학술논문

Lessons from the Field Beyond the Numbers: Narratives of Professionals on Women who Experienced Severe Maternal Morbidity.
Document Type
Academic Journal
Author
Angelini CFR; Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil.; Pacagnella RC; Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil.; Silveira C; Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil.; Andreucci CB; Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil.; Department of Medicine, Faculdade de Medicina, Universidade Federal de São Carlos, São Carlos, SP, Brazil.; Ferreira EC; Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil.; Santos JP; Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil.; Zanardi DMT; Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil.; Parpinelli MA; Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil.; Costa ML; Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil.; Cecatti JG; Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Source
Publisher: Federação das Sociedades de Ginecologia e Obstetrícia Country of Publication: Brazil NLM ID: 9214757 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1806-9339 (Electronic) Linking ISSN: 01007203 NLM ISO Abbreviation: Rev Bras Ginecol Obstet Subsets: MEDLINE
Subject
Language
English
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.
Competing Interests: The authors have no conflicts of interests to declare.
(Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil.)