Keywords
health vulnerability
Pregnant women
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Abstract
Objective: to understand the perceptions of pregnant women attended at a prenatal outpatient clinic at a University Hospital in Juiz de Fora, about coping with the Coronavirus pandemic during pregnancy Method: qualitative research, of an exploratory descriptive nature. The research subjects were 22 pregnant women assisted at the prenatal outpatient clinic of the University Hospital of the Federal University of Juiz de Fora (HU/UFJF). Data were collected from a semi-structured interview and documentary research Results: for data analysis, four categories were created: Perceptions of pregnant women in the face of the Coronavirus pandemic, Social support during pregnancy, access to health services related to prenatal care and vulnerable situations during prenatal care. The participants showed concern about pregnancy during the pandemic, with the baby's health being the main focus. They were also aware of the necessary measures to avoid contagion, although some reported confidence in the relaxation of these measures. They reported that the demands presented during the prenatal care were fully met by the health team. Conclusion: understanding the perspectives of pregnant women and the impacts of the pandemic on their daily lives makes it possible for professionals to be able to resolve the emotional and physical issues of women during prenatal care.
References
ALVES TV e BEZERRA MM. Main physiological and psychological changes during the management period. Id On Line Revista de Psicologia, 2020;14(49):114-126.
ANDERSON E, et al. Pregnant women’s experiences of social distancing behavioural guidelines during the Covid-19 pandemic ‘lockdown’ in the UK, a qualitative interview study. BMC Public Health, 2021; 21(1): 1202.
ATAKE EH e GNAKOU ALI P. Women’s empowerment and fertility preferences in high fertility countries in Sub-Saharan Africa. BMC Women’s Health, 2019; 19(1): 54.
BARDIN L. Análise de conteúdo. Lisboa: edições 70, 2011.
BÉRARD A, et al. The COVID-19 pandemic impacted maternal mental health differently depending on pregnancy status and trimester of gestation. International Journal of Environmental Research and Public Health, 2022;19(5):2926.
BERTOLOZZI MR, et al. Os conceitos de vulnerabilidade e adesão na Saúde Coletiva. Revista da Escola de Enfermagem da USP, 2009;43: 1326-30.
BRASIL. Lei no 8.080 de 19 de setembro de 1990. Dispõe sobre as condições para a promoção, proteção e recuperação da saúde, a organização e o funcionamento dos serviços correspondentes e dá outras providências. Ministério da Saúde: Brasília (DF), 1990.
BRASIL. Ministério da Economia. Uma Análise da Crise gerada pela Covid-19 e a Reação de Política Econômica. Ministério da Economia: Brasília (DF), 2020.
BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Atenção ao pré-natal de baixo risco. 1. ed. Brasília: Ministério da Saúde, 2012.
CAROMANO FA. Adaptações Fisiológicas do período gestacional. Fisioterapia Brasil, 2018;7(5): 375-380.
DELAHOY MJ, et al. Characteristics and maternal and birth outcomes of hospitalized pregnant women with laboratory-confirmed COVID-19 — COVID-NET, 13 States, march 1–august 22, 2020. Morbidity and Mortality Weekly Report, 2020; 69(38): 1347–1354.
DIAMOND-SMITH N, et al. COVID-19’s impact on contraception experiences: Exacerbation of structural inequities in women’s health. Contraception, 2021;104(6): 600–605.
Di Mascio, D., et al. (2020). Resultados maternos e perinatais de gestantes com COVID-19: Uma revisão sistemática e meta-análise. European Journal of Obstetrics & Gynecology and Reproductive Biology, 252, 578-587.
FLORÊNCIO RS e MOREIRA TMM. Modelo de vulnerabilidade em saúde: esclarecimento conceitual na perspectiva do sujeito-social. Acta Paulista de Enfermagem, 2021;34.
GUIMARÃES, RM, et al. Tracking excess of maternal deaths associated with COVID-19 in Brazil: a nationwide analysis. BMC Pregnancy Childbirth, 2023; 22.
HADDAD C, et al. Factors related to pregnancy status and unwanted pregnancy among lebanese women during the COVID-19 lockdown: a cross-sectional study. Archives of Public Health, 2022; 80(1).
LEWIS R, et al. Disrupted prevention: condom and contraception access and use among young adults during the initial months of the COVID-19 pandemic. An online survey. BMJ Sexual & Reproductive Health, 2021; 47(4): 269–276.
LIU CH, et al. Psychological risks to mother–infant bonding during the COVID-19 pandemic. Pediatric Research, 2022; 91(4):853–861.
MALAVER-FONSECA LF, et al. A pandemia de COVID-19 e o papel das mulheres na economia do cuidado na América Latina: uma revisão sistemática da literatura. Estudios Gerenciales, 2021; 37(158): 153–163.
MANZARI N, et al. Prenatal maternal stress and risk of neurodevelopmental disorders in the offspring: a systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 2019; 54(11): 1299–1309.
NICHIATA LYI, et al. A utilização do conceito “vulnerabilidade” pela enfermagem. Revista Latino-Americana de Enfermagem, 2008; 16: 923–928.
ONWUZURIKE C, et al. Examining inequities associated with changes in obstetric and gynecologic care delivery during the coronavirus disease 2019 (COVID-19) pandemic. Obstet Gynecol, 2020; 37–41.
PIO DAM e CAPEL MS. The meaning of care in pregnancy. Revista Psicologia e Saúde, 2015, 7(1):74–81.
POLIT DF, et al. Fundamentos de pesquisa em enfermagem: métodos, avaliação e utilização. Porto Alegre: Artmed, 2004.
ROSSETTO M, et al. Flores e espinhos na gestação: experiências durante a pandemia de COVID-19. Revista Gaúcha de Enfermagem, 2021; 42.
SANTOS KOB, et al. Trabalho, saúde e vulnerabilidade na pandemia de COVID-19. Cadernos de Saúde Pública, 2020;36.
SILVA MHA e PROCÓPIO IM. A fragilidade do sistema de saúde brasileiro e a vulnerabilidade social diante da COVID-19. Revista Brasileira em Promoção da Saúde, 2020; 33.
Schwartz DA, Dhaliwal A. Infections in Pregnancy With COVID-19 and Other Respiratory RNA Virus Diseases Are Rarely, If Ever, Transmitted to the Fetus: Experiences With Coronaviruses, Parainfluenza, Metapneumovirus Respiratory Syncytial Virus, and Influenza. Arch Pathol Lab Med. 2020;144(8):920-928.
Smith, V., et al. (2020). Resultados maternos e neonatais associados à infecção por COVID-19: uma revisão sistemática. PLOS ONE, 15(6): e0234187.
WASTNEDGE EAN, et al. Pregnancy and COVID-19. Physiol Rev, 2021; 101(1):303-318.
WU Y, et al. Association of prenatal maternal psychological distress with fetal brain growth, metabolism, and cortical maturation. JAMA Network Open, 2020;3(1):e1919940.
ZAMBRANO LD, et al. Update: characteristics of symptomatic women of reproductive age with laboratory-confirmed SARS-CoV-2 infection by Ppregnancy status — United States, january 22–october 3, 2020. Morbidity and Mortality Weekly Report, 2020; 69(44):1641–1647.