Érica de Brito Pitilin

Internações sensíveis à atenção primária específicas de mulheres

Objetivou-se analisar as internacoes por condicoes sensiveis a atencao primaria (ICSAP) especificas em mulheres e os fatores que determinam ou influenciam a ocorrencia dessas internacoes (fatores socioeconomicos, sociodemograficos e controle de saude) por meio de um inquerito de morbidade hospitalar realizado com amostra de 429 mulheres internadas em hospitais conveniados ao Sistema Unico de Saude. O percentual de ICSAP foi 49,42% (n = 212), com destaque para as internacoes especificas do sexo feminino 19,35% (n = 83). Associaram ao risco de internar por CSAP: idade superior a 60 anos, baixa escolaridade, internacao previa, realizacao de controle regular de saude, falta de vinculo com a Estrategia Saude da Familia (ESF) e ser gestante. As causas evidentes foram as condicoes relacionadas a gravidez, ao parto e ao puerperio e as inflamacoes nos orgaos pelvicos femininos. Os resultados sugerem falhas no atendimento ambulatorial que deveria ser oportuno e resolutivo no contexto da saude da mulher.

CARACTERÍSTICAS DEFINIDORAS E FATORES ASSOCIADOS À OCORRÊNCIA DAS SÍNDROMES HIPERTENSIVAS GESTACIONAIS

Objective: to identify the defining characteristics and related factors of Gestational Hypertensive Syndromes. Method: longitudinal retrospective study performed at a high-risk prenatal health center in a city in the west of Santa Catarina in 2016. The inclusion criteria were singleton pregnancy that did not result in miscarriage of intrauterine fetal death, date of last menstrual period between January and December 2015 and diagnosis of Gestational Hypertensive Syndrome. SPSS software, version 20.0 was used in data analysis. Results: 90 medical records were analyzed, and the defining characteristics of the diagnoses were revealed by high blood pressure and the presence of proteinuria. The related factors were maternal age, weight gain, body mass index, history of hypertensive diseases, number of prenatal consultations and use of antihypertensive medication. Conclusion: the characteristics that more accurately predict the occurrence of the diagnosis investigated and the reduction of the severe forms of the disease were identified.

PRIMARY CARE SENSITIVE ADMISSIONS IN PREGNANT WOMEN: ASSOCIATED FACTORS BASED ON THE PRENATAL CARE PROCESS

Objective: to analyze admissions for primary care sensitive conditions among pregnant women, and the associated factors, based on the process of prenatal care, in a city of the center-west of the Brazilian State of Paraná (Brazil). Method: this is an inquiry into hospital morbidity undertaken with a sample of 86 pregnant women admitted to hospitals serving the Unified Health System. Results: the percentage of admissions was 70.97% (n=59), with emphasis placed on admissions specifically during the period of pregnancy (51.17%), among which, admissions due to infections in the genitourinary tract were the most frequent. The following were associated with the risk of admission due to a sensitive condition: incomplete records in the woman’s ‘pregnancy card’ (cartão da gestante), delayed initiation of prenatal care (after the second trimester), insufficient number of consultations and insufficient care during the consultation. Conclusion: the results suggest that a minimumlevel of care for these pregnant women would reduce the risk of unnecessary admission, evidencing that the quality of care provided during the prenatal period in this region is inadequate. DESCRIPTORS: Pregnant women. Hospitalization. Prenatal care. Primary health care. Health evaluation. INTERNAÇÕES SENSÍVEIS À ATENÇÃO PRIMÁRIA EM GESTANTES: FATORES ASSOCIADOS A PARTIR DO PROCESSO DA ATENÇÃO PRÉ-NATAL

