Percepções de gestantes e puérperas no contexto de pandemia da covid-19

Helena Moro Stochero; Cássia Souza Antunes; Luciane Najar Smeha; Silvana Cruz da Silva; Marli Terezinha Stein Backes; Dirce Stein Backes

Helena Moro Stochero Universidade Franciscana (Santa Maria, Rio Grande do Sul, Brasil)
Cássia Souza Antunes Universidade Franciscana (Santa Maria, Rio Grande do Sul, Brasil)
Luciane Najar Smeha Universidade Franciscana (Santa Maria, Rio Grande do Sul, Brasil)
Silvana Cruz da Silva Universidade Franciscana (Santa Maria, Rio Grande do Sul, Brasil)
Marli Terezinha Stein Backes Universidade Federal de Santa Catarina (Florianópolis, Santa Catarina, Brasil)
Dirce Stein Backes Universidade Franciscana (Santa Maria, Rio Grande do Sul, Brasil)

Palabras clave: Pandemia, Infecciones por Coronavirus, Percepción, Atención Prenatal, Periodo Pos-parto

Key-words: Pandemic, Coronavirus Infections, Perception, Prenatal Care, Postpartum Period

Palavras chave: Pandemia, Infecções por Coronavírus, Percepção, Cuidado Pré-Natal, Período Pós-Parto

Resumen

Objetivo: comprender las percepciones y experiencias de mujeres embarazadas y en etapa posparto en el contexto de la pandemia de Covid-19. Materiales y métodos: estudio cualitativo de tipo exploratorio-descriptivo, realizado con 38 mujeres gestantes y en etapa posparto. Los datos fueron recolectados en línea, a partir de un formulario semiestructurado, entre febrero y abril de 2021. Las participantes fueron invitadas inicialmente a través de redes sociales. Para aquellas que aceptaron, se oficializó su participación, de manera individual, a través de una página en línea previamente informada. Los datos cualitativos fueron analizados mediante la técnica de análisis de contenido. Resultados: los datos codificados dieron como resultado tres categorías temáticas: “De la información a la construcción de lazos de aceptación y respeto”, “Miedos e incertidumbres experimentados por las mujeres embarazadas y puérperas” y “Estrategias de calificación para la atención materno-infantil”. Conclusiones: la pandemia ocasionada por el nuevo coronavirus no solo frenó el avance de iniciativas en el ámbito de la salud materno-infantil, sino que además generó un retroceso en varios aspectos, especialmente en lo que se refiere a falta de información sobre el modo de contagio del virus, la reducción en la frecuencia de las consultas prenatales y las limitaciones impuestas a la presencia de un acom-pañante durante el parto, entre otros

Abstract

Objective: To understand the perceptions and experiences of pregnant and post-partum women in the context of the Covid-19 pandemic. Materials and methods: Qualitative and exploratory-descriptive study conducted in a group of 38 pregnant and postpartum women. Data were collected online between February and April 2021 using a semi-structured form. Participants were initially invited through social media. Based on the affirmative feedback, their participation was made official, individually, through the online address previously informed. Qualitative data were analyzed using the content analysis technique. Results: Coded data resulted in three thematic categories: “From information to building bonds of acceptance and respect”, “Fear and uncertainties experienced by pregnant and postpartum women”, and “Qualifying strategies for maternal and child care”. Conclusions: The pandemic caused by the new coronavirus not only decelerated the advance of initiatives in the area of maternal and child health, but also set them back in several aspects, especially regarding the lack of information on the contagion of the virus, the decrease in the frequency of prenatal consultations, and imposed limitations to the presence of a companion at the time of delivery, among others

