rESuMOO decurso da gravidez é determinado pela interação de diversos fatores, pelo que este estudo teve como objetivo conhecer as mudanças nos estilos de vida provocadas pela gravidez e pelo parto em mulheres imigrantes e portuguesas. Estudo de natureza qualitativa, exploratório, que recorreu à entrevista semiestruturada, em oitenta e duas mulheres imigrantes e portuguesas. Foi utilizada a análise de conteúdo com a categorização do verbatim suportada pelo Nvivo 10. O estudo foi autorizado por uma Comissão de Ética. Os resultados apontaram como principais mudanças ocorridas nos estilos de vida, provocadas pela gravidez, as relacionadas com a alimentação, atividade diária, exposição a perigos, sono e repouso, relações sociais e familiares, saídas, cuidado consigo própria, trabalho, vestuário e calça-do, viagens, vigilância de saúde, vivências da sexualidade, e consumos. A principal mudança, após o parto, manifestada por estas mulheres, foi que a sua vida passou a ser gerida em função do bebé. DESCritOrES Gravidez Estilo de vida Mudança Parto ABStrACtPregnancy is a period influenced by the interaction of several factors, therefore this study aimed to identify changes in lifestyles due to pregnancy and childbirth in Portuguese and immigrant women in Portugal. This is a qualitative study, using the semi-structured interview, with eightytwo Portuguese and immigrant women. Content analysis was used, with verbatim classification supported by Nvivo 10. It was authorized by an Ethics Commission. Results revealed that the primary changes in lifestyles due to pregnancy were in eating habits (nutrition), daily activity, exposure to danger, sleep and rest patterns, social and family relationships, going out, selfcare, work, clothing and footwear, travel, health monitoring and sexual activity and substances consumption. The main change after the birth, manifested by these women, was that their lives began to revolve around their baby. DESCriPtOrSPregnancy Lifestyle Change Childbirth rESuMEN El desarrollo del embarazo está determinado por la interacción entre varios factores. En este estudio fueron evaluados los cambios en el estilo de vida causadas por el embarazo y el parto en mujeres inmigrantes y portuguesas. El estudio posee un carácter cualitativo y exploratorio recurrió a entrevistas semiestructuradas, en ochenta y dos mujeres inmigrantes e portuguesas. Se utilizó el análisis de contenido apoyado por el programa QSR Nvivo10El estudio fue aprobado por un Comité de Ética. Los resultados mostraron cómo grandes cambios en los estilos de vida causados por el embarazo, relacionados con la alimentación, la actividad diaria, la exposición a riesgos, el sueño, el descanso, las relaciones sociales y familiares, salidas, cuidar de sí misma, el trabajo, la ropa y el calzado, viajes, vigilancia de la salud, las experiencias de la sexualidad y el consumo. El principal cambio, después de la entrega, que se manifiesta por estas mujeres, era que su vida tiene que ser manejado de acuerdo a la bebé. DESCriPtOrES
The areas of greatest shortage in meeting the needs of users are: surveillance by experts in the health centre and maternity hospital; reduced waiting time for pregnant women in consultations; home visits; more incentives to maternity; longer duration of hospitalization; higher number of professionals and presence of a companion with the parturient.
There is a need to determine gaps in the clinical practices of midwives in regard to the active management of third stage of labour, to update knowledge and practices with the latest scientific evidence.
Objective: To identify the importance of the cultural care dimension in the nurse-puerperal mother interaction. Method: Qualitative study based on content analysis. To collect data, 36 semi structured interviews were applied (21 nurses and 15 women who had recently given birth). The participants’ free and informed consent was ensured and all ethical requirements were respected. Data analysis was supported by NVivo 10 software. Results: The following categories were considered the most relevant: (i) nurses’ attitudes that puerperal mothers consider crucial in health care provision; (ii) nurses’ cultural competence; (iii) language resources used by nurses in their interaction with people from other cultures; (iv) the limitations that were observed during nurses-new mothers interactions. Conclusion: Evidence shows that, generally speaking, nurses claim to provide personalized health care assistance. However data revealed that the kind of interaction observed between nurses and women who had just given birth has not always been the most effective and that the former often show they lacked the appropriate cultural competence to deal with the latter’s expectations and needs.
Cuidados de saúde a gestantes imigrantes e portuguesas em portugal Cuidado de la salud a mujeres embarazadas imigrantes y portuguesas en portugal 1 phd in nursing sciences, school of Health of Viseu ipV/Cidets, Viseu, portugal. 2 phd in philosophy and nursing, department of Health sciences/ university of aveiro, aveiro, portugal. 3 phd in Human biology school of Health of Viseu ipV/Cidets, Viseu, portugal. 4 Nurse, currently unafilliated, Viseu, portugal. 5 phd in education sciences, school of Health of Viseu ipV/Cidets, Viseu, portugal. 6 master in nursing sciences, school of nursing of porto, porto, portugal. 7 phd in public Health, school of Health of Viseu ipV/Cidets, Viseu, portugal. ABStrACtThis study aimed to assess the care received and the barriers faced by immigrants and Portuguese pregnant women in Portugal. This is an exploratory qualitative study, resorting to applying semi-structured interviews to 60 immigrant and 22 Portuguese women. Content analysis supported by QSR Nvivo10 program was used. The study was approved by an Ethics Committee. The results showed four categories related to affective dimensions-relational, cognitive, technical-instrumental and health care policy for pregnant women. As for the barriers in health care, these were mentioned by some of the expectant mothers, especially immigrant women. Almost all, both immigrant and Portuguese, pregnant women were satisfied with the health care. dESCrIPtOrS Pregnancy Health carePortuguese health system rESuMEN Este estudio tuvo como objetivo evaluar la asistencia sanitaria recibida y las barreras que enfrentan las madres inmigrantes y portuguesas en Portugal. Se trata de un estudio cualitativo, exploratorio, con entrevista semiestructurada que se aplicó a 60 mujeres inmigrantes y 22 portuguesas. Se utilizó el análisis de contenido apoyado por el programa QSR Nvivo10. El estudio fue aprobado por un Comité de Ética. Los resultados mostraron cuatro categorías: las relacionadas con las dimensiones afectivas y relacionales, con la política, la técnica instrumental y el cuidado de la salud cognitiva de las embarazadas. Se han mencionado las barreras en el cuidado de la salud por algunas embarazadas, sobre todo inmigrantes. La gran mayoría de las mujeres embarazadas tanto inmigrantes como portuguesas, se encontraban satisfechas con la atención de la salud.
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