Representações sociais de gestantes que freqüentam um serviço de pré-natal de alto risco

Abstract

The pregnancy, the birth and the puerperium are the woman’s life physiological events. However, the high-risk pregnancy causes more physical and emotional changes, which requires special care and monitoring by the health professional, as the family involvement. The objective of this study was to comprehend the meaning, knowledge and feeling to experience a high-risk pregnancy for the pregnant woman that attend the high-risk prenatal at the Gynecology and Obstetrics clinic of the nucleus of the University Hospital (NHU) of the Federal University of state of Mato Grosso do Sul (UFMS). The studied population is made of twenty-one pregnant women who had, at last, one clinical complication and being monitored. The instrument used in the interviews was a semi-structured script and previously tested. The study went in the methodology way of qualitative research, by the focus of the pregnant women speech, according to the methodological approach of the Discourse of the Collective Subject (DSC) and the analysis reference was the social representation. The representation analysis under the meaning of high-risk pregnancy, in the female group view, reinforces the idea that living this pregnancy means a strength and braveness proof, the pregnancy is noticed different and express desire to be accepted and have the right to participate “her” reproduction process. They feel a great anxiety and expectation of the physical integrity and their and their generating children lives preservation. About the pregnancy knowledge, it is almost nonexistent. They represent future uncertainties. Knowing better the experience of pregnant woman high-risk pregnancy, how they think, their knowledge and fears, can be of great value in the practice of the team which attends these women. The performance of the multi-professional team in the assistance of the pregnant woman can provide the care of social and educational needs that every pregnant woman have right, since the prenatal quality construction recommended by the Health Ministry is implicitly in the appreciation of reception as one of its components.