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Introduction: Since their insertion in the delivery rooms of public hospitals, nurse midwives have striven for humanized care

A pesquisa de natureza qualitativa, tipo descritiva, teve como objetivo identificar as atitudes e práticas de enfermeiras obstétricas e discutir seus efeitos durante o trabalho de parto na percepção de mulheres, atendidas em uma casa de parto. Fizeram parte do estudo 12 mulheres, tendo como instrumento de coleta de dados uma entrevista semiestruturada. A análise dos dados evidenciou que as mulheres reconheceram a atitude carinhosa e práticas como a livre movimentação corporal e o estímulo à presença de um acompanhante como as principais tecnologias não invasivas utilizadas durante o trabalho de parto. Quanto aos seus efeitos, as mulheres perceberam que as tecnologias favoreceram seus potenciais internos para tomada de decisões e identificaram as atitudes e práticas das enfermeiras como decisivas para que não desanimassem durante o parto. A postura e o uso pelas enfermeiras de tecnologias não invasivas contribuem para uma melhor percepção das mulheres sobre o seu processo de parto. P P P P Pala ala ala ala alavr vr vr vr vras-c as-c as-c as-c as-cha ha ha ha hav v v v ve: e: e: e: e: Enfermagem Obstétrica. Humanização do Parto. Parto Normal. Abstract ResumenLa investigación de un estudio cualitativo, descriptivo, tuvo como objetivo identificar las prácticas de las enfermeras obstétricas y discutir sus efectos durante el trabajo del parto bajo de la perspectiva de las mujeres. Los participantes del estudio fueron doce mujeres, teniendo como instrumento de recolecta de datos una entrevista semi-estructurada. El análisis de los datos evidenció que las mujeres reconocieron la actitud cariñosa, el movimiento corporal y la presencia de un acompañante como las principales tecnologías no-invasivas utilizadas durante el trabajo de parto en la casa de nacimiento. Cuánto a sus efectos, las mujeres se dieron cuenta de que las tecnologías favorecían sus potenciales internos en la hora de tomar sus propias decisiones. Además de eso, identificaron las prácticas de las enfermeras de la casa de nacimiento como determinantes para que ellas no tengan desalentado durante el trabajo de parto. La actitud de las enfermeras y el uso de tecnologías no invasivas contribuyen a una mejor percepción de las mujeres acerca de su proceso de parto. P P P P Pala ala ala ala alabr br br br bras c as c as c as c as cla la la la lav v v v ve: e: e: e: e: Enfermería obstétrica. Parto Humanizado. Parto normal.

Objective: to discuss the use of non-invasive care technologies by nurse-midwives in a high-risk maternity hospital. Method: a descriptive and qualitative study with ten nurse-midwives who work at the obstetric center of a high-risk maternity at a university hospital in Rio de Janeiro City. Data collection took place in June and July 2017, through a semi-structured interview. The material was submitted to content analysis. Results: The participants use non-invasive care technologies from the perspective of health work technologies and demedicalization, setting up a care process centered on sensitive work and soft technologies. Thus, they shift the focus away from interventionist procedures and develop a care based on human relationships, integrality and female protagonism. Conclusion: with these technologies, nurse-midwives perform a new way of caring in high-risk maternity hospitals, contributing to the humanization of care and rearrangement of these fields. Implications for the practice: the use of these technologies drives the change of the care model by focusing on sensitive work and soft technologies instead of rough work and procedural hegemony.

The objective was to discuss the impact of educational practices developed by nurses on the experience of women in pregnancy and childbirth. A qualitative study was carried out, whose data was collected through semi-structured interviews with sixteen women who gave birth and who attended the educational groups and puerperal consultations in a Birth Center. Analysis was done according to the guidelines for content analysis of Bardin. The results showed that the practices were essential for peaceful pregnancy experience, maternal bonding, free expression of sexuality during pregnancy and sensations experienced in childbirth. It was concluded that health education, used as an instrument of care, nurture the accession of women to less interventionist obstetric practices.