Percepções de puérperas sobre o cuidado pré-natal na atenção primária à saúde : Puerperal women's perceptions of prenatal care in primary health care

Ilanna Maria Vieira de Paula de Brito; Cláudia   Machado Coelho Souza de Vasconcelos; Ilana Nogueira Bezerra; Daniela  Vasconcelos de Azevedo

doi:10.17765/2176-9206.2024v17n4.e12619

Authors

Ilanna Maria Vieira de Paula de Brito Ceará state University https://orcid.org/0000-0003-0995-7485
Cláudia Machado Coelho Souza de Vasconcelos Ceara state University https://orcid.org/0000-0002-3395-6143
Ilana Nogueira Bezerra Ceara state University https://orcid.org/0000-0002-2072-0123
Daniela Vasconcelos de Azevedo Ceará state University https://orcid.org/0000-0003-2789-7471

DOI:

https://doi.org/10.17765/2176-9206.2024v17n4.e12619

Keywords:

Prenatal Care, Primary Healthcare, Qualitative Research

Abstract

Prenatal care is essential due to the significant physiological and socio-emotional changes experienced during this period. Aim: To understand how women perceive health care during prenatal care. Method: qualitative study with data collection carried out between October 2021 and May 2022. 24 semi-structured interviews were conducted in four units of Regional Health IV, in Fortaleza, Ceará. Thematic analysis was carried out. The data were analyzed based on Ricardo Ayres' theoretical framework, focusing on the theme “health care” and within this theme, two analytical categories were worked on: “technical care”, “care as a bond”. Results: the provision of care focused on technical procedures was valued by women. A significant aspect that did not receive attention was the construction of strong bonds focused on social and emotional aspects. Conclusion: fragility in the dialogical relationship between health providers and women, indicating that health services still prioritize the biomedical model.

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Author Biographies

Ilanna Maria Vieira de Paula de Brito, Ceará state University

Master in Nutrition and Health from the Postgraduate Program in Nutrition and Health (PPGNS/UECE). Postgraduate in Maternal and Child Nutrition from the Institute of Research, Teaching and Management in Health (IPGS) in 2019. Graduated in Nutrition from the State University of Ceará (UECE) in 2016. I worked as a member of the Study and Research Group in Maternal and Child Nutrition (GPNUMI/UECE) between 2018 and 2022. I worked as a member of the Education for Work Program PET-Saúde/Family Health between 2011 and 2012. Volunteer nutritionist at the Nutrition Outpatient Clinic of the Early Childhood Institute (IPREDE) between 2018 and 2021. Nutritionist at the Beija-Flor Association (ABF). Nutritionist of the Pharmaceutical Assistance Team of TelessaúdeRS/UFRGS, working on nutritional formulas and systematization of scientific evidence for clinical practice, September 2022 to 2024.

Cláudia Machado Coelho Souza de Vasconcelos, Ceara state University

Graduated in Nutrition from the State University of Ceará (2004), Master in Public Health (2007) and PhD in Public Health (2015) from the same university. Postgraduate degree in Eating Behavior. She is an adjunct professor at the State University of Ceará (UECE) in the Nutrition course and collaborating professor of the Postgraduate Program in Nutrition and Health (PPGNS). She has experience in the area of Nutrition, with an emphasis on Public Health, working mainly on the following topics: public policies, primary care, food and nutritional security, health literacy and eating behavior. She coordinates the University-Community Interaction Coordination (CIUC) of the Pro-Rectory of Extension (PROEX), the Project "UECE and society in dialogue: interdisciplinary collaboration and innovation to guarantee rights, strengthen public policies and sustainable development", linked to the Postgraduate University Extension Program (PROEXT-PG) of Capes and the Extension Project INFO SSAN (Information on Food and Nutritional Sovereignty and Security to strengthen citizenship in defense of the human right to adequate food). She coordinates the Study Group on Food and Nutritional Security Policies (GPSAN). She has been an advisor to the State Council for Food and Nutritional Security (CONSEA) of Ceará since 2018, current administration (2023-2025). She is a member of the working group "Overweight and Obesity Care Line of the State of Ceará". She is a member of the Research Group on Health Literacy, Nutrition and Chronic-Degenerative Diseases, the Multidisciplinary Group on Health and Nutrition Policies and Intervention, and the Nutrition and Health Research Center (PENSA/UECE).

Ilana Nogueira Bezerra, Ceara state University

She holds a degree in Nutrition from the State University of Ceará (2006), a master's degree in Public Health in the area of Epidemiology from the Institute of Social Medicine of the State University of Rio de Janeiro and a PhD in Sciences from the Postgraduate Program in Clinical and Experimental Pathophysiology of the State University of Rio de Janeiro. She completed her doctoral internship in 2012 at the Food Survey Research Group - United States Department of Agriculture. She participated in the technical team of the National Food Survey 2008-2009 and 2017-2018. She is currently a researcher and adjunct professor of the Undergraduate Course in Nutrition, the Postgraduate Program in Public Health and the Academic Master's Degree in Nutrition and Health (CMANS) at the State University of Ceará. Vice-leader of the research group Methods and Factors Associated with Consumption and Eating Behavior (MEFCA) and coordinator of the Study Group in Nutrition and Epidemiology (GENUTE). He has experience in the area of Public Health, with an emphasis on Nutrition, working mainly on the following topics: methods and assessment of food consumption and associated factors, nutritional surveys and obesity.

Daniela Vasconcelos de Azevedo, Ceará state University

Graduated in Nutrition from the State University of Ceará - UECE (1985), Master in Public Health from UECE (1998), Doctorate in Health Sciences from UFRN (2009). Post-Doctorate in Public Health (2014). Professor of the Academic Master's Degree in Nutrition and Health at UECE. Leader of the Maternal and Child Nutrition Group of CNPq. Experience in the area of Public Health, with an emphasis on Maternal and Child, working mainly on the following topics: women's and children's health, lactation, pregnancy, complementary feeding, Food and Nutrition Security (SAN).

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Puerperal women's perceptions of prenatal care in primary health care