Pré-natal de gestantes em uso de substâncias psicoativas: percepções de enfermeiros atuantes na atenção primária

Amanda Cavalcante Maia; João Cruz Neto; Albertina Antonielly Sydney de Sousa; Maria Rayssa do Nascimento Nogueira; Luis Lopes Sombra Neto; Anne Fayma Lopes Chaves

doi:10.36517/2175-6783.20252695636

Authors

Amanda Cavalcante Maia Fundação Oswaldo Cruz https://orcid.org/0000-0002-5480-9951
João Cruz Neto Universidade Federal do Ceará https://orcid.org/0000-0002-0972-2988
Albertina Antonielly Sydney de Sousa Escola de Saúde Pública do Ceará https://orcid.org/0000-0002-1625-1889
Maria Rayssa do Nascimento Nogueira Universidade da Integração Internacional da Lusofonia Afro-Brasileira https://orcid.org/0000-0003-0355-5901
Luis Lopes Sombra Neto Universidade Federal do Ceará https://orcid.org/0000-0002-0204-1960
Anne Fayma Lopes Chaves Universidade da Integração Internacional da Lusofonia Afro-Brasileira https://orcid.org/0000-0002-7331-1673

DOI:

https://doi.org/10.36517/2175-6783.20252695636

Keywords:

Primary Health Care; Prenatal Care; Nursing; Pregnant Women; Psychotropic Drugs.

Abstract

Objective: to understand the perceptions of nurses regarding prenatal care for pregnant women who use psychoactive substances. Methods: this was a qualitative study conducted with nurses working in Primary Health Care. Data collection was performed through an electronic form using the snowball sampling technique via WhatsApp^®. Thematic content analysis was employed for data analysis. Results: the study included 21 female nurses, aged 25 to 54 years, with over 10 years of professional experience. Three thematic categories emerged from the analysis: "Learning gaps and structural challenges in the prenatal care of pregnant substance users"; "Care practices and difficulties in the prenatal care of pregnant substance users"; and "Proposals for qualifying perinatal mental health care". Conclusion: the provision of care is permeated by a lack of specific undergraduate training, a scarcity of continuing education, weaknesses in referral pathways to the psychosocial care network, and insecurity in approaching the topic. Despite this scenario, nurses suggest that the creation of referral flows, permanent education programs, and clinical guidelines could enhance the quality of care. Contributions to practice: understanding the experiences of nurses who provide care to this population can inform public policies aimed at strengthening professional practice and improving the quality of care.

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