Maternity and motherhood in street situation: integrative review

Santos, Keila Cristina Costa dos; Marques, Larissa Santos da Silva; Gonçalves, Matheus Teixeira; Soledade, Mariana de Melo e Sousa; Santos, João Gabriel da Silva; Oliveira, Jeane Freitas de

doi:10.1590/1413-812320242910.10982023EN

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ARTICLES REVIEWS • Ciênc. saúde coletiva 29 (10) • Oct 2024 • https://doi.org/10.1590/1413-812320242910.10982023EN copy

Maternity and motherhood in street situation: integrative review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The objective was to identify through integrative review the approach on maternity and motherhood in street situation. This is an integrative review performed in the databases PubMed, BIREME, Medline, and SciELO search portal, in Portuguese, English and Spanish. The survey was conducted between October and December 2021, following the recommendations of the Prisma flowchart and support of the Mendeley software, submitted to content analysis by Minayo. Eighteen articles were selected. The reading allowed the identification of two thematic categories: “Maternity and mothering in the streets” and “Main challenges experienced in maternity and mothering in street situation”. Address about motherhood and mothering as a field of knowledge production creates a tension of the social constructions that do not have effecting rights for lack of programs and forceful intersectoral policies. In addition to the stigmatization for use of psychoactive substances, as well as the patriarchal structure attributed to motherhood. The responsibility for care entails several issues that cross the motherhood and mothering in the streets, namely: concern with the health of children, the fear of losing custody of their loved ones.

Key words:
Maternity; People in street situation; Woman

Research sources	Search strategy	Studies found
PUBMED	“maternidades” AND “pessoas em situação de rua” “maternidades” OR “pessoas em situação de rua” “maternidades” AND NOT “pessoas em situação de rua” “maternidades” AND “personas sin hogar” “maternidades” OR “personas sin hogar” “maternidades” AND NOT “personas sin hogar” “maternity” AND “homeless persons” “maternity” OR “homeless persons” “maternity” AND NOT “homeless persons” Total	0 100 91 0 95 91 290 236,346 10,365 247,378
MEDLINE	“maternidades” AND “pessoas em situação de rua” “maternidades” OR “pessoas em situação de rua” “maternidades” AND NOT “pessoas em situação de rua” “maternidades” AND “personas sin hogar” “maternidades” OR “personas sin hogar” “maternidades” AND NOT “personas sin hogar” “maternity” AND “homeless persons” “maternity” OR “homeless persons” “maternity” AND NOT “homeless persons” Total	2 12,170 3,576 1 5,471 1,345 6 12,977 9,907 45,455
BIREME	“maternidades” AND “pessoas em situação de rua” “maternidades” OR “pessoas em situação de rua” “maternidades” AND NOT “pessoas em situação de rua” “maternidades” AND “personas sin hogar” “maternidades” OR “personas sin hogar” “maternidades” AND NOT “personas sin hogar” “maternity” AND “homeless persons” “maternity” OR “homeless persons” “maternity” AND NOT “homeless persons” Total	5 15,036 5,747 2 6,848 2,183 9 14,390 10,539 54,759
SCIELO	“maternidades” AND “pessoas em situação de rua” “maternidades” OR “pessoas em situação de rua” “maternidades” AND NOT “pessoas em situação de rua” “maternidades” AND “personas sin hogar” “maternidades” OR “personas sin hogar” “maternidades” AND NOT “personas sin hogar” “maternity” AND “homeless persons” “maternity” OR “homeless persons” “maternity” AND NOT “homeless persons” Total	2 810 661 2 1,140 1 0 517 65 3,198
	Total studies	350,790

