Percepção de puérperas assistidas em uma unidade de atenção primária em saúde acerca da escolha da via de parto

Abstract

Pregnancy is the woman's life a unique and special time where there is a mixture of feelings such as fear, uncertainty and insecurity. There are numerous programs aimed at the welfare maternal and newborn during the pregnancy period, seeking also solve any questions that may arise. What is being much discussed these days is the choice of mode of delivery, driven by the large increase in elective surgeries in the world, fleeing the established standards. Women are assisted by health professionals to leave in the background, looking for what fits their own welfare and not the pregnant woman, which can be a contributor to this increase in elective cesareans. Therefore, this study aimed to understand the perceptions of mothers, assisted by one of primary health care in the city of Uruguaiana, on the choice of mode of delivery. It is a field of study, exploratory and with qualitative approach. The research scenario was the Basic ealth Unit No. 15, located in the urban area of the municipality of Uruguaiana / RS. Study participants were ten mothers in postpartum early and late. For the data collection stage used the semi-structured interview, which included a previously defined script. For data analysis was used thematic analysis. Data interpretation established two categories: Perceptions about the delivery mode: benefits and drawbacks; and conduct of health professionals facing the choice of mode of delivery. The little knowledge was evidenced women about the benefits and harms of different types of delivery. In this study, the major influences suffered by women on the choice of mode of delivery were performed by medical professionals. This research also shows that, despite the lack of knowledge, vaginal delivery remains the route of choice and that C-sections should only happen in cases of extreme necessity, where there are real indications. In addition, the main professional responsible for clarifying the doubts of pregnant women during prenatal consultations was the nurse. Furthermore, it emphasizes the importance of access to quality prenatal care, with actions that provide safe choices and clarify doubts and anxieties of the mother, reassuring her to the delivery.