The role of primary care professionals in maternal mental health
DOI:
https://doi.org/10.15253/2175-6783.20242593652Keywords:
Mental Health; Pregnant Women; Postpartum Period; Primary Health Care; Maternal Health.Abstract
Objective: to analyze the actions of primary care professionals when faced with situations of psychological distress and/or psychosocial vulnerability among pregnant women and postpartum women. Methods: a descriptive and exploratory study was carried out with 78 health professionals working in the family health strategy, who were asked to complete a questionnaire on professional characterization and situational analysis. Results: most health professionals see pregnant /postpartum women daily (55.1%). For 66.7% of these professionals, they identify signs /symptoms of emotional, psychological, or mental distress in a minority of their visits to this public. Regarding the training of professionals to act and help pregnant /postpartum women concerning mental health, 76.9% have doubts, 89.7% have not participated in training on the subject, and all agreed with its relevance. The textual analysis of the discursive responses resulted in two categories: Qualified listening as a welcoming tool and shared care and referral to specialized professionals. Conclusion: family Health Strategy professionals reported doubts and weaknesses regarding managing the mental health of pregnant and postpartum women. Contributions to practice: these professionals experience situations that require them to deal with issues related to perinatal mental health and perceive training to meet this demand as relevant.
References
World Health Organization. Guide for integration of perinatal mental health in maternal and child health services [Internet]. 2022 [cited June 11, 2024]. Available from: https://iris.who.int/bitstream/handle/10665/362880/9789240057142-eng.pdf?sequence=1
Pan American Health Organization. Mental Health Atlas of the Americas 2020. Washington, D.C.: PAHO; 2023. doi: https://dx.doi.org/10.37774/9789275127193
McNab S, Fisher J, Honikman S, Muvhu L, Levine R, Chorwe-Sungani G, et al. Comment: silent burden no more: a global call to action to prioritize perinatal mental health. BMC Pregnancy Childbirth. 2022;22:308. doi: http://doi.org/10.1186/s12884-022-04645-8
World Health Organization. Mental health atlas 2020 [Internet]. 2021 [cited June 11, 2024]. Available from: https://iris.who.int/bitstream/handle/10665/345946/9789240036703-eng.pdf?sequence=1
Kee MZ, Ponmudi S, Phua DY, Rifkin-Graboi A, Chong YS, Tan KH, et al. Preconception origins of perinatal maternal mental health. Arch Womens Ment Health. 2021;24(4):605-18. doi: https://doi.org/10.1007/s00737-020-01096-y
Pilav S, Backer K, Easter A, Silverio SA, Sundaresh S, Roberts S, et al. A qualitative study of minority ethnic women’s experiences of access to and engagement with perinatal mental health care. BMC Pregnancy Childbirth. 2022;22(1):421. doi: https://doi.org/10.1186/s12884-022-04698-9
Passos JD, Arrais AD, Firmino VH. Saúde Mental na Perinatalidade: perspectivas de usuárias e profissionais da Atenção Primária à Saúde. Comun Ciênc Saúde [Internet]. 2020 [cited June 11, 2024];31(1):161-78. Available from: https://revistaccs.escs.edu.br/index.php/comunicacaoemcienciasdasaude/article/view/581
Lima AMJ, Andrade EIG, Perillo RD, Santos AF. Views on mental health assistance in primary care at small cities: emergence of innovative practices. Interface (Botucatu). 2021;25:e200678. doi: https://doi.org/10.1590/interface.200678
Nunes CK, Olschowsky A, Silva AB, Xavier MD, Braga FS. Mental health in Primary Care: A rhizomatic network for childhood and adolescence. Rev Enferm UFSM. 2023;13:e8. doi: https://doi.org/10.5902/2179769271914
Vicari T, Lago LM, Bulgarelli AF. Realities of the practices of the Family Health Strategy as driving forces for access to SUS health services: a perspective of the Institutional Analysis. Saúde Debate. 2022;46(132):135-47. doi: https://doi.org/10.1590/0103-1104202213209
Corrêa DS, Moura AG, Quito MV, Souza HM, Versiani LM, Leuzzi S, et al. Reform movements in the Federal District Health Care System:conversion of the Primary Health Care assistance model. Ciênc Saúde Colet. 2019;24(6):2031-41. doi: https://doi.org/10.1590/1413-81232018246.08802019
Virginio JP, Lopes AI, Carvalho JL, Andrade J, Lima MG, Bolina AF. Vulnerabilidade social e cobertura do núcleo ampliado de saúde da família e atenção básica. Enferm Foco. 2021;12(2):297-304. doi: https://doi.org/10.21675/2357-707X.2021.v12.n2.3955
Moreira CD, Fernandes WB, Arrais A. Atenção em saúde mental a gestantes em CAPS no Distrito Federal. PSIUNISC. 2024;8(1):91-112. doi: https://doi.org/10.17058/psiunisc.v8i1.18506
Salviati ME. Manual do aplicativo Iramuteq. Planaltina [internet] 2017 [cited June 13, 2024]. Available from: http://www.iramuteq.org/documentation/fichiers/manual-do-aplicativo-iramuteq-par-maria-elisabethsalviati
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.
