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Puerperal care in a border zone: fragility aggravated by the COVID-19 pandemica a Manuscript extracted from a master's thesis entitled: Puerperal care in a border region: weaknesses aggravated by the Covid-19 pandemic. author: Rosenilda Duartes Fernandes Novakowiski. Advisor: Maria Aparecida Baggio, Postgraduation Program in Public Health in Border Region - Master’s Degree, University of Western of Parana - UNIOESTE. Year: 2022.

Abstract

Objective

To understand the health care of puerperal women in a border region during the COVID-19 pandemic.

Method

Grounded Theory qualitative research, straussian strand, conducted in a border region, in primary health care, with 30 participants, who formed three sample groups among women, health professionals, and managers through semi-structured interviews conducted by voice call and in-person between August 2021 and May 2022.

Results

Five categories were identified, according to the paradigmatic model, namely: Identifying postpartum care services; returning to primary health care in the postpartum; identifying factors that interfered in the care of postpartum women; pointing out strategies for health promotion in the postpartum period; and having fragile postpartum care.

Conclusion and implications for practice

Existing weaknesses were exacerbated during the pandemic by COVID-19. It is recommended to qualify the counter-referral to ensure continuity of postpartum care on time; teleservice to enable follow-up when epidemiological conditions pose a risk to maternal health; public policies can strengthen assistance to foreign women and migrants in the border region.

Keywords:
Primary Health Care; COVID-19; Border Areas; Postpartum Period; Grounded Theory

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