Resumo

Objetivo: compreender as percepções e experiências de gestantes e puérperas no contexto de pandemia da covid-19.Materiais e métodos: estudo qualitativo, de caráter exploratório-descritivo, realizado com 38 mulheres, gestantes e puérperas. Os dados foram coletados a partir de um formulário eletrônico semiestruturado, entre fevereiro e abril de 2021. As participantes foram, inicialmente, convidadas por meio das mídias sociais e, a partir do retorno afirmativo, a participação foi oficializada, individualmente, em endereço on-line previamente informado. Os dados foram analisados pela técnica de análise de conteúdo modalidade temática.Resultados: os dados codificados resultaram em três categorias temáticas: “Da informação à construção de vínculos de acolhida e respeito”; “Medo e incertezas vivenciados pelas gestantes e puérperas”; “Estratégias qualificadoras do acompanhamento materno-infantil”.Conclusões: a pandemia provocada pelo novo coronavírus não só freou o avanço de iniciativas na área da saúde materno-infantil, como também as retrocedeu em vários aspectos, principalmente no que se refere à falta de informações com relação ao contágio do vírus, à diminuição da frequência das consultas pré-natais, à limitação da presença do acompanhante na hora do parto, entre outros

Bibliografía

(1) Zhu N; Zhang D; Wang W; Li X; Yang B; Song J et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-733. https://doi.org/10.1056/NEJMoa2001017
(2) World Health Organization (WHo). WHo Coronavirus (Covid-19) Dashboard. Geneva: WHo; 2020. https://covid19.who.int/table
(3) Villar J; Ariff S; Gunier RB; Thiruvengadam R; Rauch S; Kholin A et al. Maternal and neonatal morbidity and mortality among pregnant women with and without Covid-19 infection. Ja Ma Pediatr. 2021;175(8):817-826. https://doi.org/10.1001/jamapediatrics.2021.1050
(4) Gurzenda S; Castro MC. Covid-19 poses alarming pregnancy and postpartum mortality risk in Brazil. EClinicalMedicine. 2021;36:100917. https://doi.org/10.1016/j.eclinm.2021.100917
(5) Carvalho-Sauer RCO; Costa MCN; Teixeira MG; Nascimento EMR; Silva EMF; Barbosa MLAet al. Impact of Covid-19 pandemic on time series of maternal mortality ratio in Bahia, Brazil: Analysis of period 2011-2020. BMC Pregnancy Childbirth. 2021;21(423). https://doi.org/10.1186/s12884-021-03899-y
(6) Damaso C. Covid em gestantes e puérperas: atualização do Observatório Obstétrico Brasileiro. segs. Brasil; 2021. https://bit.ly/3OG5BIJ
(7) Kotlar B; Gerson E; Petrillo S; Langer A; Tiemeier H. The impact of the Covid-19 pandemic on maternal and perinatal health: A scoping review. Reprod Health. 2021;18(10). https://doi.org/10.1186/s12978-021-01070-6
(8) Khan S; Peng L; Siddique R; Nabi G; Nawsherwan; Xue M et al. Impact of Covid-19 infection on pregnancy outcomes and the risk of maternal-to-neonatal intrapartum transmission of Covid-19 during natural birth. Infect Control Hosp Epidemiol. 2020;41(6):748-750. https://doi.org/10.1017/ice.2020.84
(9) Wang CL; liu YY; Wu CH; Wang CY; Wang CH; Long CY. Impact of Covid-19 on pregnancy. Int J Med Sci. 2021;18(3):763-767. https://doi.org/10.7150/ijms.49923
(10) Zanchetta MS; Medeiros M; Santos WS; Oliveira LA; Pacheco LR; Pereira PS et al. Professional perceptions of how women have dealt with pregnancy and motherhood during the chaos of the Brazilian Covid-19 pandemic. In: O’Reilly A; Green FJ. Mothers, mothering, and Covid-19: Dispatches from the Pandemic. Demeter Press; 2021:377-392. https://doi.org/10.2307/j.ctv1h45mcj.34
