Banca de DEFESA: MARIA JULIANA DA SILVA ROCHA ARAÚJO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : MARIA JULIANA DA SILVA ROCHA ARAÚJO
DATE: 24/11/2025
TIME: 15:00
LOCAL: webconferência
TITLE:

Access, shared care, and partner participation: the experience of high-risk pregnant women in the Brazilian public health system.

KEY WORDS:

Prenatal. Pregnancy. Social support. Partner.

PAGES: 100
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: Maternal Mortality (MM) is a persistent indicator of social inequity and systemic failures in public health. High-Risk Prenatal Care (HRPC) is a crucial strategy for its reduction, requiring coordinated, continuous, and specialized assistance. Objective: In this context, the present study aimed to analyze the perceptions of high-risk pregnant women regarding barriers to access, shared care, and partner involvement in the Brazilian Unified Health System (SUS). Method: The research adopted a qualitative, descriptive, and exploratory approach, conducted in a maternity hospital in the interior of Rio Grande do Norte. Sampling was by convenience, with the final analysis comprising 19 participants. Data collection occurred between October and November 2024 through recorded semi-structured interviews. Data analysis utilized Bardin's Content Analysis (2011) and the Atlas.ti software, and the study was approved by the Research Ethics Committee (CEP) of FACISA-UFRN. Results: Results revealed that although the structural model of shared care between Primary Health Care (PHC) and specialized services is established and seeks integrality with multidisciplinary teams, its efficacy is undermined by operational failures in network management. Institutional disarticulation leads to critical scheduling delays (return extended beyond one month), transforming clinical risk into managerial risk. The main obstacles cited are the demands of the work routine and the impossibility of taking time off for appointments, incompatible schedules, lack of interest, and marital conflicts. This absence, often restricted to ultrasound exams, highlights a discrepancy between the woman's expectation and the reality, generating frustration, insecurity, and a feeling of affective neglect. This male absence is reinforced by an exclusionary cultural logic that devalues the man's role in care, limiting him to financial provision. The fragility of this conjugal support intensifies maternal stress and anxiety, potentially aggravating the high-risk condition. Conclusion: It is concluded that the ideal HRPC structure is doubly compromised by administrative inefficiency (systemic failure) and limited partner participation (socio-cultural barrier), collectively transforming operational obstacles into clinical risk and socioeconomic vulnerability. There is an urgent need for the administrative improvement of the network so that inter-federative co-management translates into efficiency, and for the implementation of intersectoral policies (health, work, and education) to promote the effective inclusion of partners, ensuring equity, integrality, and the reduction of preventable maternal morbidity and mortality.

COMMITTEE MEMBERS:
Interna - 2507055 - CRISTIANE DA SILVA RAMOS MARINHO
Interno - 1152605 - FRANCISCO CLEITON VIEIRA SILVA DO RÊGO
Externa à Instituição - Cícera Renata Diniz Vieira Silva - UFCG