Sentimentos, prevenção e promoção da saúde de gestantes na Covid-19: Feelings, prevention and health promotion of pregnant women during covid-19

Maria Lizandra Delfino Alves; Jonas Loiola Gonçalves; Beatriz  Gonçalves Rodrigues; Cleoneide  Paulo Oliveira Pinheiro; Herla Maria  Furtado Jorge; Raimunda  Magalhães da Silva

doi:10.17765/2176-9206.2025v18e12923

Authors

Maria Lizandra Delfino Alves Municipal Health Department of Tauá https://orcid.org/0009-0005-5535-9090
Jonas Loiola Gonçalves State University of Ceara https://orcid.org/0000-0003-1015-9173
Beatriz Gonçalves Rodrigues Ceara School of Public Health https://orcid.org/0009-0003-2587-0221
Cleoneide Paulo Oliveira Pinheiro Ceara School of Public Health https://orcid.org/0000-0003-1784-7446
Herla Maria Furtado Jorge Federal University of Piauí https://orcid.org/0000-0001-9706-5369
Raimunda Magalhães da Silva University of Fortaleza https://orcid.org/0000-0001-5353-7520

DOI:

https://doi.org/10.17765/2176-9206.2025v18e12923

Keywords:

Pregnant Women, Health Promotion, COVID-19, Healthcare services

Abstract

To understand the feelings, prevention strategies, and health promotion of pregnant women in the face of the COVID-19 pandemic. This is a qualitative study developed in Tauá, Ceará, Brazil, with 15 pregnant women from July to August 2021 through interviews. Data organization was supported by software, with interpretation through content analysis. The expectation of becoming a mother is permeated by several feelings, mainly fear of contamination. The habits created by pregnant women to protect themselves and prevent contamination involved using masks, alcohol, distancing, and social isolation. Health promotion was developed with practices based on attitudes that involve guidance towards spirituality and beliefs, reinforcing faith as a promoter of care. The pandemic affected pregnant women, causing stressful effects, and faith is an instrument for promoting health. Strengthening public policies in prenatal care is essential.

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Author Biographies

Maria Lizandra Delfino Alves, Municipal Health Department of Tauá

Specialist in Public Health from the Ceará School of Public Health (ESP/CE). Physiotherapist at the Municipal Health Department of Tauá (CE).

Jonas Loiola Gonçalves, State University of Ceara

PhD student in Public Health at the State University of Ceará as a scholarship holder of the Coordination for the Improvement of Higher Education Personnel.

Beatriz Gonçalves Rodrigues, Ceara School of Public Health

Specialist in Public Mental Health from the Ceará School of Public Health.

Cleoneide Paulo Oliveira Pinheiro, Ceara School of Public Health

PhD in Public Health from the broad association between the State University of Ceará (UECE), the University of Fortaleza (UNIFOR) and the Federal University of Ceará (UFC). Physiotherapist at the ICU of the Santa Casa da Misericórdia Charitable Brotherhood of Fortaleza-CE; Full Professor I at the Estácio University Center of Ceará. Assistant Professor I of the Medicine Course at the Estacio University Center of Ceará - Quixadá unit.

Herla Maria Furtado Jorge, Federal University of Piauí

Permanent Professor of the Postgraduate Program in Nursing and the Undergraduate Program in Nursing at the Federal University of Piauí. Professor of the Obstetric Nursing Residency Program at UFPI (2018 to 2022). Post-doctorate in nursing from the Postgraduate Program in Nursing at the Federal University of Ceará.

Raimunda Magalhães da Silva, University of Fortaleza

Nurse with a master's and doctorate in Nursing and a post-doctorate in Public Health. She is currently a full professor of the Undergraduate Course in Nursing, the Postgraduate Program in Public Health and the Professional Master's Degree in Technology and Innovation in Nursing at the University of Fortaleza - UNIFOR. Emeritus Professor at the Federal University of Ceará - UFC. She coordinates the research and extension group in women's and adolescent health, and holds a 1C research productivity scholarship from CNPq. She is the leader of a research group in the CNPq directory - Policies and practices in the promotion of women's health. She teaches undergraduate and postgraduate courses in nursing and public health. She supervises doctoral, master's, specialization, research initiation (scholarship and volunteers), and course completion work (TCC). She is a member of the Editorial Board of the Journal of Science and Collective Health and the Brazilian Journal of Health Promotion. She is an ad hoc consultant for projects and several national and international journals in the area of nursing and public health. She was an institutional and undergraduate course evaluator for INEP-MEC. She is a full member of the life and health sciences committee of the Ceará Foundation for the Support of Scientific and Technological Development - FUNCAP. She conducts research in partnership with FIOCRUZ in Rio de Janeiro, the Federal University of Rio de Janeiro, the Universities of Ceará, the University of Madeira Island, Porto and Lisbon (Portugal). She coordinates multicenter and multiprofessional projects funded by research funding institutions.

