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CC BY 4.0 · Rev Bras Ginecol Obstet 2019; 41(06): 379-386
DOI: 10.1055/s-0039-1688833
Original Article
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Lessons from the Field Beyond the Numbers: Narratives of Professionals on Women who Experienced Severe Maternal Morbidity

Lições do campo para além dos números: narrativas de profissionais sobre mulheres que tiveram morbidade materna grave
Carina Fernanda Robles Angelini
1   Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Rodolfo de Carvalho Pacagnella
1   Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Carla Silveira
1   Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Carla Betina Andreucci
1   Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil
2   Department of Medicine, Faculdade de Medicina, Universidade Federal de São Carlos, São Carlos, SP, Brazil
,
Elton Carlos Ferreira
1   Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Juliana Pereira Santos
1   Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Dulce Maria Toledo Zanardi
1   Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Mary Angela Parpinelli
1   Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Maria Laura Costa
1   Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil
,
José Guilherme Cecatti 
1   Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil
› Author Affiliations
Further Information

Publication History

10 December 2018

04 April 2019

Publication Date:
27 June 2019 (online)

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Abstract

Objective Several factors might affect the health and the quality of life of women who had a severe maternal morbidity (SMM) or a maternal near-miss (MNM) episode. The objective of the present study was to explore the perspectives of the professionals on the repercussions of SMM or of MNM after interviewing women who survived such episodes.

Method Selected cases that captured the attention of professionals were reported. The professionals built individually 10 narratives, which were analyzed with the technique of content analysis.

Results According to the perspectives of the professionals, women surviving a severe maternal condition and their families experienced clinical and psychosocial consequences. Some cases portrayed the intense psychological distress in mourning for the loss of the fetus or of their reproductive capacity and changes in family dynamics generating emotional overload, depression, and gender violence.

Conclusion The analysis of narratives may offer an idea on the complexity of the perception of care by professionals and on the need for an interdisciplinary follow-up of women surviving an SMM or an MNM episode.

Resumo

Objetivo Diversos fatores podem afetar a saúde e a qualidade de vida das mulheres que tiveram um episódio de morbidade materna grave (MMG) ou near-miss materno (NMM). O objetivo do presente estudo foi explorar as perspectivas dos profissionais sobre as repercussões da MMG ou do NMM após terem entrevistados mulheres que sobreviveram a um desses episódios.

Métodos Casos selecionados que chamaram a atenção dos profissionais foram relatados. Estes profissionais construíram individualmente 10 narrativas, que foram analisadas com a técnica de análise de conteúdo.

Resultados Segundo as perspectivas dos profissionais, as mulheres que sobreviveram a uma condição materna grave e suas famílias vivenciaram consequências clínicas e psicológicas. Alguns casos relataram um intenso estresse psicológico no luto pela perda do feto ou de sua capacidade reprodutiva e de mudanças da dinâmica familiar, gerando sobrecarga emocional, depressão e violência de gênero.

Conclusão A análise das narrativas pode oferecer uma ideia sobre a complexidade da percepção do cuidado de profissionais e sobre a necessidade de um seguimento interdisciplinar das mulheres sobreviventes de um episódio de MMG ou de NMM.

Keywords

personal narratives - childbirth - health personnel - mothers - postpartum period

Palavras-chave

narrativas pessoais - nascimento - profissionais de saúde - período pós-parto

Contributors

All of the authors contributed with the project and data interpretation, the writing of the article, the critical review of the intellectual content, and with the final approval of the version to be published.


 

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