Fortalecimento do pré-natal na atenção básica: caminho para a maternidade segura

Abstract

In 2000, the Ministério da Saúde of Brazil (MS) established the Humanization Program in Pre-Natal and Born (PHPN), yonder the aim for humanized attendance, in the model of whole attention, added also the necessity of improve the conditions of attendance for the pregnancy at Public Service of Health, how way to reduce the maternal and perinatal mortality and it has as focus not just the qualification of the attention, but the formation of professionals and the adjustment of physics structure and technological resources available too. In 2001, the Rede Cegonha began (RC) with purpose for structure and organizes the attention of the maternal and infant health in the country. The application had a general objective: to build an educative dynamic, reflexive about the Pre-Natal, It has the basis on the directresses offered by MS/Rede Cegonha. So as specific objectives: to incite the thoughts about the nurse’s role in the Pre-Natal , select and work out with the nurse staff of municipality a model action plan to be allocated at USF/USB to reach the directresses of Pre-natal Rede Cegonha Fluxogram. It´s an interventional application with theoretician support in handbooks of Ministério da Saúde and scientific articles published after 2010 until presently. The activities were realized in July to October in 2015 following the technics: thematic workshops organized in (04) stages formed by 12 nurses and 24 nursing assistant from USF staff in Breves-Pa. As the consequence in the development of the stage I, It was pointed to thoughts and sensitizes about the Prenatal, they check as first impression the boring sensation in the health professionals. About Stage II it pointed for the responsibility in Basic Attention and nursing, in this moment they identified the knowledge fragmented about the real role of Basic Attention at the Pre-natal cares. In the stage III, it was pointed for thoughts of practices realized inside unities and the known by Rede Cegonha through discussion about the nursing sequence of attendance for Pre-natal, and then they check many times, the material and people resources privation to make the diary jobs. In the stage IV, the tool named Attendance Fluxogram of Pregnant-Rede Cegonha was used as sequence pointed for build an Action Plan, there they identified the “ties” what become painful the net operation. The positive valuation was done by the partners, this valuation denotes the increasing impacts in the projects, too usual in another places of the country for the education among health workers. Hence it follows that there was the nursing acknowledgement as the protagonist in the conduction of Pre-natal for Basic Attention, to build the net, to mediate relationships, to suggest strategies and to make decisions.