A vulnerabilidade de mãe adolescente em consumo problemático de álcool e outras drogas em relação à hospitalização do filho

Abstract

Study about the vulnerability of the teenage mothers on problematic abuse of alcohol and other drugs in relation to their child's hospitalization. Study object: the vulnerability of the teenage mother on problematic abuse of alcohol and other drugs in relation to her child’s hospitalization. Guiding questions: What kind of transition does a teenager who has become a mother while abusing alcohol and other drugs have in relation to her child's hospitalization? Which factors favor the hospitalization of teenage mothers 'children on problematic abuse of alcohol and other drugs? What kind of vulnerability do these teenage mothers have? Objectives: to analyze the vulnerability of the teenage mothers on problematic abuse of alcohol and other drugs in relation to their child's hospitalization; to describe the vulnerability of these mothers in relation to their hospitalized child; to identify the transition process of these teenage mothers in relation to their child's hospitalization; to discuss the factors that influenced the transition of the teenage mothers with hospitalized children. Method: narrative of life. Study scenarios: two maternity hospitals. Participants: 13 teenage mothers with hospitalized children. The present work was approved by the Ethics and Research Committee of the State University of Rio de Janeiro, the Municipal Health Secretariat of Rio de Janeiro and the Municipal Secretariat of Nova Iguaçu. The narratives were collected by an open interview, by using the question: "Tell me aspects of your life that have to do with your child's hospitalization". A thematic and comparative analysis of the interviewees' narratives was performed, from the theoretical perspective of Vulnerability and the transition theory. The category emerged from the narratives was: The vulnerability of the teenage mothers on problematic abuse of alcohol and other drugs in relation to their child's hospitalization, followed by three subcategories: alcohol as a gateway to other drugs abuse; Drug abuse and the child hospitalization as an adverse situation in the teenage mother’s life; and the transition process of the teenage mothers and their modified mothering. Results: the study evidenced black teenage women with low level of education, residents of the North Zone of Rio de Janeiro, with monthly income of up to two minimum wages, who live the violent context of the place where they are inserted. Alcohol is the first abuse. Discussion: the mothering is evidenced in the narratives by portraying the child’s hospitalization. The teenage mothers have individual, social and programmatic vulnerability in the context of drug abuse and their child's hospitalization. Nursing has a large scope concerning to the care of teenage women in the puerperal pregnancy cycle and the care of the hospitalized baby. Final Considerations: The nursing professional must establish individualized, continuous and competent care, with reception and humanization of care, contributing to the healthy transition of the teenage mothers with hospitalized children.