O conhecimento de gestantes em acompanhamento pré-natal sobre a escolha da via de parto no município de Sinop-MT

Abstract

Prenatal care prepares women for healthy gestation, delivery and puerperium, and the guidelines should be part of this care provided by the nurse. The information acquired during the prenatal period by the pregnant woman is of great importance in the gestational period so that she can experience the delivery in a safe, quiet and autonomous way. In this scenario, the main objective of the present study was to analyze the knowledge of pregnant women attended by the Unified Health System in the municipality of Sinop-MT, about the desired way of delivery, as well as to highlight the importance of the guidelines received in the prenatal care and the various Influences and representations that motivate them regarding the experience of childbirth. Thus, this study was developed through a qualitative, descriptive and exploratory approach, with eight pregnant women undergoing prenatal care at a Basic Health Unit in the municipality of Sinop-MT. The semistructured, recorded and transcribed interview was used as instrument of data collection. Data analysis was guided by the thematic type content analysis technique, resulting in four categories: the lack of knowledge about the risks and benefits to the baby related to the birth tract; Absence of directed dialogue: lack of nurses in this process and medical representation; (Dis) interest of pregnant women to seek knowledge about the birth pathways; And normal labor culture. The results showed that the pregnant women have doubts about the necessary guidelines passed during the prenatal care, the explanations about the ways of delivery, risks and benefits. There is a deficiency in relation to prenatal care in the type of delivery and its advantages in choosing natural childbirth. There is a lack of preparation of the pregnant women, with little information and behavior to be taken. Another important factor was the social and cultural influence on the birth pathways and the professional failure to receive care during the whole follow-up of the pregnant woman. Needs and deficiencies were noted in the care offered to these women, as well as the nurse's absence in prenatal care serving as a vehicle for information, with actions and educational groups focused on these women. The importance of the professional with these pregnant women, especially the nurse, is believed to guide them and help them to experience a healthy gestation, preparing them to face the moment of delivery with greater tranquility, so that they feel Safe and able to act in a more natural and physiological way as the body itself, with autonomy and acceptance, prioritizing a model of childbirth that makes them comfortable.