Fernanda Beheregaray Cabral

Vulnerabilidade de puérperas na visão de Equipes de Saúde da Família: ênfase em aspectos geracionais e adolescência

The paper analyzes the emphasis of the professionals of Family Health Teams (FHTs) on adolescent womens puerperium as a period in which women are particularly vulnerable. The adolescent womens special vulnerability in the puerperium period is justified by their way of living, showing a natural tendency to making the adolescence phenomenon something natural. The analysis was performed on some results from a qualitative study performed with FHTs of Santa Maria/RS, which used the focus groups strategy and content analysis. This study adds important contributions to the work of health professionals, indicating and giving visibility to the circumstances and elements implied in the production of adolescent womens vulnerability in the puerperium. Results suggest that a reorientation of education and health promotion practices that goes beyond the informative component are needed. In addition, there is a need to incorporate the vulnerability perspective in the planning of those actions.The paper analyzes the emphasis of the professionals of Family Health Teams (FHTs) on adolescent womens puerperium as a period in which women are particularly vulnerable. The adolescent womens special vulnerability in the puerperium period is justified by their way of living, showing a natural tendency to making the adolescence phenomenon something natural. The analysis was performed on some results from a qualitative study performed with FHTs of Santa Maria/RS, which used the focus groups strategy and content analysis. This study adds important contributions to the work of health professionals, indicating and giving visibility to the circumstances and elements implied in the production of adolescent womens vulnerability in the puerperium. Results suggest that a reorientation of education and health promotion practices that goes beyond the informative component are needed. In addition, there is a need to incorporate the vulnerability perspective in the planning of those actions.

Atendimento pré-natal na ótica de puérperas: da medicalização à fragmentação do cuidado

This qualitative and exploratory-descriptive study aimed to reveal the perceptions of puerperal women about prenatal service care. The data collected through semi-structured interviews were submitted to thematic analysis and consisted of the opinions of eight puerperal women. The access, booking of consultations and provision of priority services in case of complications were highlighted as qualifiers of the prenatal care. The study revealed limitations concerning the comprehensive care, humanization, sheltering, bond absence, indiscriminate use of technologies and unnecessary interventions, which can produce or enhance vulnerabilities. The results indicate the necessity of refocusing attention to the prenatal period and birth, under the longitudinality of care aspect, both in public and private services; pact of actions between the related sectors to promote womens health is necessary to support the formulation of more equitable and positive public policies for comprehensive care perspective.This qualitative and exploratory-descriptive study aimed to reveal the perceptions of puerperal women about prenatal service care. The data collected through semi-structured interviews were submitted to thematic analysis and consisted of the opinions of eight puerperal women. The access, booking of consultations and provision of priority services in case of complications were highlighted as qualifiers of the prenatal care. The study revealed limitations concerning the comprehensive care, humanization, sheltering, bond absence, indiscriminate use of technologies and unnecessary interventions, which can produce or enhance vulnerabilities. The results indicate the necessity of refocusing attention to the prenatal period and birth, under the longitudinality of care aspect, both in public and private services; pact of actions between the related sectors to promote womens health is necessary to support the formulation of more equitable and positive public policies for comprehensive care perspective.

Influência das avós na alimentação de lactentes: o que dizem suas filhas e noras

Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: This was a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/ RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practices of infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actions of grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdom and experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves cultural congruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated byABSTRACT Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: Thiswas a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practicesof infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actionsof grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdomand experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves culturalcongruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated bytheir culture. Keywords: Breast feeding; Culture; Family; Nursing; Infant nutrition

Women's vulnerability in the puerperium from the view of Family Health Teams: emphasis on generational aspects and adolescence

