Complexity of high-risk pregnancy care in the health care network

Abstract

Objective To understand the complexity of high-risk care for pregnant women in the health care network. Method Qualitative study with theoretical framework of Edgar Morin's Complex Thought and Grounded Theory methodology, Strauss’s version. Data collection by theoretical sampling, including twelve health professionals and seven women users of the care network in a municipality in the south of Brazil from July to October 2018. Analysis by open and axial coding and selective integration. Results The phenomenon “Caring for high-risk pregnant women in the health care network”, comprises four categories: Noticing autonomous decision making; Promoting care; Developing multiprofessional work; and Accessing the health care network. Conclusion Every high-risk pregnant woman should be seen as a singular and multidimensional being with comprehensive and continuous care, considering the complexity of local, regional, and global reality.

Qualification of Prenatal Care and Management in the Context of Primary Health Care

“…To bring together and integrate separate pieces of knowledge, complexity thinking recognizes that it is necessary to conceive of the part to understand the whole, as well as to encompass the whole to know the part, i.e., each point/node in the health network or system. Under this impetus, studies show that complexity thinking induces advances in the field of knowledge, in other words, a new conception of knowledge itself that puts an end to the specialization, simplification and fragmentation of knowledge and practices (17)(18)(19)(20).…”

Efektivitas Pendidikan Kesehatan Prakonsepsi Menggunakan Buku Saku Terhadap Pengetahuan Pasangan Usia Subur tentang Kehamilan Berisiko

“…Wanita dengan kehamilan berisiko berjuang untuk beradaptasi dengan beban yang terkait dengan keberhasilan pencapaian peran ibu dan fungsi keluarga, serta memiliki dominan rasa takut akan hasil kehamilan dan kehamilannya di masa depan (Badakhsh et al, 2020). Kehamilan berisiko merupakan salah satu masalah kesehatan pada wanita yang memerlukan perhatian khusus karena berdampak terhadap keberlangsungan hidup ibu dan bayi (Rodrigues et al, 2022). Sebagai tenaga kesehatan, bidan memiliki peran yang penting dan strategis dalam mencegah terjadinya kematian ibu dan bayi dengan memberikan edukasi dan promosi kesehatan melalui buku saku, karena pendidikan kesehatan dengan media buku saku dapat meningkatkan pengetahuan, sikap dan perilaku dalam pencegahan penyakit, sehingga dapat digunakan sebagai antisipasi kehamilan berisiko (Badakhsh et al, 2020;Moore et al, 2021).…”

Quantifying the Occurrence of High-Risk Pregnancy: A Comprehensive Survey

“…Global maternal health initiatives concentrate primarily on antenatal, intranatal, and postnatal care to alleviate the burden of maternal mortality and morbidity. According to global data, approximately 87% of women have access to healthcare facilities at least once during their pregnancy [ 6 ]. Antenatal care (ANC) visits are essential for ensuring a safe pregnancy through regular health assessments, specialized pregnancy care, and screening for high-risk pregnancies (HRPs).…”