Rebuilding the experience of mothers of children who died due to neonatal tetanus in the state of Minas Gerais.2005. 139f. Doctoral Thesis ? Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, 2005.
This research aimed to understand the illness caused by neonatal tetanus, based on the analysis of a group of 19 mothers? histories involving children who died of the disease in communities located in the State of Minas Gerais, Brazil, between 1997 and 2002. The analysis was based on Women?s Health Care and Immunization Policies and the Family Health Strategy. Data were collected through semistructured interviews and secondary records from the Vaccination Card and the Pregnant Woman?s Card. A quantitative and qualitative methodology was adopted, focusing on the social representations about the disease experience and the risk of getting ill. The interviews were analyzed on the basis of collective subject discourse. Most women were of fertile age and multiparous and did not know about the disease and its prevention mechanisms, although they reported on the main clinical signs of neonatal tetanus, associating it with the ?seven-day disease?. This study revealed the women?s use of inadequate practices for treating the umbilical cord stump, based on the potential risk of catching the disease, irregular antenatal treatment, the absence or administration of insufficient doses of the vaccine to protect against neonatal and accidental tetanus, and inappropriate post-home delivery procedures used by midwifes. The mothers? discourse revealed the presence of popular beliefs on care related to the umbilical cord stump and the services? deficiency in the health education process. There is an urgent need to implement specific strategic efforts, aimed at epidemiological supervision, the training of midwifes and health professionals, and to increase prenatal services and expand vaccination coverage for women, mainly in the research cases? regions of origin, thus contributing to the elimination of this disease.
Advisor:Maria Helena Pessini de Oliveira; Maria das Gracas Bomfim de Carvalho; Romeu Gomes; Fernando Lefevre; Ione Carvalho Pinto; Maria Helena Pessini de Oliveira
School:Universidade de São Paulo
Source Type:Master's Thesis
Date of Publication:04/27/2005