Prevenção do adoecimento psíquico materno no pré-natal da atenção primária à saúde

Abstract

Approximately 25% of women exhibit some form of mental disorder during pregnancy, making it imperative to consider the quality of psychological technical support during prenatal care in Primary Health Care (PHC) to prevent exacerbations that may endanger the mother’s health and pregnancy development. Maternal psychological illness symptoms during this period can lead to psychological damage in the perception of their mothering ability, as well as trigger hormonal processes unfavorable to the beneficial connection between mother and baby. Objective: To discuss the relationship between routine prenatal care and the prevention of psychological illness in pregnant women. Method: An integrative review from the Virtual Health Library (VHL) database between June 2023 and January 2024. Inclusion criteria: full text in Portuguese, scientific productions from the last 10 years involving the study theme. Exclusion criteria: repeated studies and case reports. Results: The information obtained was categorized into: Prenatal care and maternal psychological illness; Mental health screening in pregnant women; Emotional phenomena resulting from mental illness. Official documents from the World Health Organization and the Brazilian Ministry of Health emphasize the importance of preventing maternal psychological illness from the discovery of motherhood. Conclusion: To ensure assertiveness in psychological diagnosis and improve maternal and neonatal morbidity and mortality rates and other psychological complications during prenatal care, public investment is needed in the standardization of mental health investigation and diagnosis, as well as in the training of health teams responsible for assisting pregnant women.