Family support in the everyday life of multiparous women

Tratou-se de um estudo descritivo, exploratorio, de abordagem qualitativa, que objetivou conhecer a percepcao de mulheres multiparas sobre familia e suas estrategias utilizadas na conducao do cotidiano familiar em um municipio do interior Paranaense. As informacoes foram coletadas por meio de entrevistas semiestruturadas realizadas com 15 mulheres, com quatro ou mais filhos e que procuraram a Unidade Basica de Saude por livre demanda no periodo de Junho/2012. Os dados foram submetidos a analise de conteudo de Bardin. Foram identificadas as categorias “Familia por toda vida”, “Um novo membro, de novo” e “A convivencia familiar e as estrategias na conducao do cotidiano”. Foi possivel identificar a importância da familia na vida dessas mulheres como fonte primaria de apoio e cuidado. Alem disso, as multigestas estudadas aceitaram as varias responsabilidades que lhes foram atribuidas, influenciadas pela familia e pela sociedade, considerando a maternidade como algo natural.This was an exploratory descriptive study with a qualitative approach that aimed to understand the perception of multiparous women about family and their strategies to manage their everyday lives in an inland city of the state of Paraná. Data were collected through semi-structured interviews with 15 women with four or more children who have sought the basic health unit in June/2012. Data were analyzed using Bardins content analysis. The following categories were identified. Family connection to last a lifetime; a new member in the family, again, and family life and the strategies to manage everyday life. It was possible to identify the importance of family in the lives of these women as the primary source of support and care. Moreover, the multiparous women in this study accepted the various responsibilities assigned to them by family and society, considering motherhood natural.

A família como sustentação no cotidiano de mulheres multíparas

Tratou-se de um estudo descritivo, exploratorio, de abordagem qualitativa, que objetivou conhecer a percepcao de mulheres multiparas sobre familia e suas estrategias utilizadas na conducao do cotidiano familiar em um municipio do interior Paranaense. As informacoes foram coletadas por meio de entrevistas semiestruturadas realizadas com 15 mulheres, com quatro ou mais filhos e que procuraram a Unidade Basica de Saude por livre demanda no periodo de Junho/2012. Os dados foram submetidos a analise de conteudo de Bardin. Foram identificadas as categorias “Familia por toda vida”, “Um novo membro, de novo” e “A convivencia familiar e as estrategias na conducao do cotidiano”. Foi possivel identificar a importância da familia na vida dessas mulheres como fonte primaria de apoio e cuidado. Alem disso, as multigestas estudadas aceitaram as varias responsabilidades que lhes foram atribuidas, influenciadas pela familia e pela sociedade, considerando a maternidade como algo natural.This was an exploratory descriptive study with a qualitative approach that aimed to understand the perception of multiparous women about family and their strategies to manage their everyday lives in an inland city of the state of Paraná. Data were collected through semi-structured interviews with 15 women with four or more children who have sought the basic health unit in June/2012. Data were analyzed using Bardins content analysis. The following categories were identified. Family connection to last a lifetime; a new member in the family, again, and family life and the strategies to manage everyday life. It was possible to identify the importance of family in the lives of these women as the primary source of support and care. Moreover, the multiparous women in this study accepted the various responsibilities assigned to them by family and society, considering motherhood natural.

La familia como apoyo a las mujeres multíparas en cada día

Tratou-se de um estudo descritivo, exploratorio, de abordagem qualitativa, que objetivou conhecer a percepcao de mulheres multiparas sobre familia e suas estrategias utilizadas na conducao do cotidiano familiar em um municipio do interior Paranaense. As informacoes foram coletadas por meio de entrevistas semiestruturadas realizadas com 15 mulheres, com quatro ou mais filhos e que procuraram a Unidade Basica de Saude por livre demanda no periodo de Junho/2012. Os dados foram submetidos a analise de conteudo de Bardin. Foram identificadas as categorias “Familia por toda vida”, “Um novo membro, de novo” e “A convivencia familiar e as estrategias na conducao do cotidiano”. Foi possivel identificar a importância da familia na vida dessas mulheres como fonte primaria de apoio e cuidado. Alem disso, as multigestas estudadas aceitaram as varias responsabilidades que lhes foram atribuidas, influenciadas pela familia e pela sociedade, considerando a maternidade como algo natural.This was an exploratory descriptive study with a qualitative approach that aimed to understand the perception of multiparous women about family and their strategies to manage their everyday lives in an inland city of the state of Paraná. Data were collected through semi-structured interviews with 15 women with four or more children who have sought the basic health unit in June/2012. Data were analyzed using Bardins content analysis. The following categories were identified. Family connection to last a lifetime; a new member in the family, again, and family life and the strategies to manage everyday life. It was possible to identify the importance of family in the lives of these women as the primary source of support and care. Moreover, the multiparous women in this study accepted the various responsibilities assigned to them by family and society, considering motherhood natural.