REVÉS DE UM PARTO : MODELOS EXPLICATIVOS DE MULHERES QUE PERDERAM O FILHO NO PERÍODO NEONATAL

Abstract

Infant mortality is an indicator of the levels of social and economic development and health of the population. Although the infant mortality rate has decreased in the post-neonatal, neonatal period still has the largest number of deaths. This component is difficult because reduction depends primarily on actions directed to improve care provided in prenatal care and health services that perform deliveries. Thus, understanding how mothers interpret and explain the death of his son in the neonatal period may unveil a face of child mortality not revealed in official documents of death or the socio-demographic indicators. Therefore, we sought to analyze the models to the death of newborns in the perspective of women who have lost infants at birth. We adopted a descriptive and analytical research, qualitative type, with women living in São Luis, who gave birth in maternity hospitals in the capital. Semi-structured interviews for data collection were used. Data were analyzed by thematic analysis technique and Categorization. The results show that women build their own models to the death of their children. Thus the explanations and interpretations given by women show some aspects whose categories are objects of analysis of this study: Realizing the danger, explaining the causes of death and Facing the process of mourning. Accounts, the situations that represent the weakness in the service network and the lack of information during the prenatal monitoring and even at delivery were identified. This is evident both in relation to the monitoring of pregnant women as well as in neonatal mourning situations. The results show a scenario in which the neonatal mourning situations go unnoticed in health team work routine in maternity wards.