Marilu Correa Soares

Câncer de colo uterino: atenção integral à mulher nos serviços de saúde

Objetivou-se compreender como os servicos de saude do Sistema Unico de Saude estao organizados para contemplar a integralidade na atencao a mulher com câncer de colo uterino. Pesquisa qualitativa, descritiva, com 20 mulheres. Utilizou-se na coleta dos dados a entrevista semiestruturada conjugada a observacao participante. A analise tematica evidenciou o tema “A procura pela assistencia: o acesso ao Sistema Unico de Saude e a utilizacao dos servicos na busca de atencao integral”. Identificou-se que, na utilizacao dos servicos de saude, as mulheres expuseram concepcoes sobre a atencao recebida, as potencialidades e limites da integralidade nesse contexto. Conclui-se que a efetivacao das acoes de saude, em busca da integralidade da atencao as mulheres, requer ousadia e a promocao do dialogo entre os atores sociais, como forma de construir uma consciencia sanitaria que permita o compromisso etico em direcao as mudancas necessarias ao cuidado.

O discurso e a prática do parto humanizado de adolescentes

ABTRACT: This descriptive study aimed to identify the childbirth care practices developed by health professionals towards adolescent parturients. Data were collected from the database of the study “Humanizing Childbirth Care in Adolescents”, developed in the city of Pelotas-RS, by means of semi-structured interviews, between 2008 and 2009. The study population consisted of health workers from the obstetric center of a public teaching hospital. The analysis was systematized as per the guide Care in Normal Birth, published by the World Health Organization. Results evidenced that useful practices, such as intimacy and privacy, choice of the type of childbirth and breastfeeding encouragement are not respected. The harmful practices that stood out were the use of the lithotomy position and oxytocin. Examples of practices that are frequently developed inappropriately are food restriction and the use of amniotomy. In conclusion, childbirth care practices partially complied with the Humanizing Labor and Childbirth Policy. DESCRIPTORS: Adolescent. Women’s health. Humanizing childbirth. Nursing.ABTRACT: This descriptive study aimed to identify the childbirth care practices developed by health professionals towards adolescent parturients. Data were collected from the database of the study “Humanizing childbirth care in adolescents”, developed in the city of Pelotas-RS, by means of semi-structured interviews, between 2008 and 2009. The study population consisted of health workers from the obstetric center of a public teaching hospital. The analysis was systematized as per the guide Care in Normal Birth, published by the World Health Organization. Results evidenced that useful practices, such as intimacy and privacy, choice of the type of childbirth and breastfeeding encouragement are not respected. The harmful practices that stood out were the use of the lithotomy position and oxytocin. Examples of practices that are frequently developed inappropriately are food restriction and the use of amniotomy. In conclusion, childbirth care practices partially complied with the Humanizing Labor and Childbirth Policy. DESCRIPTORS: Adolescent. Women’s health. Humanizing delivery. Nursing.

