Abstract

CACERES-MANRIQUE, Flor de María; RUIZ-RODRIGUEZ, Myriam  and  HERNANDEZ-QUIRAMA, Andrea. Pre-natal care seen from the perspective of healthcare practitioners. Qualitative study: Bucaramanga 2012. Rev Colomb Obstet Ginecol [online]. 2015, vol.66, n.2, pp.103-109. ISSN 0034-7434.  https://doi.org/10.18597/rcog.12.

Objective: To understand the meaning of prenatal care (PC) for the different healthcare professionals (HCP) who see pregnant women in antenatal consultation. Materials and methods: Qualitative research supported theoretically on Symbolic Interactionism and Grounded Theory (GT). After informed consents were obtained, in-depth interviews were conducted among 15 HCPs including physicians, gynaecologists, perinatologists, nurses and psychologists providing PC in public (primary care clinics) and private (medical centres and offices) institutions in Bucaramanga, Colombia, in 2012. Interactions between professionals and pregnant women were also observed in those settings. The information was analysed concurrently as it was gathered using inductive logic reasoning and GT methods in order to generate categories; logic sampling was then applied until saturation of the emerging categories was achieved. The study was approved by the Ethics Committees of the participating institutions. Results: Three categories emerged: 1) Risk management-focused care; 2) Dichotomy between the failings of the system and care quality; and 3) Prenatal care as a setting for interaction and satisfaction. Conclusions: The participants award meaning to PC from three perspectives: as a technical setting, as an opportunity for interaction and satisfaction, and as a motivation to overcome the barriers imposed by the system and provide good-quality care during pregnancy.

Keywords : Pre-natal care; risk management; healthcare staff; personal satisfaction.

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