The paper analyzes the emphasis of the professionals of Family Health Teams (FHTs) on adolescent womens puerperium as a period in which women are particularly vulnerable. The adolescent womens special vulnerability in the puerperium period is justified by their way of living, showing a natural tendency to making the adolescence phenomenon something natural. The analysis was performed on some results from a qualitative study performed with FHTs of Santa Maria/RS, which used the focus groups strategy and content analysis. This study adds important contributions to the work of health professionals, indicating and giving visibility to the circumstances and elements implied in the production of adolescent womens vulnerability in the puerperium. Results suggest that a reorientation of education and health promotion practices that goes beyond the informative component are needed. In addition, there is a need to incorporate the vulnerability perspective in the planning of those actions.The paper analyzes the emphasis of the professionals of Family Health Teams (FHTs) on adolescent womens puerperium as a period in which women are particularly vulnerable. The adolescent womens special vulnerability in the puerperium period is justified by their way of living, showing a natural tendency to making the adolescence phenomenon something natural. The analysis was performed on some results from a qualitative study performed with FHTs of Santa Maria/RS, which used the focus groups strategy and content analysis. This study adds important contributions to the work of health professionals, indicating and giving visibility to the circumstances and elements implied in the production of adolescent womens vulnerability in the puerperium. Results suggest that a reorientation of education and health promotion practices that goes beyond the informative component are needed. In addition, there is a need to incorporate the vulnerability perspective in the planning of those actions.

Influence of grandmothers on infant feeding: what they say to their daughters and granddaughters

Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: This was a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/ RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practices of infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actions of grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdom and experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves cultural congruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated byABSTRACT Objective: To identify practices of primiparas about infant feeding of infants learned from the mother and/or grandmother. Methods: Thiswas a qualitative, descriptive research study. The subjects were 11 primiparas, who used the Unified Health System of Palmeira das Missoes/RS. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: Three themes emerged: practicesof infant feeding transmitted by grandmothers; influence of grandmothers on infant feeding; feelings of primiparas in regard to the actionsof grandmothers on infant feeding. Conclusions: The grandmothers are important with regard to the transmission of knowledge, wisdomand experiences related to infant feeding. For nursing care focused on the subjects’ autonomy and responsibility that involves culturalcongruence, the nurse should consider that the interactions of the family group, in its dialectical movement, modulate and are modulated bytheir culture. Keywords: Breast feeding; Culture; Family; Nursing; Infant nutrition

ATIVIDADE GRUPAL OPERATIVA COM GESTANTES E FAMILIARES: Um Relato de Experiência

Este estudo tem como objetivo relatar experiencias relativas a atividades desenvolvidas no segundo semestre do ano de 2010 pelo projeto: “Atividade grupal operativa com gestantes e familiares: interlocucao de saberes no campus universitario do CESNORS/Palmeira das Missoes”. A gestacao caracteriza-se por um periodo de mudancas biopsicossociais, emocionais e culturais para mulher-gestante/familia. No sentido de dar suporte as pessoas que vivenciam esse processo, foi proposto o projeto de extensao universitaria, com carater interdisciplinar e interinstitucional vinculado ao Departamento de Ciencias da Saude da UFSM/CESNORS e Secretaria Municipal de Saude de Palmeira das Missoes/RS. A atividade de carater operativo contou com quatro gestantes, um familiar, professoras e academicas dos cursos de Enfermagem e Nutricao da UFSM/CESNORS, uma psicologa cedida pela Secretaria de Saude de Palmeira das Missoes. A participacao nessa atividade, em especial a atuacao em uma equipe interdisciplinar, nos fez repensar novas estrategias de atuacao na saude proporcionando aos sujeitos de nosso cuidado uma assistencia humanizada. Alem disso, proporcionou um espaco de troca de vivencias e experiencias entre os participantes, espaco de vinculo, melhoria de relacoes interpessoais e aprimoramento dos saberes teoricos, proporcionando aos academicos se produzirem educadores em saude/construtores de sujeitos sociais.

