Itinerários terapêuticos de gestantes e puérperas com sintomas ansiosos e depressivos, até um ano após o parto, no município de Chapecó-SC

Abstract

The present study aims to identify the characteristics of depressive and/or anxious women during pregnancy and postpartum within one year after childbirth, and their therapeutic itineraries, in the city of Chapecó - SC, considering assistance at the Centro de Atenção Psicossocial (CAPS II) and at the Centro de Saúde da Família (CSF) Jardim América, in the city of Chapecó/SC. This qualitative research, performed by descriptive and exploratory approach, is based on interviews and application of questionnaires with pregnant or postpartum women diagnosed with anxious and/or depressive symptoms, within one month after childbirth. Data collection was carried out between March and June 2022. Data were analyzed using the content analysis technique. The project was submitted to Chapecó City Hall and to the Research Ethics Committee of Universidade Federal da Fronteira Sul (UFFS). Six (75%) of eight women interviewed had received, at some point, diagnosis of depression and/or anxiety prior to pregnancy. As a therapeutic trajectory, six women reported improvements in symptoms after drug use. Two (25%) of the participants reported receiving comfort through religious practices. One (12.5%) interviewee received psychological support during treatment. All (100%) participants underwent prenatal care in Atenção Básica de Saúde (ABS). Finally, the study provided a better understanding of the profile of depression and/or anxious women symptoms during and after pregnancy. It is possible to understand the need for care and support needed by affected women, once treatment requires time and patience. Furthermore, family commitment during the therapeutic process is essential, as this contributes to the reduction of depressive and anxious symptoms during the peripartum period.