Percepções e práticas de mulheres grávidas na procura pelos cuidados pré-natal, no centro de saúde de Ndlavela, Cidade da Matola

Abstract

The Mozambican Ministry of Health recommends prenatal care (ANC) for all pregnant women. However, not all pregnant women seek this care, and not all comply with medical recommendations for unclear reasons. This research analyzed the perceptions and practices of pregnant women seeking prenatal care at the Ndlavela health center in the city of Matola. A qualitative phenomenological method was used, consisting of 25 semi-structured interviews. Ten of these were with pregnant women aged 18 to 49, 10 companions of the pregnant women, and 5 maternal and child health nurses. Data analysis was performed using content analysis. The research results indicate that the participants in this study perceive prenatal care as part of the mechanism for controlling the baby's illness before birth, as well as providing health care for the pregnant woman in all aspects of her health. Participants acquired prenatal knowledge through teachings received from their families and health centers. However, it was observed that not all participants followed hospital recommendations, such as starting ANC appointments, the recommended number of ANC appointments, and taking medications. Furthermore, participants engaged in practices such as the use of traditional medicines and other practices that contradict medical recommendations. It was concluded that compliance with prenatal care is influenced by both family and hospital socialization.