• Atencion primaria · Nov 2014

    Comparative Study

    Experiences of motherhood: Unmet expectations of immigrant and native mothers, about the Portuguese health system.

    • Emília Coutinho, Ana Rocha, Carlos Pereira, Alcione Silva, João Duarte, and Vitória Parreira.
    • Escola Superior de Saúde de Viseu, CI&DETS, Instituto Politécnico de Viseu, Viseu, Portugal. Electronic address: ecoutinhoessv@gmail.com.
    • Aten Primaria. 2014 Nov 1; 46 Suppl 5: 140-4.

    Introduction And ObjectivesThis study aims to identify the unmet expectations of Portuguese and immigrant women, for the National Health System, during pregnancy, childbirth and postpartum.Participants And MethodsThis is a qualitative, exploratory, descriptive study, using semi structured interviews and content analysis proposed by Bardin, with the categorization of verbatim interviews of 82 Portuguese and immigrant women, supported by NVivo 10.ResultsMajor emerging categories of unmet expectations referred to the accessibility, human resources, incentives to maternity, physical and environmental conditions, and organization of the health system. There was a greater representation of dashed expectations among immigrant users when compared to Portuguese women.ConclusionThe areas of greatest shortage in meeting the needs of users are: surveillance by experts in the health centre and maternity hospital; reduced waiting time for pregnant women in consultations; home visits; more incentives to maternity; longer duration of hospitalization; higher number of professionals and presence of a companion with the parturient.Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

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