Health care in the prenatal and childbirth context from puerperal women’s perspective

Abstract

<jats:p>ABSTRACT Objectives: to investigate puerperal women who received guidance on childbirth during prenatal care and the behaviors experienced in the labor process within the context of good obstetric practices from the perspective of puerperal women. Methods: a descriptive cross-sectional quantitative study conducted with 203 puerperal women admitted to the shared rooms of a teaching hospital between May and July 2017 during the immediate postpartum period. For data collection, was used an instrument adapted from the hospital questionnaire for puerperal women that was developed by the Oswaldo Cruz Foundation. Results: only 48.3% of puerperal women received the eight orientations regarding good obstetric practices during prenatal care, which were not experienced in the labor process, especially regarding referral and behaviors of the hospital team. Unfavorable socioeconomic conditions were significant in relation to guidelines provided during prenatal care. Conclusions: prenatal care was negatively evaluated and there was lack of compliance with good obstetric practices and non-recommended behaviors in the labor process in the maternity ward.</jats:p>

Elements that influenced immediate mother-neonate contact during the golden hour

“…Prenatal care has the mission of favoring the exchange of experiences and knowledge between professionals and pregnant women about good obstetric practices ( 15 , 16 ) . However, socioeconomic disadvantage, as evidenced in this research, based on color, age group, income and education, has been a factor of stigma and discrimination in the care of pregnant women in prenatal care and maternity ( 17 ) . This fact requires the professional to understand the reality of submission of women to the obstetric model offered by the Unified Health System (SUS – Sistema Único de Saúde ) ( 18 ) .…”

Elementos Que Influenciaram No Contato Imediato Entre Mãe E Bebê Na hora dourada

“…O pré-natal tem como missão favorecer a troca de experiências e conhecimentos entre profissionais e gestantes acerca das boas práticas obstétricas (15,16) . Entretanto, o desfavorecimento socioeconômico, como evidenciado nesta pesquisa, com base na cor, faixa etária, renda e escolaridade, tem sido fator de estigma e discriminação no atendimento à gestante no pré-natal e na maternidade (17) . Tal fato requer do profissional a compreensão diante da realidade de submissão das mulheres ao modelo obstétrico ofertado pelo Sistema Único de Saúde (SUS) (18) .…”