Abstract
to discuss the benefits of using high-risk prenatal case management. a qualitative, convergent care study with six high-risk pregnant women, performed in a municipality in the south of Brazil. Data were produced by case management from April to August of 2017 through observation-participant. Analysis followed the processes of Convergent Care Research: apprehension, synthesis, theorization and transfer. case management identified important elements in the care of pregnant women, which denoted a greater complexity to the cases; was shown as a relevant space for nurses to act, because it is an intervention that requires knowledge and specific skills. case management provides differentiated management in complex cases, facilitates the flow between health services, concretizing the comprehensiveness and equity of the care. It was found, in the convergence between research and care, that participants were benefited by case management.
Highlights
Prenatal care is recommended during pregnancy as a strategy to improve maternal and neonatal outcomes, important for pregnant women with moderate to high-risk, as it assists in the control and prevention of adverse outcomes[1]
In Brazil, prenatal care is based on the proposal of the Stork Network (Rede Cegonha), which supports the organization of Maternal and Child Health Care Network (RAS - Rede de Atenção à Saúde), which defines the early intake of the pregnant woman, risk stratification and care in a specialized outpatient clinic
The Assistance Notes (AN) below describe this approach: Guidelines on health education, including: breastfeeding, labor, childbirth, newborn care, feeding (AN C1,2,3,4,5,6); toxoplasmosis (AN C4); management of pre-eclampsia at home (AN C5); intimate hygiene (AN C2, C5); absolute rest (AN C3). Another aspect relates to the relational role of the case manager, since it is indispensable that the same interact with different professionals from different areas
Summary
Prenatal care is recommended during pregnancy as a strategy to improve maternal and neonatal outcomes, important for pregnant women with moderate to high-risk, as it assists in the control and prevention of adverse outcomes[1]. It is possible to use case management in high-risk prenatal care. There is still little research on case management use, especially with high-risk pregnant women, which is still unpublished in the literature, representing a knowledge gap. Studies suggest that new strategies are researched to be incorporated into the current body of evidence to improve maternal and child care[9,10], which makes this study feasible
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