Atuação multiprofissional e a saúde mental de gestantes

Abstract

ObjectiveTo identify non-psychotic affective disorders in pregnant women, to intervene by means of psychoprophylactic groups, and to evaluate possible alterations following intervention. Methods One-hundred and three pregnant women (71 adults and 32 adolescents) were seen at a community program in the Paraisópolis neighborhood in the city of Sao Paulo, southeastern Brazil. We used the following instruments: Self Reporting Questionnaire and Beck Depression Inventory. Ten weekly two-hour meetings were held, addressing the link between mother and fetus and subjects related to mother and child, and answering mother's doubts. We used the chi-squared test (χ 2 ) to compare mental health before and after the intervention, with a significance level of p<0.05. Results Affective disorders were found in 45 pregnant women (43.7%) before the intervention and in 23 (22.3%) after the intervention. The impact of the intervention on affective disorders was statistically significant (p=0.001). Twenty-one women (20.4%) showed depression before the intervention, and 13 (12.6%) after the intervention, a nonsignificant difference (p=0.133). Conclusions Multiprofessional care can prevent, detect, and treat affective disorders during pregnancy in both adults and adolescents. lated to family, marital relationship, society, culture, and the mother's personality.

Percepção das puérperas sobre a assistência prestada pela equipe de saúde no pré-natal

“…Também previne agravos, proporciona melhor qualidade de vida e auxilia a diminuir os riscos de morbimortalidade materna e fetal. 20 …”

Avaliação da autoestima de gestantes com uso da Escala de Autoestima de Rosenberg

“…In addition, according to the results of recent studies, the woman's level of self-esteem is essential for the development of affection towards her child (9)(10)(11) .…”

“…The authors also indicate the need to develop more studies with mothers about the self-esteem and its relation to the bond motherchild (10)(11) .…”

“…The discussion about the importance of the self-esteem in the construction of the bond mother-child has been developed by several authors (1,(8)(9)(10)(11) . Nevertheless, there are few studies that evaluate the self-esteem of pregnant women, which may indicate the little value given to this type of assessment in prenatal care, either due to the limits of the professionals' education or to the structure of the health care services.…”

Gestación de riesgo: percepción y sentimientos de las mujeres embarazadas con amniorrexe prematuro

“…No deben asumir una posición superior, viendo a las mujeres embarazadas como personas indefensas, débiles y sumisas. Si el servicio y los profesionales asumen una posición de igualdad, respeto y confianza en relación con su experiencias y conocimientos adquiridos, la relación será de un desarrollo emocional y de crecimiento mutuo, teniendo en cuenta las necesidades biopsicosociales y culturales de la mujer embarazada 16 .…”