Gestação em mulheres em tratamento hemodialítico: repercussões do adoecimento sobre o desejo pela maternidade / Pregnancy in women on hemodialysis treatment: repercussion of illness over their desire to maternity

AUTOR(ES)

Giane Amanda Medeiros

DATA DE PUBLICAÇÃO

2007

RESUMO

The reproductive capacity of women on hemodialysis is reduced because of hormonal changes, ovulation disturbs and menstrual disturbs. Pregnancy to this group is considered rare and risky. In the last two decades, some changes in the treatment to chronic renal disease have resulted in better life quality to patients, including the increase of fertility. Reports have been put on public relating the possibilities of success. This descriptive study has proposed to investigate how much uremic women are informed about pregnancy in their case, and identify if they wish to be pregnant. It was used as data collect: semi directed interview, Operational Adaptative Diagnostic Scale, and the boards 1, 2, 3MF, 7MF and 16 of Thematic Apperception Test TAT. The study included 23 woman with 24 43 age. Eighteen women have at least one child or more, just five of them do not have any children. The results has demonstrated they are not informed about pregnancy and hemodialysis treatment. Most of the women want to be pregnant, including those who have already been. We observed they are able to be pregnant because 60% of them have active sexual life, 60% menstruate monthly and just 52% avoid pregnancy with contraceptive method. Operational Adaptative Diagnostic Scale revealed that every interviewed woman is not adapted to the treatment (all of them considered their adaptation inefficient), 18% light inefficient adaptation, 39% moderated inefficient adaptation, and 43% severe inefficient adaptation. TAT boards revealed difficulties lived by the dependency to the hemodialysis machine, also revealed how much familiar support is important and fundamental to face the pertinent limits to chronic renal disease. The research data indicate it is important to the doctors to be attempted to womens sexuality. And it is also important that dialogue about familiar plan has to happen among the medical group intervention

ASSUNTO(S)

pregnancy/psychology dialysis diálise sexualidade uremia uremia gravidez/psicologia sexuality

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