Nursing perceptions about abortion management and care: a qualitative study

Objetivou-se descrever a gestao e realizacao do cuidado as mulheres hospitalizadas por abortamento sob a perspectiva dos profissionais de enfermagem. Estudo qualitativo, realizado na unidade de internacao obstetrica de um hospital universitario do extremo sul do Brasil, por meio de entrevista semiestruturada com 19 profissionais de enfermagem. Para analise, utilizou-se a tecnica do Discurso do Sujeito Coletivo. Os discursos mostraram-se ambivalentes. Alguns profissionais de enfermagem referiram que ha interferencia do comportamento discriminatorio e pouca interacao com a mulher, resultando na organizacao do cuidado focado nos aspectos clinicos. Outros consideraram o atendimento bom, independentemente da etiologia do aborto, apontando algumas iniciativas humanizadas como apoio emocional e provisao de um ambiente terapeutico privativo. Esta pesquisa amplia o leque de informacoes acerca da gestao e realizacao do cuidado as mulheres hospitalizadas por abortamento, destacando a importância de articular percepcoes, sentimentos e comportamento etico com acoes de planejar, gerenciar e cuidar.Este estudio tiene el objetivo de describir la gestion y realizacion de las mujeres hospitalizadas por abortamiento bajo la perspectiva de los profesionales de enfermeria. Estudio cualitativo, llevado a cabo en una unidad de Obstetricia del hospital universitario en el extremo sur de Brasil, mediante una entrevista semiestructurada con 19 profesionales de enfermeria. Para el analisis, se utilizo la tecnica del discurso sujeto colectivo. Los discursos eran ambivalientes. Algunos profesionales de la enfermeria, comentaron que hay interferencia de un comportamiento discriminatorio y poca interaccion con la mujer, resultando en la organizacion de la atencion se centro en aspectos clinicos. Otros consideraron buena asistencia, independientemente de la etiologia del aborto, senalando algunas iniciativas humanizadas como apoyo emocional y la provision de un ambiente terapeutico privado. Esta investigacion amplia la gama de informacion sobre la gestion y realizacion del cuidado con las mujeres hospitalizadas por abortamiento, poniendo de relieve la importancia de articular las percepciones, sentimientos y comportamiento etico con acciones para planificar, administrar y cuidar.

Paternidade na adolescência no contexto dos serviços de saúde, escola e comunidade

This study aimed to investigate the perception of the adolescent father regarding his interaction with the health services, school and community. It is an extract from the multicentric study turned Social Support Networks for Fatherhood in Adolescence, and has a qualitative, exploratory and descriptive approach. It was undertaken with 14 adolescent fathers in a university hospital. The semi- structured interviews were held six months after the birth of the child, between 2009 and 2010. Discursive textual analysis and the theoretical framework of Urie Bronfenbrenner were used for the construction of three categories: The adolescent fathers perception regarding his interaction with the school; with the health services; and with the community. The adolescent fathers were shown to be receptive to formal study, and present and participative in the health services and community; the possible difficulties of interaction between the adolescent fathers and the environments studied seem to result from the lack of organization and appropriate preparation for embracing them. DESCRIPTORS: Nursing. Paternity. Adolescent. Social support.This study aimed to investigate the perception of the adolescent father regarding his interaction with the health services, school and community. It is an extract from the multicentric study turned Social Support Networks for Fatherhood in Adolescence, and has a qualitative, exploratory and descriptive approach. It was undertaken with 14 adolescent fathers in a university hospital. The semi-structured interviews were held six months after the birth of the child, between 2009 and 2010. Discursive textual analysis and the theoretical framework of Urie Bronfenbrenner were used for the construction of three categories: The adolescent fathers perception regarding his interaction with the school; with the health services; and with the community. The adolescent fathers were shown to be receptive to formal study, and present and participative in the health services and community; the possible difficulties of interaction between the adolescent fathers and the environments studied seem to result from the lack of organization and appropriate preparation for embracing them.

Percepções da enfermagem sobre gestão e cuidado no abortamento: estudo qualitativo

Objetivou-se descrever a gestao e realizacao do cuidado as mulheres hospitalizadas por abortamento sob a perspectiva dos profissionais de enfermagem. Estudo qualitativo, realizado na unidade de internacao obstetrica de um hospital universitario do extremo sul do Brasil, por meio de entrevista semiestruturada com 19 profissionais de enfermagem. Para analise, utilizou-se a tecnica do Discurso do Sujeito Coletivo. Os discursos mostraram-se ambivalentes. Alguns profissionais de enfermagem referiram que ha interferencia do comportamento discriminatorio e pouca interacao com a mulher, resultando na organizacao do cuidado focado nos aspectos clinicos. Outros consideraram o atendimento bom, independentemente da etiologia do aborto, apontando algumas iniciativas humanizadas como apoio emocional e provisao de um ambiente terapeutico privativo. Esta pesquisa amplia o leque de informacoes acerca da gestao e realizacao do cuidado as mulheres hospitalizadas por abortamento, destacando a importância de articular percepcoes, sentimentos e comportamento etico com acoes de planejar, gerenciar e cuidar.Este estudio tiene el objetivo de describir la gestion y realizacion de las mujeres hospitalizadas por abortamiento bajo la perspectiva de los profesionales de enfermeria. Estudio cualitativo, llevado a cabo en una unidad de Obstetricia del hospital universitario en el extremo sur de Brasil, mediante una entrevista semiestructurada con 19 profesionales de enfermeria. Para el analisis, se utilizo la tecnica del discurso sujeto colectivo. Los discursos eran ambivalientes. Algunos profesionales de la enfermeria, comentaron que hay interferencia de un comportamiento discriminatorio y poca interaccion con la mujer, resultando en la organizacion de la atencion se centro en aspectos clinicos. Otros consideraron buena asistencia, independientemente de la etiologia del aborto, senalando algunas iniciativas humanizadas como apoyo emocional y la provision de un ambiente terapeutico privado. Esta investigacion amplia la gama de informacion sobre la gestion y realizacion del cuidado con las mujeres hospitalizadas por abortamiento, poniendo de relieve la importancia de articular las percepciones, sentimientos y comportamiento etico con acciones para planificar, administrar y cuidar.

