Não aceitação da gravidez: construção de uma abordagem saudável em uma unidade básica de saúde no interior nordestino

Abstract

Introduction: The non-acceptance of pregnancy is a complex situation with biopsychosocial nuances, multifactorial causes, and multifaceted consequences. It is a condition that can lead to unsafe abortions, with the risk of complications and death; negligent prenatal care; and an increase in prematurity and maternal-infant mortality. Since primary care is the main entry point to the Brazilian Unified Health System (SUS), it is necessary for family health teams to know how to deal with these cases in a healthy and individualized way, supporting these women, reducing risks, and mitigating or resolving conflicts. Aim: To develop a training process for the Family Health Team of the Coivaras Primary Health Care Unit (PHCU), aiming to qualify the team in the approach to cases of unwanted pregnancy, in a humanized and technical manner. Methodology: This is an action research project in the form of an intervention project, which will be implemented at the PHCU Coivaras, located in the municipality of Matões do Norte-MA. The research will be conducted in the following stages: 1) bibliographic survey on the topic of unwanted pregnancy; 2) construction of an expository lesson on the topic, together with a Clinical Practice Guideline (CPG) and a referral and counter-referral flowchart for the regional health network; 3) delivery of the expository lesson to the PHCU Coivaras team in a training format, presentation of the CPG and the flowchart to the Municipal Health Department and the Municipal Management, and implementation of the materials in a local context and, if approved, at the municipal and regional levels. Expected results: Training of the PHCU Coivaras team, offering better care for patients in situations of pregnancy rejection; greater attendance and quality of prenatal care; fewer attempts at unsafe abortion; greater adherence of the population to available contraceptive methods; in the long term, lower rates of prematurity and maternal and infant mortality.