Vol. 28 No. 1 (2024): Journal of Nursing Pensar Enfermagem
Original Articles

Evaluation of mental health care for postpartum women in primary care: an evaluative study

Milena Oliveira de Almeida
Bachelor of Nursing. State University of Centro-Oeste, Guarapuava, Brazil
Tatiane Baratieri
PhD in Public Health. State University of Centro-Oeste, Guarapuava, Brazil.
Iria Barbara de Oliveira Krulikowski
Master’s degree in Nursing. State University of Centro-Oeste, Guarapuava, Brazil
Sónia Natal
PhD in Public Health. Federal University of Santa Catarina, Santa Catarina, Brazil
Marília Daniella Machado Araújo
PhD in Nursing. State University of Centro-Oeste, Guarapuava, Brazil
Tatiana da Silva Melo Malaquias
PhD in Nursing. Universidade Estadual do Centro-Oeste, Guarapuava, Brazil

Published 2024-02-22


  • Primary Health Care,
  • Mental Health Care,
  • Primary Care Evaluation of Mental Disorders,
  • Postpartum Depression

How to Cite

Oliveira de Almeida, M., Baratieri, T., de Oliveira Krulikowski, I. B., Natal, S., Machado Araújo, M. D., & da Silva Melo Malaquias, T. (2024). Evaluation of mental health care for postpartum women in primary care: an evaluative study. Pensar Enfermagem, 28(1), 26–32. https://doi.org/10.56732/pensarenf.v28i1.285



Pregnancy is a phenomenon laden with emotions in a woman's life, bringing with it numerous hormonal, physical, and psychological changes, culminating in a series of transformations in her body.


To evaluate the mental health care provided by primary care professionals to women in the postpartum period.


An evaluative study of implementation analysis with a quantitative and qualitative approach, conducted through a multiple case study. Data collection involved the analysis of medical records and semi-structured interviews with 31 postpartum women and 24 healthcare professionals. In the quantitative analysis, the degree of implementation was assessed (classification: satisfactory, partial, incipient, and critical) determined by the Analysis and Judgment Matrix composed of the dimensions “management” and “execution”, and their respective sub-dimensions. Qualitative analysis occurred through content analysis.


Through quantitative data, an incipient degree was observed in cases 1 and 3, and a critical implementation degree in case 2. In the application criterion of the scale for postpartum depression diagnosis, all cases scored zero. Considering the content of the statements, they can be grouped into two categories: the presence of feelings of abandonment and sadness in postpartum women, and the lack of assistance from healthcare professionals to postpartum women.


It is concluded that women have postpartum health needs related to mental health; however, there is a lack of assistance from primary care professionals.


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