prenatal care at a university hospital in a city of Paraná state were interviewed during May-June 2010. To analyze the speech of the interviewees the technique of content analysis was applied. The results revealed that the pregnancy and its complications brought changes into the family structure and dynamics. The reported experiences allowed the identification of three categories: 1) Family recognizing the need for special care due to pregnancy risk; 2) Pregnancy risk changing the family dynamics; and 3) Realizing the importance of the companion's role during prenatal check-ups. There was a significant involvement of the family during pregnancy, both emotional and behavioral, as manifested through the reports of worries and anxieties, of material and emotional support provided to pregnant women, and their participation in various activities related to pregnancy.
Os artigos sugeriram estratégias para orientar as gestantes, a fim de elevar os índices de aleitamento materno e apontaram a falha na atenção pré-natal como causa das dificuldades na prática de amamentar. Conclui-se que, a orientação sobre amamentação no pré-natal é sem dúvida muito importante e que novas ações devem ser incorporadas e incrementadas pelos profissionais de saúde em prol do aleitamento materno. DESCRITORES: Aleitamento Materno; Cuidado Pré-natal; Educação em Saúde.The guidance supplied to women during prenatal care is basic for a healthy pregnancy, as well as for the maintenance of breast feeding. An integrative review of articles published between 2000 and 2009 was carried out, through the integration of the descriptors: prenatal care and breast feeding, in the following databases: LILACS, SCIELO, BDENF and PUBMED. From 23 articles analyzed, 14 of them used as methodological course the clinical trial; 5 were published in Brazil; 3 briefly referred to the nursing professional, and 15 were published after 2006. The articles suggested strategies to guide pregnant women, in order to increase the indexes of maternal breast feeding and they pointed out failure in prenatal assistance as cause of difficulties in breastfeeding. It is concluded that, the directions on breast feeding during prenatal period is, without a doubt, very important, and that new actions should be incorporated and improved by the professionals of health on behalf of breastfeeding.
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