Contrarreferência ao pré-natal na estratégia saúde da família : concepções de mulheres que vivenciam a gestação de risco

Abstract

This study aims to know which comprehension the pregnant women, who lived high risks in the pregnancy, referenced to high complexity services, have of the process of counter referencing, to the Primary Care to Health. Likewise, this research was developed in 04 Family Health Units (FHU), in the city of Cuiabá, Mato Grosso, using the qualitative approach, of descriptive features. Moreover, 07 women were the participants of this study, who did the prenatal in one of these FHU and who had been at least once referenced to high complexity services. Besides that, to the data collection, it was done an open interview and to the analyses of the data it was used the technique of analyses of content. This study was approved by the Ethics Committee in Research of the University Hospital Júlio Muller. The obtained results were presented in 03 themes axes: the first axis is the Characterization of the process of counter reference to the Family Health Strategy (FHS) of women who lived high risks pregnancy in the city of Cuiabá-MT, being suggested to the commission to the pregnant women to transmit the information of the services of high complexity to the FHU, in the moment of counter reference, by the professionals who work there. Consequently, the second axis is the high risk Pregnancy, in which the importance of the bond with the FHS in the counter reference demonstrated that, when there is a bond among the users and the professionals/workers of the health services, there is a facilitation of the access of these women in the moment of counter reference. Finally, the third axis is the Network support and the organization of the health services as influence in the access of the women who lived high risks pregnancy in the counter reference. It is necessary to evidence that support network has a fundamental role, to the pregnant woman who live a high risk pregnancy, in a way of pass the difficulties that appear during the prenatal and that there is favorable and unfavorable influencies through the way that the health services occurs. Therefore, it is considered that it urges the necessity of other studies that allow to recognize other difficulties that these women face during the access to the health services aiming to minimize or extinguish them.