Abstract
ABSTRACT Objective: analyze the prenatal nursing consultation from the perspectives of pregnant women and nurses. Method: qualitative and descriptive study, involving 20 pregnant women and four nurses, at a primary health care service located in the city of São Luís/Maranhão (Brazil). The data were collected through semistructured interviews, participant observation and a focus group and analyzed based on the premises of thematic analysis. Results: the pregnant women expressed their satisfaction with the physical examination, highlighting that the welcoming. Complaints were made on the nurses’ technical competence, specifically regarding counseling on urinary tract infection. Some facilities were highlighted after the implementation of the Estratégia Rede Cegonha, mainly in the scheduling of appointments. The following difficulties were mentioned: lack of some prescribed drugs and long terms for carrying out and receiving preventive examinations. Conclusion: the pregnant women assessed the nursing consultation as very good, but they tend to attribute the logistic difficulties at the Health Center (lack of inputs) and even the forwarding to the medical professional (prescription of drugs to obtain outside the Health Center) to the nurses. Based on the research, relevant points could be identified that can influence positive criticism against the nursing consultation, as it constitutes more than half of clinical prenatal care in Brazil and can also change the conditions sensitive to hospitalization in primary care.
Highlights
The progressive expansion of the organization process of Primary Care services in Brazilian cities points to the qualification of health professionals as a challenge, especially with regard to the care process, access to exams and results in a timely manner, as well as the integration of Primary Care with the network focused on maternal and child care.[1]The focus of women’s health care in Primary Health Care, understood as the gateway of the health services, is prenatal monitoring
The following inclusion criteria were determined for the interviews: pregnant women who were in prenatal care after more than two nursing consultations; and for the focus group, the nurses who provided prenatal care to pregnant women
The empirical data pointed out two contexts and two categories: the nursing consultation according to the pregnant woman, which is the objective of this research, and the logistic determinants, which indirectly impact the health care for pregnant women in the Basic Health units (BHU)
Summary
The progressive expansion of the organization process of Primary Care services in Brazilian cities points to the qualification of health professionals as a challenge, especially with regard to the care process, access to exams and results in a timely manner, as well as the integration of Primary Care with the network focused on maternal and child care.[1]The focus of women’s health care in Primary Health Care, understood as the gateway of the health services, is prenatal monitoring. Prenatal care consists of care, behavior, and procedures for the health of the pregnant woman and the fetus; with the purpose of detecting, curing or controlling diseases early, avoiding complications during pregnancy and childbirth. The nurse is one of the essential professionals to perform this prenatal care, because he is qualified to act with health promotion and disease prevention strategies and use humanization in the care provided.[3] To this end, he elaborates the nursing care plan in the prenatal consultation, according to the needs identified and prioritized, establishing the interventions, guidelines and referring to other services, promoting the interdisciplinarity of actions, especially involving dentistry, medicine, nutrition, and psychology.[4]
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