Nº	Title	Journal	Type of Study	Author(s)/Year/Country	Objectives
1	Corpo, gênero e maternidade: algumas relações e implicações no cuidado em saúde	Enfermagem em Foco	Qualitative research	Meyer¹⁴14 Meyer DEE. Corpo, gênero e maternidade: algumas relações e implicações no cuidado em saúde. Enferm Foco 2011; 2(1):18-22. 2011 Brazil	To analyze the relationships between body, gender and sexuality with a focus on motherhood and its implications for health care.
2	Emociones en suspenso: maternidad y consumo de pasta base/paco en barrios marginales de Buenos Aires	Cuadernos de Antropología Social	Qualitative research	Castilla and Lorenzo¹⁵15 Castilla V, Lorenzo G. Emociones en suspenso: maternidad y consumo de pasta base/paco en barrios marginales de Buenos Aires. Cuad Antropol Soc 2012; 36:69-89. 2012 Argentina	To discuss and analyze the intensive consumption of base paste/paco intertwined with the emotional dynamics of motherhood.
3	“Understand My Side, My Situation, and My Story:” Insights into the Service Needs Among Substance-Abusing Homeless Mothers	J Community Psychol	Qualitative research	Dashora et al.¹⁶16 Dashora P, Slesnick N, Erdem G. "Understand My Side, My Situation, and My Story:" Insights into the Service Needs Among Substance-Abusing Homeless Mothers. J Community Psychol 2012; 40(8):938-950. 2012 United States	To analyze the needs of homeless mothers who use psychoactive substances recruited from a shelter for homeless families.
4	Experiences associated with intervening with homeless, substance-abusing mothers: the importance of success	Soc Work	Qualitative research	Slesnick et al.¹⁷17 Slesnick N, Glassman M, Katafiasz H, Collins JC. Experiences associated with intervening with homeless, substance-abusing mothers: the importance of success. Soc Work 2012: 57(4):343-352. 2012 United States	To describe the experiences of providing housing and support services to homeless women, drug addicts and women with young children.
5	Characteristics of Mothers Caring for Children During Episodes of Homelessness	Community Mental Health Journal	Qualitative research	Welch-Lazoritz et al.¹⁸18 Welch-Lazoritz ML, Whitbeck LB, Armenta BE. Characteristics of Mothers Caring for Children During Episodes of Homelessness. Community Mental Health J 2015; 51(8):913-920. 2015 United States	To discuss the physical, psychological, and substance use issues faced by homeless women who are caregivers or non-caregivers.
6	Homeless pregnant women in the city of Santos, São Paulo, Brazil: reflections and challenges to public policies	Saúde Soc. São Paulo	Qualitative research	Costa et al.¹⁹19 Costa SL, Vida SPC, Gama IA, Locatelli NT, Karam BJ, Ping CT, Massari MG, Paula TB, Bernardes AFM. Gestantes em situação de rua no município de Santos, SP: reflexões e desafios para as políticas públicas. Saude Soc 2015; 24(3):1089-1102. 2015 Brazil	To investigate the daily lives of homeless pregnant women and their relationship with public policies in the city of Santos.
7	The rock that gave birth: Narratives and practices of pregnant and crack using women who are homeless in the city of Rio de Janeiro	Pesquisas e Práticas Psicossociais	Qualitative research	Almeida and Quadros²⁰20 Almeida DJR, Quadros LCT. A pedra que pariu: Narrativas e práticas de aproximação de gestantes em situação de rua e usuárias de crack na cidade do Rio de Janeiro. Pesqui Prat Psicossoc 2016; 11(1):225-237. 2016 Brazil	To discuss the multiple ways of gestating and living on the streets while using drugs.
8	Maternity, care and punishments in marginal and vulnerable neighborhoods from Buenos Aires	Runa	Qualitative research	Castilla²¹21 Castilla MV. Maternidad, cuidados y castigos en barrios marginales y vulnerables de Buenos Aires. Runa 2017; 38(2):37-51. 2017 Argentina	To describe and analyze the intersection between care, punishment and violence as part of the way of caring for mothers in vulnerable situations.
9	The context of the pregnant woman in the situation of street and vulnerability: its look at the pre-natal	Journal of Nursing UFPE	Qualitative research	Araujo et al.²²22 Araujo AS, Santos AAP, Lúcio IML. O contexto da gestante na situação de rua e vulnerabilidade: seu olhar sobre o pré-natal. Rev Enferm UFPE 2017; 11(Supl. 10):4103-4110. 2017 Brazil	To investigate nursing care in the face of risk conditions related to the gestational period in the context of homelessness.
