Activities of the nurse in the attendance to the gestantes in a unit of health of the family of Salvador/Bahia

Abstract

The Family Health Programme (FHP) services on offer provide nursing with a multiplicity of challenges, such as, the modification of the practical aspects of health in the scope of the primary attention directing its action towards the family, it creates a complex unit of social relations, to be part of a multi-discipline team without a structure of formal services and to add associates to its practical behaviours of this new programme. The object os this research is the activity of nursing in the attendance to the pregnant in one Family Helth Unit. The general objective is to describe the nursing activite to the pregnant in the FHU. Its specific objectives are: (1) to describe partner-demographic characteristics of the pregnants taken care of in a FHU of the city of Salvador/Bahia; (2) to identify the activities developed for the nurse to the pregnant in the FHU of the study and (3) to describe the activities executed for the nurse in the prenatal one under the point of view of the proper women. The Family Helth Unit Beira Mangue is the place where the study it was developed. The subjects of the research are pregnant women, registered FHU, that have attended the prenatal unit at least twice. This is a descriptive and exploratório research. The results disclose that: the activities of nursing in the prenatal unit include the consultation, the meeting with pregnant and the monthly domicliary visits; the nursing consultation was introduced to facilitate a better professional-customer identification; the prenatal meeting and consultations with groups of pregnant women almost never involve participation of the sexual partner or other members of the family; the domiciliary assistance is exerted first and foremost by the communitarian agents of health, where the intervention of the nurses occurs and where occasionally, a problem is detected and needs assessing. The main differences recognised when interviewing the women in the prenatal unit were: the improvement in the access and attainment of the consultation, the guarantee of the accomplishment of the complementary examinations, the access of the medicines, the participation of the nurse in the consultation. The proposals for the improvement of the service include the performance of routine prenatal examinations in the FHU and the optimization of the time used with regards to prenatal disgnostic procedures.