Women with high-risk pregnancy: experiences and perceptions of needs and care

Oliveira, Daniela do Carmo; Mandú, Edir Nei Teixeira

doi:10.5935/1414-8145.20150013

Cited by 27 publications

(40 citation statements)

References 13 publications

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“…Despite this, they recognized the institution specialized in the prenatal follow-up as appropriated for the healthcare they needed in the face of the valorization of procedures provided in the service protocols. 16 In rethinking and valuing its life, the being-there-woman admitted even having more attention to herself and taking more physical and emotional care of herself during and after the pregnancy. However, she shows herself as decadent in admitting that this care occurs by the heart disease and seeks the planning that the health system offers in protocol time and mode.…”

Section: Discussionmentioning

confidence: 99%

“…Despite being a strategy of opening for the Reproductive Planning, it imposes itself vertically, with isolated and fragmented actions that disfavor the autonomy of men and women in relation to its sexual and reproductive life. 16 The participants in this study concern the Family Planning as a way of accessing to the contraception in the modalities of tubal ligation and intrauterine device implantation (IDI). In women with high-risk heart disease, the tubal ligation is legally recommended, which should be analyzed carefully by the couple and supported by the multidisciplinary team, and is prohibited the carrying out of the procedure at the moment of the abortion, childbirth and puerperium up to 42 days after the birth.…”

Section: Discussionmentioning

confidence: 99%

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Women with cardiopathy in the context of reproductive planning: contributions of phenomenological hermeneutics

et al. 2020

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Objective: To analyze the existential movement of women with heart diseases in the context of Reproductive Planning.Method: Qualitative with Heideggerian phenomenological approach. Seventeen participants with heart disease and with recent experience of pregnancy at a reference institution for maternal risk participated in the study, through the phenomenological interview.Results: Two units of meanings emerged in the hermeneutical analysis: To be more attentive and concerned with the treatment because the problem remains the same; Expressing that they don´t want to get pregnant anymore because they´ve reached the limit and to seek planning in doing the tubal ligation. Conclusion and implications for practice: The unveiling of the existential movement made it possible to understand that, although the participants felt secure with the institutional follow-up of high-risk pregnancies, this proved to be insufficient with regard to Reproductive Planning. It stands out the necessary consideration by nurses and other health professionals that this planning is an important set of actions to identify and modify risks in women with heart diseases in the perspective of better perinatal outcomes. It is necessary to advance in the comprehension of the subjective aspects of the woman and the couple through the dialogue, besides the permanent education work of the whole team. Objetivo: Analisar o movimento existencial da mulher com cardiopatia no contexto do Planejamento Reprodutivo. Método: Qualitativo com abordagem fenomenológica Heideggeriana. Foram participantes 17 mulheres cardiopatas com experiência recente de gravidez em instituição referência para risco materno, por meio da entrevista fenomenológica. Resultados: Emergiram na análise hermenêutica duas unidades de significados: Ficarem mais atentas e preocupadas com o expressarem tratamento porque o problema continua o mesmo; Expressarem não querer mais engravidar porque chegaram no limite e buscarem o planejamento para fazer laqueadura. Conclusão e implicações para a prática: O desvelamento do movimento existencial permitiu compreender que, embora as participantes se sentissem seguras com o acompanhamento institucional da gravidez de alto risco, este se mostrou insuficiente no tocante ao Planejamento Reprodutivo. Aponta-se a necessária consideração por parte de enfermeiras e demais profissionais de saúde de que esse planejamento é um importante conjunto de ações para identificar e modificar riscos em mulheres com cardiopatia na perspectiva de melhores resultados perinatais. Deve-se avançar na abrangência dos aspectos subjetivos da mulher e do casal por meio do diálogo, além do trabalho de educação permanente de toda a equipe. Palavras-chave: Cardiopatias; Planejamento Familiar; Pesquisa Qualitativa; Cuidados de Enfermagem; Saúde da Mulher.resumen Objetivo: Analizar el movimiento existencial de La mujer con cardiopatía en el contexto del Planeamiento Reproductivo.Método: Cualitativo con enfoque fenomenológico Heideggeriano. Fueron participantes 17 mujeres cardiópatas con e...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Women with cardiopathy in the context of reproductive planning: contributions of phenomenological hermeneutics

et al. 2020

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“…Then, when she experiences a high-risk pregnancy, they go through the possibility of adverse outcomes, and this experience is often associated with insecurity and fear. In this way, women feel vulnerable, fear the death of the child, premature birth and malformations, although they have some confidence in the outcome of this experience (14) .…”

Section: Discussionmentioning

confidence: 99%

“…In the study, the pregnant women attributed the safety in the specialized care to the availability of technologies of the high-risk service, such as the presence of the Neonatal Intensive Care Unit, since, according to studies, the babies may have some complication due to their mother's age and comorbidities. They have also satisfactorily evaluated the care received by health professionals (14) .…”

Section: Discussionmentioning

confidence: 99%

Vivência de mulheres na gestação em idade tardia

Aldrighi

Wall

Souza

2018

Rev. Gaúcha Enferm.

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“…However, there is a proportion that falls into the category of high-risk gestation, either because they are a carrier or because they develop some disease or complications during pregnancy, which causes risk to the pregnant women and to the fetus (1) . In these cases, during the prenatal period, the woman is classified as a high-risk pregnant woman and referred to a reference service for specialized gestational follow-up (2) . High-risk pregnancies increase the chances of maternal mortality, considered a major public health problem across the world, especially in developing countries.…”

Section: Introductionmentioning

confidence: 99%

Perfil das gestantes de alto risco hospitalizadas em uma maternidade: estudo descritivo

et al. 2017

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Aim: to describe the profile of high-risk pregnant women attending the HUAP maternity hospital. Method:descriptive, retrospective and documentary research, with a quantitative approach, performed at a hospital in Niterói/RJ. Data were collected in 2013, through 148 medical records of high-risk pregnant women admitted to the hospital, from July 1, 2011 to June 30, 2012, and treated by descriptive statistics. Results: the majority of the pregnant women were young (up to 30 years old), with a companion and resided in the metropolitan region II/RJ. Half of them had one or two living children; 59.5% were multigravida; 79.1% had never aborted; and, among those who showed previous delivery (n=93), 64.5% had submitted to cesarean section. Regarding prenatal care, 93.3% presented attendance to the appointments. Most of the pregnant women went to the hospital through their own choice (42.6%) as they presented symptoms of general practice. Fifty-nine cases were identified 59 causes for hospitalization, with higher occurrence due to premature amniorrexis and arterial hypertension. Conclusion: the presented results can trigger proposals of protocols of attendance and monitoring of this clientele.

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Women with high-risk pregnancy: experiences and perceptions of needs and care

Cited by 27 publications

References 13 publications

Women with cardiopathy in the context of reproductive planning: contributions of phenomenological hermeneutics

Women with cardiopathy in the context of reproductive planning: contributions of phenomenological hermeneutics

Vivência de mulheres na gestação em idade tardia

Perfil das gestantes de alto risco hospitalizadas em uma maternidade: estudo descritivo

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