10	Síntese do caso do acolhimento compulsório de bebês na cidade de Belo Horizonte segundo a Defensoria Especializada da Infância e Juventude da capital	Revista Saúde em Redes	Qualitative research	Corrêa et al.²³23 Corrêa WE, Falleiros TAB, Seixas AS. Nesrala DB. Síntese do caso do acolhimento compulsório de bebês na cidade de Belo Horizonte segundo a Defensoria Especializada da Infância e Juventude da capital. Rev Saude Redes 2018; 4(Supl. 1):227-229. 2018 Brazil	To report on the compulsory embracement of babies directly from the maternity ward in Belo Horizonte.
11	Strategic action on human rights against the arbitrary withdrawal of infants from the family: reflections on the practice	Revista Saúde em Redes	Qualitative research	Drummond et al.²⁴24 Drummond NA, Martins AF, Godoy DB, Pinto JDA. Atuação estratégica em direitos humanos contra o afastamento arbitrário de bebês do convívio familiar: reflexões sobre a prática. Rev Saude Redes 2018; (Supl. 1):209-220. 2018 Brazil	To report the problem of the arbitrary removal of newborns from the family life of homeless mothers and human rights violations in the city of Belo Horizonte.
12	"Oh piece of me, oh half of myself amputated from me"	Revista Saúde em Redes	Qualitative research	Siqueira et al.²⁵25 Siqueira PM, Hernandez ML, Furtado LAC, Feuerwerker LCM. "Oh pedaço de mim, oh metade amputada de mim...". Saude Redes 2018; 4(Supl. 1):51-59. 2018 Brazil	To reflect on the relationship between the act of caring and the production of guardianship and autonomy for homeless mothers.
13	Whose baby is this? Deconstruction, reconstruction and resistance on the right of women and their newborn in Belo Horizonte, Brazil	Revista Saúde em Redes	Qualitative research	Lansky²⁶26 Lansky S. De quem é este bebê? Construção, desconstrução e resistência pelo direito de mães e bebês em Belo Horizonte. Rev Saude Redes 2018; 4(Supl. 1):191-208. 2018 Brazil	To reflect on the political and social context involving the actions faced by women excluded in Belo Horizonte due to issues of class, race and health condition.
14	Whose baby is this?: Social movement to protect rights of mothers and babies together, with worthy life!	Revista Saúde em Redes	Qualitative research	Karmaluk et al.²⁷27 Karmaluk C, Lansky S, Parizzi MR, Batista G, Almeida E, Dias ALF, Natividade C, Gomes B. De quem é este bebê?: Movimento social de proteção do direito de mães e bebês juntos, com vida digna! Rev Saude Redes 2018; 4(Supl. 1):169-189. 2018 Brazil	To report on the “Whose baby is this?” movement in tackling situations of violation of the rights of mothers, babies and families in Belo Horizonte.
15	MARIA, MARIA: conceptions about being a woman in a street situation	Textos & Contextos	Qualitative research	Sanchoten et al.²⁸28 Sanchotene IP, Antoni C, Munhós AAR. MARIA, MARIA: concepções sobre ser mulher em situação de rua. Textos Contextos 2019; 18(1):146-160. 2019 Brazil	To investigate the conceptions of homeless women in Porto Alegre about being a woman in this context.
16	Healthcare experiences of homeless pregnant women	Revista Rene	Qualitative research	Barros et al.²⁹29 Barros KCC, Moreira RCR, Leal MS, Bispo TCF, Azevedo RF. Vivências de cuidado por mulheres que gestam em situação de rua. Rev Rene 2020; 21:e43686. 2020 Brazil	To understand the experience of health care from the perspective of women who are pregnant and/or have given birth while living on the streets.
17	Sobre “ser mulher e mãe” em situação de rua: invisibilidade na sociedade brasileira	Revista em Pauta	Qualitative research	Moreira et al.³⁰30 Moreira TAS, Cavalcante CPS, Ferreira DS, Paiva IL. Sobre "ser mulher e mãe" em situação de rua: invisibilidade na sociedade brasileira. Rev Pauta 2021; 19(47):121-137. 2021 Brazil	To investigate the experience of pregnancy among a homeless couple in the city of Natal.
18	Gender, poverty and Health: systematic review on the health of homeless women	Revista Textos & Contextos	Qualitative research	Coldibeli et al.³¹31 Coldibeli LP, Paiva FS, Batista CB. Gênero, pobreza e saúde: revisão sistemática sobre aa saúde de mulheres em situação de rua. Textos Contextos 2021; 20(1):1-14. 2021 Brazil	To describe women's health in the national and international context, related to gender status.

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[1] Chief editors:

Maria Cecília de Souza Minayo, Romeu Gomes, Antônio Augusto Moura da Silva