References

1. Souto K, Moreira MR. Política nacional de atenção integral à saúde da mulher: protagonismo do movimento de mulheres. Saúde debate. 2021;45(130):832–46. https://Doi.org/10.1590/0103-1104202113020

2. Facundo SHBC, Silva RM, Gonçalves JL, Netto FC de B, Queiroz MVO, Brasil CCP. Communication Technologies used by nurses in prenatal care. Revista Brasileira em Promoção da Saúde. 2020;33:1–9. https://Doi.org/10.5020/18061230.2020.9882

3. Almeida MO, Portugal TM, Assis TJCF. Pregnant women and COVID-19: isolation as a physical and psychic impact factor. Rev. Bras. Saúde. Mater. Infant.2020;20(2):599–602. https://Doi.org/10.1590/1806-93042020000200015

4. Lima DLF, Dias AA, Rabelo RS, Cruz ID, Costa SC, Nigri FMN, et al. COVID-19 no estado do Ceará, Brasil: comportamentos e crenças na chegada da pandemia. Ciênc. Saúde Coletiva. 2020;25(5):1575–86. https://Doi.org/10.1590/1413-81232020255.07192020

5. Wagner A, Soares AS, Ribeiro EAW, Friestino JKO, Lovatto MVP, Faria RM, et al. Vulnerabilidades para gestantes e puérperas durante a pandemia da Covid-19 no Estado de Santa Catarina, Brasil. Hygeia. 2020;398–406. http://Doi.org/10.14393/Hygeia0054630

6. Werneck GL, Carvalho MS. A pandemia de COVID-19 no Brasil: crônica de uma crise sanitária anunciada. Cad. Saúde Pública. 2020;36(5):e00068820. https://Doi.org/10.1590/0102-311X00068820

7. Souza HCC de, Matos MMR de, Costa RA, Lima MAC, Cardoso AS, Bezerra MM. COVID-19 and pregnancy: clinical manifestations, laboratorial alterations and maternal endpoints, a systematic review of the literature. Braz. J. Hea. Rev. 2020;3(6):15901-18. http://Doi.org/10.34119/bjhrv3n6-023

8. Estrela F, Silva KK, Cruz MA, Gomes NP. Pregnant women in the context of the Covid-19 pandemic: reflections and challenges. Physis. 2020;30:e300215. https://Doi.org/10.1590/S0103-73312020300215

9. Almeida M, Shrestha AD, Stojanac D, Miller LJ. The impact of the COVID-19 pandemic on women’s mental health. Arch Womens Ment Health. 2020;23(6):741–8. https://Doi.org/10.1007/s00737-020-01092-2

10. Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 13. ed., São Paulo: Hucitec, 2014.

11. Brasil. Ministério da Saúde (MS). Conselho Nacional de Secretários de Saúde (CONASS). Inovação na Atenção Ambulatorial Especializada. Brasília: CONASS; 2016:116.

12. Bardin L. Análise de conteúdo. São Paulo: Edições. 2016;70:229.

13. Brasil. Ministério da Saúde (MS). Conselho Nacional de Saúde. Resolução Nº 510, de 07 de abril de 2016 que trata das diretrizes éticas para pesquisas humanas e sociais. Brasília: CNS; 2016.

14. Souza VR dos S, Marziale MHP, Silva GTR, Nascimento PL. Tradução e validação para a língua portuguesa e avaliação do guia COREQ. Acta Paul Enferm. 2021;34:eAPE02631. https://Doi.org/10.37689/acta-ape/2021AO02631

15. Arrais AR, Silva BAP, Nery LA, Haidar AC. Pandemia da Covid-19 e a saúde mental de gestantes brasileiras. Mudanças. 2021;29(2):11-22. https://Doi.org/10.15603/2176-1019%2Fmud.v29n2p11-22

