Healthcare experiences of homeless pregnant women

Barros, Keila Cristina Costa; Moreira, Rita de Cássia Rocha; Leal, Mariana Silveira; Bispo, Tânia Christiane Ferreira; Azevedo, Rosana Freitas

doi:10.15253/2175-6783.20202143686

Cited by 5 publications

(13 citation statements)

References 8 publications

(13 reference statements)

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“…Among the challenges mentioned by the Street Outreach Office teams, the difficulties of following up women for treatment of infections stand out, impairing maternal and fetal prognosis. Due to the difficulty of linking homeless women to prenatal care and puerperal follow-up, the approach in the Street Outreach Office requires strategies that allow effective assistance to pregnant women’ specificities living on the streets [ 28 ], in addition to health promotion and disease prevention actions during pregnancy and continued care in the puerperal period [ 29 ]. In this direction, the training of health professionals for welcoming homeless women is salutary, as barriers in prenatal care, discontinuity and challenges of care in the puerperal period were also reported by the Street Outreach Office teams [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Attention to Women’s Sexual and Reproductive Health at the Street Outreach Office

Barbosa

Hasimoto

Michelon

et al. 2022

IJERPH

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The aim of study was to understand care strategies for homeless women, focusing on aspects of sexual and reproductive health from the perspective of Street Outreach Office strategy professionals. This is a qualitative study carried out in a large city in the countryside of São Paulo, Brazil. Data were collected from December 2020 to April 2021 through semi-structured interviews, and the results were obtained through content analysis and thematic modality. Nine health professionals participated in this study, and the analysis of the interviews allowed identifying three thematic categories: (i) being female and sex on the streets (violence and oppression); (ii) gynecology as a gateway to comprehensive care for homeless women; and (iii) pregnancy, puerperium and motherhood in the context of the streets. This study contributes to the reflection of professional practices within the Street Outreach Office, allowing the understanding of challenges in assisting homeless women, aiming to raise awareness of professionals and services that make up the health care network.

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Section: Discussionmentioning

confidence: 99%

Attention to Women’s Sexual and Reproductive Health at the Street Outreach Office

Barbosa

Hasimoto

Michelon

et al. 2022

IJERPH

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“…Neste estudo, foi revelada a separação mãe/filho por ação do Conselho Tutelar. Para mulheres em contexto de rua, essa ocorrência de filhos que vivem em instituições do Estado ou com parentes é comum (6) , fazendo com que, muitas vezes ocorra a perda do vínculo mãe-filho (17) .…”

Section: Discussionunclassified

“…O perfil prevalente desse grupo é composto por homens (82%), de raça/cor negra (67%), com baixa escolaridade (63,5%), que vivem em situação de rua há mais de dois anos (48,4%) (3) . Salienta-se que, apesar de ser minoria numérica, as mulheres em situação de rua se configuram em um grupo que possui vulnerabilidade potencializada pelas questões inerentes tanto em relação à identidade de gênero quanto à raça/cor, uma vez que as mulheres estão expostas a diversas formas de violências e violações, tais como: racismo, estupro, abusos físicos, psíquicos e emocionais (4)(5)(6) .…”

Section: Introductionunclassified

Vulnerabilities of homeless women: social markers of gender and race/color

Barros¹,

Moreira²,

Oliveira³

et al. 2022

Rev Rene

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Objective: to unveil the vulnerabilities of homeless women linked to the social markers of gender and race/color. Methods: qualitative study, developed with ten homeless women through participant observation, field diary, and sociodemographic questionnaire, systematized based on content analysis. Results: it was found that gender identity and race/color act as potentiators of the situation of vulnerability of women. It is believed that structural racism and machismo feed back into the streets and perpetuate themselves in a perverse cycle of denial of women's rights, which is potentiated by the omission of the State and extensive social and economic inequality. Conclusion: gender and race/color potentiate the vulnerabilities of homeless women that intersect precarious social conditions, denial of rights, and favor illness. Contributions to practice: to present information that enables reflections and creation of care strategies for homeless women, understood in their singularities.

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“…There are huge differences in the impact of life on the streets for men and women, revealing singularities that tattoo on woman's bodies the expressions of subalternity and subjugation. [7][8][9] Although fewer in number, they are more vulnerable to the discrimination, inequalities, violence and oppression that mark the street scenery. 2,3,[9][10][11] Furthermore, there is a lack of health actions and services that consider their specificities and rights as women, especially when they experience motherhood in this context.…”

Section: Introductionmentioning

confidence: 99%

“…2,3,[9][10][11] Furthermore, there is a lack of health actions and services that consider their specificities and rights as women, especially when they experience motherhood in this context. 1,7,11 Homeless women are twice as likely to become pregnant, have a higher risk of obstetric complications and receive less health care than those with access to housing. 1,12 Their babies spend more time in hospital after birth, undergo fewer tests and are less likely to be breastfed.…”

Section: Introductionmentioning

confidence: 99%

Vulnerabilities among homeless women experiencing pregnancy, childbirth and puerperium

Schiavi,

Micheletti,

Maffacciolli

et al. 2023

Esc. Anna Nery

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Objective to understand the aspects that confer vulnerabilities to the women who experience pregnancy, childbirth, and puerperium on the streets. Method qualitative research developed with twelve women in a southern city of Brazil, through a thematic analysis with in-depth interviews, in light of the Vulnerability and Human Rights framework. Results three thematic categories describe situations of discrimination and violence that have repercussions on vulnerabilities during pregnancy and prenatal care, when (invisible) women become (visible) mothers, and at the time of childbirth, in which (the lack of) care and assistance is evident, and also in the puerperium, marked by the breaking of bonds with the babies. Conclusions and implications for practice successive interventions of control, carelessness, misinformation and negligence, as well as the lack of acceptance and support made explicit the lack of actions and public policies that value the singularities of these women. From the findings, it is understood the urgency of raising the awareness of health professionals to act respecting the autonomy of these women for the full exercise of their sexual and reproductive rights, as well as the implementation of strategies for the construction of a health care committed to justice and social protection, mitigating vulnerabilities and promoting rights.

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Healthcare experiences of homeless pregnant women

Cited by 5 publications

References 8 publications

Attention to Women’s Sexual and Reproductive Health at the Street Outreach Office

Attention to Women’s Sexual and Reproductive Health at the Street Outreach Office

Vulnerabilities of homeless women: social markers of gender and race/color

Vulnerabilities among homeless women experiencing pregnancy, childbirth and puerperium

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