Darmont Mariana de Queiroz Rocha, Martins Helena Santos, Calvet Guilherme Amaral, Deslandes Suely Ferreira, Menezes Jacqueline Anita de
Serviço de Doenças Infecciosas e Parasitárias, Hospital dos Servidores do Estado, Rio de Janeiro, Brasil.
Cad Saude Publica. 2010 Sep;26(9):1788-96. doi: 10.1590/s0102-311x2010000900012.
This study aimed to elucidate the social and behavioral factors and public health system characteristics that influenced pregnant women's adherence to prenatal care. Forty women diagnosed as HIV-positive by rapid test at delivery were included. Socioeconomic data were collected and a semi-structured interview was conducted. Eight women had > 6 prenatal visits and 12 had no visits. Interviews were submitted to qualitative content analysis. The themes fit into two blocks: those seen as hindering adherence, like unwanted pregnancy, lack of family support, prior knowledge of serological status, adverse social context, negative experiences with prenatal care, and disbelief towards prenatal care, and those facilitating adherence, like family support, valuing healthcare, wanting a tubal ligation, receptiveness by the healthcare team, and positive previous experience with prenatal care. Improving our understanding of the socio-cultural context should help promote strategies to reach such women and include them in better quality care.
本研究旨在阐明影响孕妇坚持产前护理的社会和行为因素以及公共卫生系统特征。纳入了40名在分娩时通过快速检测被诊断为艾滋病毒阳性的妇女。收集了社会经济数据并进行了半结构化访谈。8名妇女进行了6次以上的产前检查，12名妇女未进行产前检查。访谈进行了定性内容分析。主题分为两个方面：被视为阻碍坚持的因素，如意外怀孕、缺乏家庭支持、血清学状态的先验知识、不利的社会环境、产前护理的负面经历以及对产前护理的怀疑；以及促进坚持的因素，如家庭支持、重视医疗保健、希望进行输卵管结扎、医疗团队的接纳以及产前护理的积极既往经历。增进我们对社会文化背景的理解应有助于推动制定策略，以接触此类妇女并使其获得更高质量的护理。
