O presente trabalho traz um panorama da assistência pré-natal no contexto da atenção básica de saúde e da Estratégia de Saúde da Família (ESF), alertando para a importância do profissional de enfermagem nesse processo para a eficácia da estratégia de saúde, da prevenção de doenças e da diminuição dos índices de mortalidade durante a gravidez. Tem como objetivos identificar as dificuldades do enfermeiro da atenção básica para a captação de gestantes no pré-natal do primeiro trimestre gestacional. Elaborou-se uma pesquisa de campo, de caráter descritivo e abordagem quali-quantitativa sobre as dificuldades vivenciadas pelo enfermeiro na atenção básica de saúde durante a assistência pré-natal, por meio de uma entrevista semi-estruturada realizada com 10 enfermeiros de diferentes unidades de saúde do município de Vassouras/RJ. Verificou-se a necessidade não só de ampliar a captação de gestantes para o recebimento desse cuidado como também a necessidade de aprimorar as estratégias utilizadas nas gestantes captadas. Concluiu-se que os enfermeiros da atenção básica em Vassouras passam por muitas dificuldades na captação de gestantes no primeiro trimestre gestacional, dificuldades inclusive de percepção da própria realidade e de formação e que o quadro não é pior por conta do papel exercido pelas agentes comunitárias de saúde nesse processo.
The present study presents an overview of prenatal care in the context of basic health care and the Family Health Strategy (ESF), alerting the importance of the nursing professional in this process for the effectiveness of the health strategy, the prevention of disease and reduction of mortality rates during pregnancy. It aims to identify the difficulties of the primary care nurse for the capture of pregnant women in the prenatal period of the first gestational trimester. A descriptive and field-based qualitative and qualitative research was developed on the difficulties experienced by nurses in basic health care during prenatal care, through a semi-structured interview conducted with 10 nurses from different countries health units of the municipality of Vassouras / RJ. There was a need not only to increase the uptake of pregnant women to receive this care but also the need to improve the strategies used in pregnant women. It was concluded that primary care nurses in Vassouras face many difficulties in capturing pregnant women in the first trimester of pregnancy, difficulties including perception of their own reality and training, and that the picture is not worse because of the role played by the agents in this process.
The present study presents an overview of prenatal care in the context of basic health care and the Family Health Strategy (ESF), alerting the importance of the nursing professional in this process for the effectiveness of the health strategy, the prevention of disease and reduction of mortality rates during pregnancy. It aims to identify the difficulties of the primary care nurse for the capture of pregnant women in the prenatal period of the first gestational trimester. A descriptive and field-based qualitative and qualitative research was developed on the difficulties experienced by nurses in basic health care during prenatal care, through a semi-structured interview conducted with 10 nurses from different countries health units of the municipality of Vassouras / RJ. There was a need not only to increase the uptake of pregnant women to receive this care but also the need to improve the strategies used in pregnant women. It was concluded that primary care nurses in Vassouras face many difficulties in capturing pregnant women in the first trimester of pregnancy, difficulties including perception of their own reality and training, and that the picture is not worse because of the role played by the agents in this process.