Normal or cesarean birth in adolescence: who is the decision?

ABSTRACT Objective : to investigate the participation of women in decision making during recurrent deliveries in adolescence. Method : this is a qualitative, descriptive study, based on the Theory of Social Representations. Thirty women who experienced recurrent birth during adolescence were part of this study. Data were collected through a semi-structured interview and analyzed based on the Discursive Textual Analysis. Results : women who do not know about the process of parturition are anchored in negative feelings and transfer the decision on the type of delivery to medical knowledge. In the counterpoint, when they obtain knowledge, they demonstrate active voice in the decision making as to the type of delivery that they want. Conclusion : it was possible to verify that the pillar of the decision making regarding the type of birth experienced is closely linked to the provision of information to the woman because when there is knowledge, there is empowerment in the process of gestating and giving birth. Descriptors : Midwifery; Parturition; Natural Childbirth; Cesarean section; Decision Making ; Adolescent. RESUMO Objetivo: averiguar a participacao da mulher na tomada de decisao durante os partos recorrentes na adolescencia. Metodo: estudo qualitativo, descritivo, fundamentado na Teoria das Representacoes Sociais. Fizeram parte desta pesquisa 30 mulheres que vivenciaram o parto recorrente na adolescencia. Os dados foram coletados por meio de entrevista semiestruturada e analisados com base na Analise Textual Discursiva. Resultados: mulheres que nao possuem conhecimento a respeito do processo de parturicao ancoram-se em sentimentos negativos e transferem a decisao sobre o tipo de parto ao saber medico. No contraponto, quando obtem conhecimento, demonstram voz ativa na tomada de decisao quanto ao tipo de parto que desejam. Conclusao : foi possivel constatar que o pilar da tomada de decisao em relacao ao tipo de parto vivenciado esta intimamente ligado ao fornecimento de informacoes a mulher, pois quando ha conhecimento surge o empoderamento no processo de gestar e parir. Descritores : Tocologia ; Parto; Parto Normal; Cesarea; Tomada de Decisoes; Adolescente. RESUMEN Objetivo: averiguar la participacion de la mujer en la tomada de decision durante los partos recurrentes en la adolescencia. Metodo: estudio cualitativo, descriptivo, fundamentado en la Teoria de las Representaciones Sociales. Fueron parte de esta investigacion 30 mujeres que vivieron el parto recurrente en la adolescencia. Los datos fueron recogidos por medio de entrevista semi-estructurada y analizados con base en el Analisis Textual Discursivo. Resultados: mujeres que no poseen conocimiento al respecto del proceso de parturicion se ancoran en sentimientos negativos y transfieren la decision sobre el tipo de parto al saber medico. Sin embargo, cuando obtienen conocimiento, demuestran voz activa en la tomada de decision cuanto al tipo de parto que desean. Conclusion : fue posible constatar que el pilar de la tomada de decision en relacion al tipo de parto vivido esta intimamente ligado al fornecimiento de informaciones a la mujer, pues cuando hay conocimiento surge el empoderamiento en el proceso de gestar y parir. Descriptores : Parteria; Parto; Parto normal; Cesarea; Toma de Decisiones ; Adolescente.