Labiak FP, Lacerda MD, Zwielewski G. Influências das construções estereotipadas de gênero na carga mental de trabalho das mulheres. Trab EnCena. 2023;8:e023027. doi: https://doi.org/10.20873/2526-1487e023027
Medrado AC, Lima M. Saúde mental feminina e ciclo reprodutivo: uma revisão de literatura. Nova Perspect Sist. 2020;29(67):70-84. doi: https://doi.org/10.38034/nps.v29i67.560
Cugler PS, Figueiredo WS. Gênero e necessidades de saúde: A perspectiva das mulheres atendidas em um Centro de Atenção Psicossocial álcool e drogas. Cad Bras Saúde Ment [Internet]. 2021 [cited June 18, 2024];13(37):161-8. Available from: https://periodicos.ufsc.br/index.php/cbsm/article/view/80665
D’Assunção OT, Vecchia MD, Santos TGC. Programa bem viver: saúde mental, atenção básica e seus analisadores em pequenos municípios. Arq Bras Psicol. 2022;74:e019. doi: https://doi.org/10.36482/1809-5267.ARBP-2022v74.20468
Silva JF, Nascimento MF, Silva AF, Oliveira PS, Santos EA, Ribeiro FM, et al. Nurse’s interventions in the care and prevention of puerperal depression. Rev Enferm UFPE on line. 2020;14:e245024. doi: https://doi.org/10.5205/1981-8963.2020.245024
Gama CA, Lourenço RF, Coelho VA, Campos CG, Guimarães DA. Os profissionais da Atenção Primária à Saúde diante das demandas de Saúde Mental: perspectivas e desafios. Interface (Botucatu). 2021;25. doi: http://doi.org/10.1590/interface.200438
McCauley M, Brown A, Ofosu B, van den Broek N. “I just wish it becomes part of routine care”: healthcare providers’ knowledge, attitudes and perceptions of screening for maternal mental health during and after pregnancy: a qualitative study. BMC Psychiatry. 2019;19:279. doi: https://doi.org/10.1186/s12888-019-2261-x
Fernandes CM, Gonçalves TJ, Freitas RJM, Bessa MM, Souza JO, Silva LL. Nurses’ actions in childcare Nursing consultations in Primary Care. Enfermeria Glob. 2024;23(1):283-321. doi: https://doi.org/10.6018/eglobal.573201
Henderson J, Jomeen J, Redshaw M. Care and self-reported outcomes of care experienced by women with mental health problems in pregnancy: findings from a national survey. Midwifery. 2018;56:171-8. doi: https://doi.org/10.1016/j.midw.2017.10.020
Lachtim SAF, Freitas GL, Lazarini WS, Marinho GL, Horta ALM, Duarte ED, et al. Vínculo e acolhimento na Atenção Primária à Saúde: potencialidades e desafios para o cuidado. Tempus. 2023;16(4):87-97. doi: https://dx.doi.org/10.18569/tempus.v16i4.3060
Almeida OM, Baratieri T, Krulikowski IBO, Natal S, Cavalcante MDMA, Malaquias TSM. Evaluation of mental health care for postpartum women in primary care: an evaluative study. Pensar Enf. 2024;28(1):26-32. doi: http://doi.org/10.56732/pensarenf.v28i1.285
Souza JK, Mendes DD, Silva GC, Vedana KG, Scorsolini-Comin F, Fiorati RC, et al. Perceptions of nurses in basic health units regarding their actions in cases of depression. Cogitare Enferm. 2023;28:e92825. doi: https://dx.doi.org/10.1590/ce.v28i0.92825
Fagundes GS, Campos MR, Fortes SL. Matriciamento em Saúde Mental: análise do cuidado às pessoas em sofrimento psíquico na Atenção Básica. Ciênc Saúde Coletiva. 2021;26(6):2311-22. doi: https://doi.org/10.1590/1413-81232021266.20032019
Sampaio ML, Bispo Júnior JP. Rede de Atenção Psicossocial: avaliação da estrutura e do processo de articulação do cuidado em saúde mental. Cad Saúde Pública. 2021;37(3):e00042620. doi: https://doi.org/10.1590/0102-311x00042620
Dimenstein M, Macedo JP, Fontenele MG. Atenção psicossocial nos serviços de atenção primária à saúde: desafios à integração no Brasil. Mental. 2022;14(25):1-13. doi: https://dx.doi.org/10.5935/1679-4427.v14n25.0004
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Rev Rene
This work is licensed under a Creative Commons Attribution 4.0 International License.