Nurses’ and physicians’ knowledge and perceptions regarding pregnant women’s referral to maternity care

Authors

DOI:

https://doi.org/10.5902/2179769286641

Keywords:

Obstetrics, Maternal and Child Health, Hospitals, Maternity, Complications in pregnancy, Parturition

Abstract

Objective: To understand the knowledge and perceptions of nurses and physicians working in obstetrics regarding the strategy of referring pregnant women to a designated maternity care facility. Method: A qualitative study was conducted with 17 professionals from a hospital in southern Brazil. Data collection took place in 2022 through a questionnaire followed by thematic analysis. Results: Participants perceive the referral of pregnant women to a maternity facility as a strategy that helps reduce anxiety and fear related to the childbirth process. They noted challenges in implementing this strategy, particularly due to recent changes in public policy and access barriers to maternity care caused by social vulnerability. Conclusion: There are challenges in effectively implementing maternity referrals related to staffing issues. Integrated actions within the Brazilian health care network are essential to ensure proper maternal care.

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Author Biographies

Melissa Hartmann, Hospital de Clínicas de Porto Alegre

Obstetric Nurse, specialist in Obstetrics by the Uniprofessional Residency Program of the Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil

Letícia Becker Vieira, Federal University of Rio Grande do Sul

Nurse from the Federal University of Santa Maria/UFSM, Master in Nursing from the Postgraduate Program in Nursing/UFSM. PhD in Nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro/UFRJ with a Sandwich Doctorate period at the University of Murcia - Spain. Specialist in Gender and Sexuality UERJ. Specialist in Nursing Management UNIFESP/SP. Adjunct Professor at the School of Nursing at the Federal University of Rio Grande do Sul (EEUFRGS). Permanent Professor of the Postgraduate Program in Nursing - PPGEnf/UFRGS. Member of the Study Group on Women's and Baby's Health - GEMBE -EEUFRGS. She has dedicated herself to studying, mainly, the following themes: women's health, violence against women, primary health care and health vulnerability.

Fernanda Peixoto Cordova, Federal University of Rio Grande do Sul

Nurse at the Hospital de Clínicas de Porto Alegre - Primary Health Care Nursing Service. PhD in Nursing from the Postgraduate Program in Nursing at the Federal University of Rio Grande do Sul. Master's degree in Nursing from the Postgraduate Program in Nursing at the Federal University of Rio Grande do Sul. Specialist in Obstetric Nursing from the University of Vale do Rio dos Sinos. Specialist in Prenatal Care from the Federal University of São Paulo. Specialist in Comprehensive Skin Care in the Scope of Primary Care from the Federal University of Rio Grande do Sul. Teaching experience in technical and higher education, with subjects on maternal and child health, nursing fundamentals, public health and research methodology. Care experience in an Obstetric Inpatient Unit and Basic Health Unit. Works as a researcher in the lines of collective and maternal and child health care.

Junia Aparecida Laia da Mata, Federal University of Rio Grande do Sul

PhD in Health Sciences from the School of Nursing of the State University of Campinas - FEnf/Unicamp (2017); Master in Sciences, with Emphasis on Education and Health in Childhood and Adolescence from the Federal University of São Paulo - Unifesp (2011); Postgraduate in Obstetric Nursing (2007); Postgraduate in Family Health (2009); Bachelor's degree in Nursing (2007). Former scholarship holder of the Japan International Cooperation Agency, JICA, in the improvement program "Strengthening Health System for Maternal and Child Health through Public Health Activities", held in Japan (2016). Trained in the GentleBirth Method, by the GentleBirth Institute, California, USA (2017). She is currently an Adjunct Professor in the Department of Maternal and Child Nursing of the School of Nursing of the Federal University of Rio Grande do Sul (UFRGS). Professor of the Postgraduate Program in Nursing at UFRGS. Leader of the Interdisciplinary Group of Studies and Research on Planned Home Birth (GIEPDP) - UFRGS. Member of the Research Group on Women's and Newborn Health at FEnf/UNICAMP. Member of the Study Group on Health Promotion (GEPS) at UFRGS. Member of the Permanent Committee of the Brazilian Association of Midwives and Obstetric Nurses - ABENFO Nacional. Has experience in the area of ​​​​Care Nursing, Teaching and Research, with an emphasis on Maternal and Child Health, Neuroscience and Childbirth, Education and Health in Childhood and Adolescence, Perinatal Education, Continuing Education, Integrative and Complementary Practices in Health (PICS), Active Teaching-Learning Methodologies, Clinical Simulation in Gynecology and Obstetrics and Scientific Research in Nursing and Health.

Laura Leismann de Oliveira, Federal University of Rio Grande do Sul

Nurse at the Obstetrics Center of the Hospital de Clinicas de Porto Alegre, graduated from the School of Nursing of the Federal University of Rio Grande do Sul. Specialist in Obstetric Nursing from the University of Vale do Rio dos Sinos. Master in Nursing from the Postgraduate Program of the Federal University of Rio Grande do Sul and PhD in Nursing from the same Postgraduate Program. She has experience in the area of ​​care and teaching in obstetric and neonatal nursing. Researcher in the obstetric and neonatal areas. National Instructor of the Zero Maternal Deaths by Hemorrhage Strategy (0MMxH) PAHO/WHO.

Fernanda Klein de Menezes, Hospital de Clínicas de Porto Alegre

Bachelor of Nursing from the Federal University of Rio Grande do Sul (UFRGS). Resident in Obstetric Nursing at the Hospital de Clínicas de Porto Alegre (HCPA).

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Published

2024-10-10

How to Cite

Hartmann, M., Vieira, L. B., Cordova, F. P., Mata, J. A. L. da, Oliveira, L. L. de, & Menezes, F. K. de. (2024). Nurses’ and physicians’ knowledge and perceptions regarding pregnant women’s referral to maternity care. Revista De Enfermagem Da UFSM, 14, e24. https://doi.org/10.5902/2179769286641

Issue

Vol. 14 (2024): Artigos do volume 14

Section

Artigos Originais

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