Grupos de gestantes: espaço para humanização do parto e nascimento

Objectives: To know the contribution that groups of pregnant women have upon building knowledge about the process of parturition. Methods: A descriptive-exploratory study, with ten women who participated of groups of pregnant women. The semi-structured interviews were recorded and transcribed. The analysis was based upon thematic analysis, after approval by the Research Ethics Committee-CAAE 20722913.7.DO00.5317. Results: From the analysis of the transcripts emerged the themes: Labor and delivery from the perspective of women who participated in the groups of pregnant women; and Childbirth Humanization and Birth: Knowledge vs. Experience. Conclusion: The group of pregnant women allows women to prepare for the delivery process, as an information and exchange experiences with other participants and health professionals provide input for their choices, and thus, knowledge is built on a reciprocal basis, in a trusting and learning environment. Descriptors: Primary Health Care; Parturition; Health Promotion 1 Enfermeira, Mestre em Ciências, Doutoranda em Enfermagem pelo Programa de Pós-Graduação em Enfermagem da Universidade Federal de Pelotas/UFPel. http://lattes.cnpq.br/4244897610025017. 2 Enfermeira, Mestre em Enfermagem (UFSM). Docente do curso de Enfermagem da Universidade da Região da Campanha-Campus Bagé. Doutoranda do Programa de Pós Graduação em Enfermagem/Universidade Federal de Pelotas-RS.Especialista em Cuidado Pré-Natal UNIFESP/UAB/SP. http://lattes.cnpq.br/1194888943412594. 3 Enfermeira, Mestre Enfermagem pela Universidade Federal de Pelotas (2012), Doutoranda da Universidade Federal de Pelotas. http://lattes.cnpq.br/9330028621214515. 4 Enfermeira, Mestre em Assistência em Enfermagem pela Universidade Federal de Santa Catarina (2000) e Doutora em Enfermagem em Saúde Pública pela Universidade de São Paulo (2007). http://lattes.cnpq.br/3517680296989379. 5 Enfermeira, Mestra em Assistência de Enfermagem e Doutora em Enfermagem pela Universidade Federal de Santa Catarina (1999 e 2007). http://lattes.cnpq.br/0776525182570104. 6 Enfermeira, Especialista em Estratégia Saúde da Família com ênfase em políticas públicas (2015), Mestranda em Ciências da Saúde. http://lattes.cnpq.br/0500320410106129. ISSN 2175-5361. DOI: 10.9789/2175-5361.2017.v9i2.393-400 Matos GC; Demori CC; Escobal APL; et al. Grupos de gestantes: espaço... J. res.: fundam. care. online 2017. abr./jun. 9(2): 393-400 394 RESUMO Objetivos: Conhecer o aporte dos grupos de gestantes na construção de conhecimento acerca do processo de parturição. Métodos: Estudo descritivo-exploratório, com dez mulheres que participaram de grupos de gestantes. Foi realizada entrevista semiestruturada, as quais foram gravadas e transcritas na íntegra. A análise foi fundamentada na Análise Temática, após aprovação pelo Comitê de Ética em PesquisaCAAE 20722913.7.DO00.5317. Resultados: Da análise das transcrições emergiram as temáticas: Trabalho de parto e parto sob a ótica de mulheres que participaram dos grupos de gestantes; e Humanização do parto e Nascimento: Conhecimento x Vivência. Conclusão: O grupo de gestantes permite à mulher preparar-se para o processo de parturição, visto que as informações e trocas de experiências com outras participantes e profissionais da saúde oferecem subsídios para suas escolhas e assim o conhecimento é construído de forma recíproca, em clima de confiança