Motivos e repercussões da participação de gestantes em grupo operativo no pré-natal

Doi: 10.5902/2179769210827 Aim: to identify the motivations of women-mothers and their relatives to join an operative group for pregnant women and the repercussions of their participation in this activity. Methods: it is a qualitative and descriptive research. The subjects of the study were selected among participants of operative groups in a city in the North of the state of Rio Grande do Sul, Brazil. The data were collected by semi-structured interviews and submitted to thematic analysis. Results: the reasons why the study subjects join an operative group can be summarized in little experience and difficulties related to maternity and its demands. The participation in the group emerged as a strategy to prepare for motherhood, make new friends, expand their interpersonal relations, build new social networks and make changes on lifestyle. Final considerations: the group consisted of a dialogue space, in which it was possible to exchange experiences and reflections on the care offer related to the birth process.

REPERCUSSÕES DA MASTECTOMIA NAS ESFERAS PESSOAL, SOCIAL E FAMILIAR PARA A MULHER MASTECTOMIZADA: Uma Revisão

Este estudo objetiva conhecer a producao cientifica, da area de saude, acerca das repercussoes da mastectomia nas esferas pessoal, social e familiar para a mulher mastectomizada. Trata-se de um estudo bibliografico, cuja fonte sao artigos publicados em periodicos de saude, nos ultimos dez anos. Para a busca utilizou-se o descritor mastectomia, encontrando-se 467 artigos. Esses foram refinados pelos seguintes criterios de inclusao: artigos completos, em portugues, sobre mastectomia feminina, publicados de 2000 a 2010. Dos 85 resultantes, buscou-se, via resumo, aqueles que evidenciavam aspectos referentes as repercussoes da mastectomia para a mulher mastectomizada. Apos analise de conteudo dos 14 artigos selecionados, emergiram tres temas, que tratam da repercussao da mastectomia sobre a propria mulher, a familia e repercussoes sociais. Apos a masctectomia, a mulher vivencia um processo de limitacoes e incertezas, levando-a, muitas vezes, a depressao, o que demanda uma rede de suporte familiar e de servicos de saude, para a superacao de medos e angustias e melhoria da qualidade de vida. A representacao social do câncer de mama, que se vincula a morte, desperta reacoes e sentimentos, na sociedade, que levam ao isolamento dessa mulher e representa dificuldades de retorno as atividades previas a cirurgia.

Práticas de autoatenção relativas à alimentação de crianças do meio rural

Objetivo : descrever as praticas de autoatencao relacionadas a alimentacao de criancas do meio rural e suas interacoes com os modelos de atencao a saude. Metodos : estudo qualitativo, descritivo, realizado em comunidades rurais do interior do Rio Grande do Sul, Brasil, com sete familias, totalizando dez mulheres. Na producao dos dados utilizaram-se a observacao e entrevistas abertas. Analisaram-se os dados por meio da analise tematica de Leininger. Resultados : “O leite materno e bom, mas nao basta” e “Minha familia influenciou nas minhas decisoes: eu consegui amamentar” sao os temas emergentes no estudo. Dos temas emerge a necessidade de compreensao dos significados simbolicos dessas praticas para a producao de saude das criancas mediante acoes culturalmente congruentes e eficazes. Conclusoes : O aleitamento materno misto destaca-se dentre as praticas de autoatencao relativas a alimentacao da crianca do meio rural. Essas praticas transitam entre os conhecimentos do Modelo Medico Hegemonico e dos familiares e comunidade. Palavras-chave : Aleitamento materno. Cultura. Enfermagem. Populacao rural.

Producción del conocimiento en enfermería bajo la perspectiva de los campos societales y espacio cuadripolar de la investigación científica: un ejercicio de reflexión

El objetivo de la reflexion consiste en analizar la produccion del conocimiento en enfermeria, a partir de una tesis de doctorado, identificando los elementos del campo societario y del espacio cuadripolar que la componen. Los campos societarios dicen respecto a la demanda social y a los campos axiologico, doxologico y epistemico. El espacio metodologico cuadripolar se compone de los polos epistemologico, teorico, morfologico y tecnico. En la obra seleccionada se identificaron los elementos del referencial teorico filosofico elegido para el analisis, los cuales se articulan y se complementan con la finalidad de garantizar cientificidad al conocimiento producido. Todavia, ese tipo de analisis se constituye en estrategia que contribuye en la instrumentalizacion de los investigadores para la produccion del conocimiento.