Qualidade da assistência no período pós-parto : visão das puérperas.

Abstract

The puerperium is the active phase of the pregnancy-puerperal cycle, in its happen several phenomena of hormonal, psychic and metabolic nature, reflected by involutive actions. It begins soon after birth and extends for six or more weeks, being divided into immediate, late and remote. Although most changes in the post childbirth period are physiological, the puerperas, also live with changes, fears, challenges, desires and situations of risk that can directly affect the mother-child binomial. Therefore health team behaviors need to be based on understanding the physiological and psychological processes that involve the period. Thus, the objective of the present study is to investigate the perception of puerperas on the assistance received in the puerperium. Aiming, with the dissemination of the results, to improve the assistance provided to puerperas with emphasis on the points indicated by themselves. Methodologically the research is a descriptive exploratory study, with a qualitative approach. It has with the analysis of the results, the obtainment of six categories, being them: "Knowledge about the puerperium", "Orientations about the puerperium", "Corporal modifications", "Conciliation between the care of the baby and herself", "Evaluation of assistance in the puerperium" and "Nexus with the Team". It can be seen, with the accomplishment of the study, that the assistance provided to women during the puerperium, as hospital as in the primary care, remains quite fragile and focused on physiological issues, undervaluing the psychological factors that involve the period. Taking this into account it is important the qualification of the health professionals who will attend these women, to the relevant aspects be approached in this period.