16. Giesbrecht GF, Rojas L, Patel S, Kuret V, MacKinnon AL, Madsen LT, et al. Fear of COVID-19, mental health, and pregnancy outcomes in the pregnancy during the COVID-19 pandemic study. Journal of Affective Disorders. 2022; 299:483–91. https://Doi.org/10.1016/j.jad.2021.12.057

17. Braga MD, Silva NA, Bonassi SM. Vínculo mãe-bebê: acolhimento e intervenções no âmbito institucional, combate aos desamparos da maternidade. Vínculo. 2021;18(2):1-0. http://Doi.org/10.32467/issn.19982-1492v18nesp.p468-484

18. Abreu IM, Rosa DV, Drubi AVA, Agustini B, Nacif M. qualidade de vida em gestantes em tempos de pandemia do Covid-19. Revista Univap. 2021;27(55). https://doi.org/10.18066/revistaunivap.v27i55.2572

19. Sabbah EAA, Eqylan SB, Al-Maharma DY, Thekrallah F, Safadi RR. Fears and uncertainties of expectant mothers during the COVID-19 pandemic: trying to reclaim control. International Journal of Qualitative Studies on Health and Well-being. 2022;10;17(1). https://Doi.org/10.1080/17482631.2021.2018773

20. Barcelos TD, Muniz LN, Dantas DM, Junior DFC, Cavalcante JR, Faerstein E. Analysis of fake news broadcast during the COVID-19 pandemic in Brazill. Rev Pan. de Salud Publica. 2021;45:e65. https://Doi.org/10.26633/rpsp.2021.65

21. Rossetto M, Souza JB, Fonsêca GS, Kerkhoff VV, Moura JRA. Flowers and thorns in pregnancy: experiences during the COVID-19 pandemic. Rev. Gaúcha Enferm. 2021;42. https://Doi.org/10.1590/1983-1447.2021.20200468

22. Moniz M de A, Carmo CN do, Soares LS, Campos C de A, Rocha BC de O, Muniz EF. Fatores relacionados à percepção do risco de adoecer por COVID-19 em adultos da Região Sudeste. Saúde e Pesquisa. 2022;15(2):1–14. https://Doi.org/10.17765/2176-9206.2022v15n2.e10420

23. Naghizadeh S, Mirghafourvand M. Relationship of Fear of COVID-19 and Pregnancy-related Quality of Life during the COVID-19 Pandemic. Archives of Psychiatric Nursing. 2021; 35 (4), 364-368. https://Doi.org/10.1016/j.apnu.2021.05.006

24. Luong TC, Pham TTM, Nguyen MH, Do AQ, Pham LV, Nguyen HCet al. Fear, anxiety and depression among pregnant women during COVID-19 pandemic: impacts of healthy eating behaviour and health literacy. Annals of Medicine. 2021;53(1):2120–31. https://Doi.org/10.1080/07853890.2021.2001044

25. Silva AS, Souza MD, Oliveira FL, Furlan CS, Guerra FE, Buiola AA. Crenças e práticas espirituais/religiosas entre gestantes de alto risco. Revista Paranaense de Enfermagem (REPENF).2020;14;3(1).

26. Aziato L, Odai PNA, Omenyo CN. Religious beliefs and practices in pregnancy and labour: an inductive qualitative study among post-partum women in Ghana. BMC Pregnancy and Childbirth. 2016;16(1). https://Doi.org/10.1186/s12884-016-0920-1

27. Barmania S, Reis MJ. Perspectives of Health Promotion in the COVID-19 Pandemic: The Importance of Religion. Global Health Promotion [Internet]. 2021;28(1):15-22. https://Doi.org/10.1177/1757975920972992

28. Bagherzadeh R, Gharibi T, Safavi B, Mohammadi SZ, Karami F, Keshavarz S. Pregnancy; an opportunity to return to a healthy lifestyle: a qualitative study. BMC Pregnancy and Childbirth. 2021;21(1). https://Doi.org/10.1186/s12884-021-04213-6

29. Drigo L, Makhado L, Lebese RT, Chueng MJ. Influence of Cultural and Religious Practices on the Management of Pregnancy at Mbombela Municipality, South Africa: An Explorative Study. The Open Nursing Journal. 2021;15(1):130–5. http://Doi.org/10.2174/1874434602115010130

30. Wojtkowiak, J. Ritualizing Pregnancy and Childbirth in Secular Societies: Exploring Embodied Spirituality in Early Life. Religions. 2020;11 (9):458. https://Doi.org/10.3390/rel11090458