A HUMANIZAÇÃO DO PROCESSO DE PARTURIÇÃO SOB A ÓTICA DE ADOLESCENTES

Objetivo: conhecer a percepcao de puerperas adolescentes acerca do cuidado recebido durante o processo de parturicao. Metodos: estudo de abordagem qualitativa e exploratoria. Foram entrevistadas 10 puerperas adolescentes, com idades entre 10 e 19 anos, entre os anos de 2008 e 2009 no centro obstetrico de um hospital de ensino de Pelotas/RS. Para analise, os dados foram agrupados em consonância com a analise de conteudo proposta por Minayo. Resultados: as adolescentes priorizam a atencao, a compreensao, o dialogo e a informacao dos profissionais de saude no processo de parturicao, definindo estes aspectos como fundamentais para o cuidado ideal. Conclusao: no entendimento das puerperas adolescentes, cuidado qualificado significa atencao, dialogo, compreensao e informacoes por parte dos profissionais acerca da evolucao do processo de parturicao. De modo geral as puerperas sentiram-se satisfeitas com o atendimento prestado. Descritores: Gravidez na Adolescencia; Trabalho de Parto; Parto Humanizado; Assistencia Perinatal.

Men’s perception of the experience of parenting in adolescence: a bioecological perspective

Objective to know the perception of men of the experience of parenting during adolescence. Method a qualitative study conducted with five men who experienced paternity during adolescence. Data were collected by means of in-depth interviews at the homes of the subjects in August 2013, in a city of southern Brazil. The data were analysed with the theoretical model of Urie Bronfenbrenner. Results paternity in adolescence was a coming of age experience that triggered reflection on the role of the father and his duties. The referenced microsystem was the family and it influenced the development of parenthood. Paternity has implications during adolescence and repercussions throughout the lives of the subjects. Conclusion it is important to introduce the topic of fatherhood in the health and education systems in order for adolescents to exercise parenting in a healthy manner. Nursing plays an important role because it can assist this population and target attention toward the singularities of parenthood.Objective to know the perception of men of the experience of parenting during adolescence. Method a qualitative study conducted with five men who experienced paternity during adolescence. Data were collected by means of in-depth interviews at the homes of the subjects in August 2013, in a city of southern Brazil. The data were analysed with the theoretical model of Urie Bronfenbrenner. Results paternity in adolescence was a coming of age experience that triggered reflection on the role of the father and his duties. The referenced microsystem was the family and it influenced the development of parenthood. Paternity has implications during adolescence and repercussions throughout the lives of the subjects. Conclusion it is important to introduce the topic of fatherhood in the health and education systems in order for adolescents to exercise parenting in a healthy manner. Nursing plays an important role because it can assist this population and target attention toward the singularities of parenthood.

Percepções de homens sobre a vivência da paternidade na adolescência: uma perspectiva bioecológica

Objective to know the perception of men of the experience of parenting during adolescence. Method a qualitative study conducted with five men who experienced paternity during adolescence. Data were collected by means of in-depth interviews at the homes of the subjects in August 2013, in a city of southern Brazil. The data were analysed with the theoretical model of Urie Bronfenbrenner. Results paternity in adolescence was a coming of age experience that triggered reflection on the role of the father and his duties. The referenced microsystem was the family and it influenced the development of parenthood. Paternity has implications during adolescence and repercussions throughout the lives of the subjects. Conclusion it is important to introduce the topic of fatherhood in the health and education systems in order for adolescents to exercise parenting in a healthy manner. Nursing plays an important role because it can assist this population and target attention toward the singularities of parenthood.Objective to know the perception of men of the experience of parenting during adolescence. Method a qualitative study conducted with five men who experienced paternity during adolescence. Data were collected by means of in-depth interviews at the homes of the subjects in August 2013, in a city of southern Brazil. The data were analysed with the theoretical model of Urie Bronfenbrenner. Results paternity in adolescence was a coming of age experience that triggered reflection on the role of the father and his duties. The referenced microsystem was the family and it influenced the development of parenthood. Paternity has implications during adolescence and repercussions throughout the lives of the subjects. Conclusion it is important to introduce the topic of fatherhood in the health and education systems in order for adolescents to exercise parenting in a healthy manner. Nursing plays an important role because it can assist this population and target attention toward the singularities of parenthood.