科研之友
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摘要
objective: to analyze and deepen understanding about what pregnant women who are tobacco/nicotine dependents think and experience about these conditions. method: qualitative research using narratives obtained from a purposive sample of pregnant or puerperal smokers or who discontinued tobacco use during pregnancy. the narratives%26apos; statements of fourteen patients from family health units of a brazilian municipality were analyzed. results: four categories were formulated: the desire to stop using, contrasting with the unidentified role professionals and services; questions about the health of the mother and her child; sociocultural and family issues and, finally, what is termed here as %26quot;spontaneous epidemiology%26quot;. social representations that were observed show discrepancies and homologies with the ways in which health sciences deal with smoking during pregnancy. the participants considered not to exist a therapeutic culture for nicotine dependence in primary health care services they frequent, and they seemed to be distressed about this issue as well with the socio-cultural and family conflicts they face. a peculiar understanding about the health risks came to light. conclusion: although the results are not generalizable, the tensions observed strongly suggest the need for further adaptation of the primary health care to the needs of pregnant smokers.
