Itineraries between prenatal care and childbirth of women in a rural region

reflections for coordinating care

Abstract

Healthcare in Brazil has made important advancements, however, technological-scientific development has brought emphasis on interventionist measures. Rural regions face specificity in their dynamics, as the issue of transport and access to social services. The objective of this study was to know the specificity of care for pregnant women in primary health care, living in a rural region, considering the routes traveled from prenatal to delivery. Through qualitative research and analysis hermeneutics pregnant women and professionals from two teams of Rural Family Health Strategy, in the Federal District, were interviewed. Reflective results on territorialization are mentioned, which did not consider spatial and social mobility, hindering access to hospital care. The itinerary highlighted the lack of dialog between health care levels. The right to a companion during childbirth was not a desire of most women, due to ignorance or cultural factors. There is the challenge of meeting the particularities of care in the rural setting, which differs from the urban setting, due to mobility dynamics, for example. Primary Care is emphasized as a potential space to provide choices, inform, and articulate the care network.