Production of comprehensive prenatal care: a pregnant woman's route at a primary family healthcare unit

Abstract This study aims to understand the production of comprehensive care in prenatal care in a Basic Unity of Family Health in Fortaleza. To this end, we conducted semi-structured interviews with a user, whose prenatal care was provided by a Basic Unity of Family Health, as well as systematic observations of her prenatal care appointments. Data analysis, conducted according to Merhy’s analytic flowchart, revealed that bureaucratization of reception at the entrance, a sequence of violated rights in the team-user relationship and the little access by the user of information on childbirth and puerperal period. It was concluded that embracement, attachment and responsibilization are still non-institutionalized devices in family health team. Health care is based on individual values of each professional, which by themselves do not provide comprehensive prenatal care. Key words: Prenatal care. Family health. Women health. INTRODUCTION Health care involves considering the subject’s experience, listening to his/her life project and being open to really be with the other. In the production of care there should be attentive listening which will result in understanding the situation experienced by the user, including understanding of why the user does not adhere to a treatment or is not interested in preventive orientations. This attentive listening can even help the professional to find out the subject’s detachment to his/her own life (Ayres, 2006).