Identificação do contexto familiar e social em registros de consultas de enfermagem ao binômio mãe-bebê

Abstract

Objective: To analyze, through the records of the first nursing consultation with the mother and newborn dyad, the presence of information related to the family and social context. Method: Descriptive-exploratory study conducted from a secondary source. Fifty percent of the records made in October 2022 were analyzed. The analysis was performed using descriptive statistics. Results: A total of 326 records were analyzed, of which 82.38% occurred in Basic Health Units. Information about the presence of other family members was included in 30.4% of the records. Family structure and support network were recorded in 27.3% and 21.8% of the consultations, respectively. The emotional state of the postpartum woman was mentioned in 30.6% of the records, and information about the pregnancy experience was present in 4.3% of the records. Family-related diagnoses were included in 28.9% of the records. Conclusions: The analyses indicated a primary focus on biological processes with limited exploration of the family and social context.