Saúde reprodutiva em mulheres com transtorno mental grave

Abstract

Objective: To identify the reproductive health profile of women with severe mental disorders treated at psychosocial support centers (CAPS), describing their main problems related to contraception, maternity and child care. Method: Cross-sectional study conducted with 46 women, aged between 18 and 50 years, received at CAPS III Jael Patrício de Lima and CAPS III Liberdade, in the city of Aracaju / Sergipe. Data were obtained through review of medical records and structured interviews from August to September 2019. The diagnoses were grouped according to the Diagnostic and Statistical Manual of Mental Disorders edition 5 (DSM-5). In order to verify the existence of significance (p = 0.05) between the groups of mental disorders and the aspects pertinent to reproductive health, the Fisher's correlation test was used. Results: The group with schizophrenia and other psychotic disorders corresponded to 19 (41.3%) women, with mood disorders 21 (45.7%) and other diagnoses 6 (13%). The average age was 40.9 years with standard deviation (SD) of 7.16. They had an active sex life of 29 (63%) and only 13 (28, 2%) used contraceptive methods. 38 (82.6%) were mothers, with an average of 02 children per woman (SD = 1.4) and 20 (52.6%) had underage children. There was no significant difference between the type of mental disorder with the use of contraceptive methods, pregnancy planning and the ability to care for children. More than half 27 (58.7%) could not tell if they had any STIs and none (46%) actually participated in a Family Planning (FP) program. Conclusion: Despite the different psychiatric diagnoses, reproductive health profiles were similar, showing a lack of health care for women with mental disorders. From the point of view of public health management, this similarity has the advantage that if only there was an effective FP action plan, it would reach this entire population