(11) Leal MS; Moreira RCR; Barros KCC; Servo MLS; Bispo TCF. Humanization practices in the parturitive course from the perspective of puerperae and nurse-midwives. Rev Bras Enferm. 2021;74(suppl 4):e20190743. https://doi.org/10.1590/0034-7167-2019-0743
(12) Busetto L; Wick W; Gumbinger C. How to use and assess qualitative research methods. Neurol Res Pract. 2020;2(14). https://doi.org/10.1186/s42466-020-00059-z
(13) Bardin L. Análise de conteúdo. Portugal: Edições 70; 2015.
(14) Brasil. Ministério da Saúde. Conselho Nacional de Saúde. Resolução n.º 466, de 12 de dezembro de 2012. Aprova diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. 2013. https://www.conselho.saude.gov.br/resolucoes/2012/Reso466.pdf
(15) Chandir S; Siddiqi DA; Setayesh H; Khan AJ. Impact of Covid-19 lockdown on routine immunisation in Karachi, Pakistan. Lancet Glob Health. 2020;8(9):e1118-e1120. http://doi.org/10.1016/S2214-109X(20)30290-4
(16) Schwartz DA; Graham AL. Potential maternal and infant outcomes from coronavirus 2019-nCoV (sars-CoV-2) infecting pregnant women: lessons from sars, Mers, and other human coronavirus infections. Viruses. 2020;12(2):194. http://doi.org/10.3390/v12020194
(17) Akhter S; Kumkum FA; Bashar F; Rahman A. Exploring the lived experiences of pregnant women and community health care providers during the pandemic of Covid-19 in Bangladesh through a phenomenological analysis. BMC Pregnancy Childbirth. 2021;21(810). https://doi.org/10.1186/s12884-021-04284-5
(18) Nieuwenhuijze M; Leahy-Warren P. Women’s empowerment in pregnancy and childbirth: A concept analysis. Midwifery. 2019;78:1-7. https://doi.org/10.1016/j.midw.2019.07.015
(19) Smith V; Seo D; Warty R; Payne O; Salih M; Chin KL et al. Maternal and neonatal outcomes associated with Covid-19 infection: A systematic review. PLosone. 2020;15(6):e0234187.https://doi.org/10.1371/journal.pone.0234187
(20) Pereira A; Cruz-Melguizo S; Adrien M; Fuentes L; Marin E; Perez-Medina T. Clinical course of coronavirus disease-2019 in pregnancy. Acta Obstet Gynecol Scand. 2020;99(7):839-847. h t t p s : //d o i . o r g /10 .1111/a o g s .13921
(21) Paixão GPN; Campos LM; Carneiro JB; Fraga CD. A solidão materna diante das novas orientações em tempos de sars-Cov-2: um recorte brasileiro. Rev Gaúcha Enferm. 2021;42(esp):e20200165. https://doi.org/10.1590/1983-1447.2021.20200165
(22) Wu Y; Zhang C; Liu H; Duan C; Li C; Fan J et al. Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China. Am J Obstet Gynecol. 2020;223(2):240.e1-9. https://doi.org/10.1016/j.ajog.2020.05.009
(23) Wu H; Sun W; Huang X; Yu S; Wang H; Bi X et al. Online antenatal care during the Covid-19 pandemic: Opportunities and challenges. J Med Internet Res. 2020;22(7):e19916. http://doi.org/10.2196/19916
(24) Zaigham M; Andersson O. Maternal and perinatal outcomes with Covid-19: A systematic review of 108 pregnancies. Acta Obstet Gynecol S c a n d . 2 02 0 ; 9 9 ( 7 ) : 82 3 - 82 9. h t t p s : //d o i . o r g /10 .1111/a o g s .138 67
(25) Osingada CP; Porta CM. Nursing and Sustainable Development Goals (sdgs) in a Covid-19 world: The state of the science and a call for nursing to lead. Public Health Nurs. 2020;37(5):799-805. https://doi.org/10.1111/phn.12776

Percepções de gestantes e puérperas no contexto de pandemia da covid-19

Perceptions by pregnant and postpartum women amidst the CoVid-19 pandemic

Percepciones de mujeres embarazadas y en etapa posparto en el contexto de la pandemia de CoVid-19

Resumen

Abstract

Resumo

Bibliografía