Contribuições do Programa de Humanização do Parto e Nascimento para atenção no pré-natal

Abstract

Prenatal care may play a key role in the recovery of the pregnant woman's empowerment, and it depends on how professionals conduct the meetings. The justification of this study is based on the possibility of serving as a subsidy for the reflection on prenatal care and the health needs of pregnant women in the context of the SUS and in the scarce scientific publication relating to the Program of Humanization of Childbirth and Childbirth (PHPN) with prenatal care. The general objective of this study was to know the contributions that PHPN brought to prenatal care. The theoretical reference used was the Theory of Practical Intervention of Collective Health Nursing (TIPESC). Qualitative and descriptive study carried out in the city of Pelotas, in the UBSs belonging to the Bem Cuidar Network. Twenty-one professionals attended prenatal consultations. The study was approved by the Research Ethics Committee of the Faculty of Medicine of the Federal University of Pelotas, under the no. 2,666,553 and CAAE 89944918.1.0000.5317. The data collection took place in the period of July and August of 2018 through a semi-structured recorded interview. The data were analyzed by the Discursive Textual Analysis, whose result pointed to four categories: What I want versus What I do: Obstacles to the execution of PHPN; Professional limitations and distance from humanization; The PHPN as a facilitator of the process of humanization in prenatal care; Socio-cultural aspects and their relations with humanization. The analysis of the essential knowledge developed in prenatal care by health professionals’ points to the need to incorporate and define assistance protocols to improve the quality of services. The results of the present study reflect the importance of the work carried out by the professionals for the municipality and for the pregnant women. On the other hand, they made it possible to identify aspects that could be strengthened in the practice of care and in the training of human resources to qualify prenatal care. The need to motivate and train the health professionals of the municipality has been evidenced in order to eliminate the differences in access and quality of care received by women in prenatal care. It was concluded that the results of the present study provided an opportunity for reflection on prenatal care in the Basic Health Units studied in order to qualify the care provided to women in the pregnancy-puerperal cycle.