Blossiers Carolina
Facultad de Salud Pública, Universidad Peruana Cayetano Heredia, Lima, Perú.
Rev Peru Med Exp Salud Publica. 2010 Sep;27(3):337-44. doi: 10.1590/s1726-46342010000300005.
To explore the interaction between health personnel and young pregnants, beginning from the meanings of sexuality, pregnancy and prenatal control in a Lima National Hospital.
A qualitative study was conducted, including observations of the interaction during the consult, in-depth interviews to young pregnants (14) and health personnel (9), and a focus group of young pregnant women.
There are perceptions and socio-cultural valuations that don't favor communication between both groups. Health personnel rise as an argument the fact that having prompt sexual relations means that the youngsters assume the role of adults, and also consider that these weren't prepared bio-psychologically and socially to be mothers. In this conception, the body of the youngster is considered a means of control, intervention and power in the presence of the obstetrician. Nevertheless, for the pregnant youngsters it represents its value as future mothers. The meanings of the prenatal control for the health personnel are oriented to the biomedical aspects from the risk approach; emphasizing in the transmission of sexually transmitted diseases; on the other hand, for the teens the behavior of the health staff is important and differs, women offer a kind, warm attention, without overlooking the scientific and cognitive aspects, while males, in most of the cases, have a more operative and cognitive interaction.
The interaction between health personnel and pregnant women varies according to the gender of the health staff and has different meanings for the pregnant, which is important to take into account in order to improve the attention in prenatal control of young women.
从利马一家国立医院中关于性、怀孕及产前检查的意义出发，探讨医护人员与年轻孕妇之间的互动。
开展了一项定性研究，包括对咨询过程中互动的观察、对14名年轻孕妇和9名医护人员的深入访谈，以及一个年轻孕妇焦点小组。
存在一些不利于两组之间沟通的观念和社会文化评价。医护人员提出，过早发生性关系意味着年轻人承担了成年人的角色，并且认为他们在生物心理和社会层面上并未做好成为母亲的准备。在这种观念中，年轻人的身体在产科医生面前被视为一种控制、干预和权力的手段。然而，对于怀孕的年轻人来说，这代表了她们作为未来母亲的价值。医护人员对产前检查的意义从风险角度侧重于生物医学方面；强调性传播疾病的传播；另一方面，对于青少年来说，医护人员的行为很重要且存在差异，女性提供亲切、热情的关注，同时不忽视科学和认知方面，而男性在大多数情况下，互动更具操作性和认知性。
医护人员与孕妇之间的互动因医护人员的性别而异，对孕妇来说也有不同的意义，为改善对年轻女性产前检查的护理，这一点很重要，需要加以考虑。
