Attention to the parturient adolescent: access and reception - a descriptive study

Abstract

Aim: To analyze the access and reception of adolescent mothers in the parturition stage in obstetrics emergencies. Method: This is a descriptive study, with data collected through the interviewing and observation of twelve adolescent mothers, in the Sector of Obstetrics in a tertiary hospital of the public hospital network of the municipality of Fortaleza, Brazil. Results: The first category was the access that adolescent mothers had to a hospital unit, including the journeys that they made and the physical structure of the hospital. The second category was the reception that the adolescent mother received at the obstetric emergency. Discussion: This study observed the precariousness of the physical structure of secondary hospitals, which leads to mass transference of pregnant women to higher complexity hospitals. Some women reported positive feedback as a result of the cordial and affectionate attitudes of the professionals they encountered. Other women, however, commented on the lack of understanding amongst health managers and policymakers regarding their specific needs. Conclusion: Greater attention needs to be paid to adolescent mothers, especially during the delivery stage, where it is essential that genuine bonds are generated for the benefit of the parturients.

Acesso aos serviços de atenção ao parto no interior de Pernambuco, Nordeste do Brasil

“…The excessive occupation of obstetric beds in macroregion I, due to its concentration of high-risk care services, has as a consequence the displacement of women residing in other municipalities 6 . On the other hand, Silva et al 19 found that most users assisted in the healthcare network of Recife lived outside the capital. This finding shows the breakdown of the obstetric care network in Pernambuco, leading to the pilgrimage of women in search of a suitable place for delivery, a fact also observed in another study 20 .…”

“…A excessiva ocupação de leitos obstétricos na macrorregião I, em razão de sua concentração de serviços de atenção ao alto risco, tem como consequência o deslocamento das mulheres residentes para outros municípios 6 . Por outro lado, Silva et al 19 identificaram que a maioria das usuárias atendidas na rede de saúde do Recife residiam fora da capital, evidenciando a desestruturação da rede de atenção obstétrica em Pernambuco, levando à peregrinação das mulheres em busca de um local adequado para o parto, fato também já observado em outro estudo 20 .…”