The work of nurses in high-risk prenatal care from the perspective of basic human needs.

Lívia De Souza Pancrácio De Errico,Thaize Constância Ferreira Lares De Oliveira,Eunice Francisca Martins,Paula Gonçalves Bicalho

doi:10.1590/0034-7167-2017-0328

Lívia De Souza Pancrácio De Errico, Thaize Constância Ferreira Lares De Oliveira + Show 2 more

Open Access

https://doi.org/10.1590/0034-7167-2017-0328

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Abstract

To analyze the work of nurses in high-risk prenatal care in secondary care, considering nursing problems and the basic human needs of pregnant women. Cross-sectional and quantitative study, developed in a high-risk prenatal care clinic. Data were selected in the records of the nursing consultation. The studied variables were related to sociodemographic and obstetric characteristics, in addition to nursing problems. We performed the descriptive analysis of the data and the grouping of nursing problems within the levels of Basic Human Needs (BHN). We evaluated 54 nursing consultations of pregnant women, mostly young, multiparous, and with nine or more years of study. Every pregnant woman reported, on average, 7.4 nursing problems. The psychobiological BHN prevailed in relation to psychosocial ones. In high-risk prenatal care, nurses can use the nursing consultation considering their mastery of light technologies to engage with hard and light-hard technologies.

Highlights

Pregnancy is a physiological process for human reproduction
We observed that the referral to the high-risk prenatal care (HRPC) often represents a breach of the support and monitoring of pregnant women on the part of health care structures shared between the community and health services
Even if pregnant women keep seeking health services in their health center, we evaluated that the alignment of the medical conducts between the Classes of Basic Human Needs

Summary

Introduction

Pregnancy is a physiological process for human reproduction. It is a borderline situation, insofar as it may involve risks for both the pregnant woman and the fetus. Pregnancy is defined as high-risk when the probability of an adverse outcome for the woman or the fetus is greater than expected for the general population, and there are risk factors or determinants[1]. In Brazil, the prevalence of high-risk pregnancies is inaccurate and, overall, they are associated with clinical conditions of high blood pressure, infections, and gestational diabetes[3]. These pregnancies account for the morbidity, maternal mortality, and most perinatal adverse outcomes[4]

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Conclusion