Abstract

CACERES MANRIQUE, Flor de María; MOLINA MARIN, Gloria  and  HERNANDEZ QUIRAMA, Andrea. PRENATAL CARE: BETWEEN THE SEARCH FOR THE RIGHTS AND RESIGNATION. Hacia promoc. Salud [online]. 2014, vol.19, n.2, pp.15-25. ISSN 0121-7577.

Objective: To understand the strategies used by some pregnant women to obtain quality prenatal care. Materials and Methods: Qualitative study with theoretical support in Symbolic Interactionism and use of Grounded Theory methods. In-depth interviews with 18 pregnant women, and observation of interactions among pregnant women and with the health care personnel in prenatal care settings were conducted. The information was analyzed in parallel with its collection, coding and categorization by applying the constant comparison and theoretical sampling, to achieve saturation of the emerging categories. Results: Two categories emerged: satisfactory healthy services and resignation. The first one was present in the speeches of the pregnant women who, empowered by their rights, used strategies such as going to the emergency room, arguing and highlight their needs, consulting with family or professional acquaintances, bringing complaints, calling attention, searching for additional information, praying and even weeping in order to have their right to be attended become effective. Meanwhile, another group of pregnant women are resigned to the care they receive and they sometimes justify the low quality of health services and are thankful. Conclusions: These categories give an account on the one hand, of the empowerment of some pregnant women have been able to build around their right to health but on the other hand of the deep inequity in obtaining comprehensive prenatal care.

Keywords : Prenatal care; health services; pregnant women; qualitative research; right to health.

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