O Planejamento Reprodutivo na Atenção Básica ante a Infertilidade Humana: compreensão pelos profissionais que atuam na Estratégia Saúde da Família.

Abstract

The desire for parenthood is considered one of the most universal, being part of the life project of most people. The impossibility of pregnancy or possible complications in this process is able of generating a complex crisis involving the biological, psychic and social individual´s dimensions. Given the various impacts that infertility can produce, it is necessary to emphasize that the right to procreation is guaranteed by the Federal Constitution of 1988 and by Law 9.263/96 of Family Planning. The Brazilian State is responsible for the availability of resources that enable the citizen to achieve conception by safe means. In this scenario, Primary Care has the important function of performing the initial diagnosis and treatment, in addition to developing actions aimed at promoting reproductive health. This dissertation, exploratory descriptive, had the purpose of analyzing the understanding of the Family Health Strategy´s professionals of Vitória da Conquista - BA about reproductive planning assistance aimed to infertility, in the context of Primary Care. To this end, semi-structured interviews were conducted with nine participants working in family health teams, referring to the nursing professions, nursing technician, medicine and community health agent. Data processing occurred through the thematic content analysis of the reports giving rise to six categories: meanings of reproductive planning; conceptions about infertility; biopsychosocial impacts of infertility; how care for infertility is offered in the context of the Family Health Strategy; perceptions about the role of Primary Health Care in infertility care; males and females in the demands related to reproductive planning. The results, in general, suggest that knowledge about infertility and the role of primary care in this care is insufficient to promote the adequate assistance that patients need. There are several elements that need to be considered, among them: the understanding of reproductive planning as a citizen's right, infertility as a component of planning, the physical, psychic and social implications of diagnosis and treatment, as well as the importance that health teams have in welcoming and promoting the reproductive health of their users. Because it is a study that aligns with the proposal of a Professional Master's Degree, a structure of health education workshop was elaborated, to be applied with the study participants, aiming at reflection, awareness and appropriate knowledge on the subject.