Abstract

This experience report aimed to describe the prenatal care undertaken in a primary care center in the non-metropolitan area of the State of Sao Paulo, offered to the female prison population. The data and related information refer to the period June 2010 – June 2012. The article describes the construction of the work process by the local team, the dynamics of providing the attendance, the human resources involved and the consultations undertaken. The prenatal care provided to the pregnant women made it possible to investigate the pluralized universe of imprisoned women and their needs resulting from the condition of being pregnant in the prison environment. Thus, decent attendance to the prison population’s health - a human and constitutional right - is considered important, so as to avoid physical, emotional and social problems, which in the pregnant woman may be passed on to her child.

Highlights

  • Pregnancy is a period of many physical, psychological and social changes for women, requiring them to make adaptations, whose social and cultural factors will determine each person’s responses in the experience of the process of pregnancy[1]

  • The various changes which occur during pregnancy, whose responses depend on factors such as family relationships, socio-economic environment, religion and others, make it necessary to offer qualified and humanized prenatal care, integrating the promotion of the pregnant woman’s health, the provision of health care for her, and the prevention of threats to her health[2]

  • There is an increase in vulnerability to infection by HIV and other illnesses, such as tuberculosis, increasing the rates of HIV-related morbidity and mortality, which is attributed to the poor quality of the physical conditions in the prisons and jails, to the lack of spaces, and to the absolute unhealthiness in the prison units[4]

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Summary

Introduction

Pregnancy is a period of many physical, psychological and social changes for women, requiring them to make adaptations, whose social and cultural factors will determine each person’s responses in the experience of the process of pregnancy[1]. Women in prison may be exposed to physical and mental illnesses and – when pregnant – may be subject to a lack of appropriate care which will influence the development and result of the pregnancy. The various changes which occur during pregnancy, whose responses depend on factors such as family relationships, socio-economic environment, religion and others, make it necessary to offer qualified and humanized prenatal care, integrating the promotion of the pregnant woman’s health, the provision of health care for her, and the prevention of threats to her health[2]. There is an increase in vulnerability to infection by HIV and other illnesses, such as tuberculosis, increasing the rates of HIV-related morbidity and mortality, which is attributed to the poor quality of the physical conditions in the prisons and jails, to the lack of spaces, and to the absolute unhealthiness in the prison units[4]

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