Comprehensive and obstetric care in the Unified Health System (SUS): reflection in the light of Edgar Morin's complexity theory

Santos, Flávia Andréia Pereira Soares dos; Enders, Bertha Cruz; Santos, Viviane Euzébia Pereira; Dantas, Dândara Nayara Azevêdo; Miranda, Larissa Soares Mariz Vilar de

doi:10.5935/1414-8145.20160094

Cited by 11 publications

(13 citation statements)

References 11 publications

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“…Preparation of the environment in line with the couple's cultural identity and consideration for the parents' emotional needs at the time of the birth are what authors like Santos et al (2016) and Gomes et al (2019) discuss with respect to the individuals' wholeness when they address the theme of humanization of healthcare, that is, the importance of considering physiological, cultural, and emotional aspects during childbirth. An atmosphere of relaxation, of family celebration, appears in several participants' accounts as something that promotes a pleasurable childbirth experience, corroborating what Winnicott (1949); Zveiter et al (2005); Zveiter et al (2005); Granato and Aiello-Vaisberg (2009); and Gomes et al (2019) stated about the importance of emotional support and a human environment during childbirth.…”

Section: Respect For the Temporality Of Childbirth: Mother And Baby Imentioning

confidence: 99%

The Childbirth Environment and Parenthood: Time, Pain, and Subjective Constitution

et al. 2020

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Resumo A partir de postulações teóricas winnicottianas, a experiência do nascimento não é necessariamente considerada como traumática e o ambiente possui função central para que não haja trauma no parto. Nesse sentido, buscou-se discutir a importância do ambiente nos processos de humanização do parto. O objetivo deste estudo foi investigar a percepção de mães e pais sobre a temporalidade do parto e o papel da dor na vivência do mesmo. Foi realizada uma pesquisa qualitativa, por meio de estudo de caso coletivo, no qual foram analisados 30 relatos de parto publicados em blogs pessoais sobre experiências de gestação, parto e parentalidade, sendo 15 escritos por mulheres e 15 por homens. Os resultados apontaram para a importância do respeito à temporalidade do parto para a redução de traumatismos; e para a centralidade da dor na elaboração da morte simbólica inerente ao processo de apropriação da parentalidade. Ademais, constatamos que o cuidado com as mães e os pais no momento do parto é importante para que eles se fortaleçam emocionalmente para investir nos cuidados com o bebê. Concluímos ser de extrema importância que os profissionais de saúde sejam capacitados para compreenderem os aspectos emocionais inerentes às experiências de parto.

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Section: Respect For the Temporality Of Childbirth: Mother And Baby Imentioning

confidence: 99%

The Childbirth Environment and Parenthood: Time, Pain, and Subjective Constitution

et al. 2020

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“…Thus, some studies question the lack of consideration of the subjective conditions of women imposed by health programs (26)(27) , which predisposes to an isolated diagnosis of the context in which the individual is inserted (28) and to a dehumanized view of obstetric and neonatal care (29) . In this particularity, the literature justifies that the case manager adds humanization to an oppressive environment by the holistic care and of defense to the user and family (11) .…”

Section: Discussionmentioning

confidence: 99%

Case management as a high-risk prenatal care strategy

Soares

Higarashi

2019

Rev. Bras. Enferm.

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Objective: to discuss the benefits of using high-risk prenatal case management. Method: a qualitative, convergent care study with six high-risk pregnant women, performed in a municipality in the south of Brazil. Data were produced by case management from April to August of 2017 through observation-participant. Analysis followed the processes of Convergent Care Research: apprehension, synthesis, theorization and transfer. Results: case management identified important elements in the care of pregnant women, which denoted a greater complexity to the cases; was shown as a relevant space for nurses to act, because it is an intervention that requires knowledge and specific skills. Final considerations: case management provides differentiated management in complex cases, facilitates the flow between health services, concretizing the comprehensiveness and equity of the care. It was found, in the convergence between research and care, that participants were benefited by case management.

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“…However, due to the great affection in the Middle East and Asia in the present times, it is recognized as one of the main uveomeningoencaites in women in these places, provoking researches developed incessantly seeking to understand its pathophysiological mechanisms. 2,22 It is concluded that the analysis of health situations based on complex thinking allows the deconstruction of rigid models with the expansion of the problem, which assumes health situations, especially in the obstetric area. It is possible to visualize the possibilities that the expanded view provides for facing the challenges in the assistance and construction of the Obstetric Nursing area, based on the principles of complexity: systemic or organizational, hologramatic, self-eco-organizational, circle retroactive, dialogic and circular knowledge.…”

Section: Discussionmentioning

confidence: 99%

Convergência da síndrome de Vogt-Koyanagi-Harada e pré-eclâmpsia

Belarmino

Holanda

Júnior

2018

Rev enferm UFPE on line.

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RESUMOObjetivo: discutir caso clínico de gestante com síndrome de Vogt-Koyanagi-Harada (SVKH) associada com pré-eclâmpsia (PE) grave. Método: trata-se de estudo qualitativo, do tipo estudo de caso, com dados de prontuário após internação de gestante com SVKH e pré-eclâmpsia grave. Resultados: identificou-se primigesta portadora de SVKH e PE internada por aumento pressórico arterial e amaurose bilateral; instalada a sulfatoterapia e indicada a cesariana após a confirmação laboratorial de síndrome HELLP parcial. A avaliação oftalmológica constatou descolamento de retina e hemorragias oculares leves necessitando de pulsoterapia e com recuperação visual posterior. Conclusão: considerou-se a assistência a gestantes com situações clínicas raras, respaldada no pensamento complexo, que possibilitou a construção de cuidados ampliados, com intervenções direcionadas e resultados positivos, obtendo-se a melhoria da qualidade de vida durante e após o internamento. Descritores: Síndrome Uveomeningoencefálica; Pré-eclâmpsia; Eclâmpsia; Cuidados de Enfermagem; Epistemologia, Filosofia em Enfermagem.ABSTRACT Objective: to discuss the clinical case of pregnant women with Vogt-Koyanagi-Harada syndrome (VKHS) associated with severe pre-eclampsia (PE). Method: this is a qualitative, case-study study with data from the medical records after admission of pregnant women with VKHS and severe pre-eclampsia. Results: primigravid VKHS and PE patients were hospitalized for arterial pressure increase and bilateral amaurosis; sulfate therapy and cesarean section was indicated after laboratory confirmation of partial HELLP syndrome. The ophthalmologic evaluation revealed retinal detachment and mild ocular hemorrhages necessitating pulse therapy and posterior visual recovery. Conclusion: assistance to pregnant women with rare clinical situations, supported by complex thinking, was considered, which enabled the construction of expanded care, with targeted interventions and positive results, resulting in improved quality of life during and after hospitalization. Descriptors: Uveomeningoencephalic syndrome; Preeclampsia; Eclampsia; Nursing care; Epistemology, Philosophy, Nursing.RESUMEN Objetivo: discutir caso clínico de gestante con síndrome de Vogt-Koyanagi-Harada (SVKH) asociada con pre eclampsia (PE) grave. Método: se trata de un estudio cualitativo, del tipo estudio de caso, con datos de prontuario después de la internación de gestante con SVKH y pre eclampsia grave. Resultados: se identificó primigesta portadora de SVKH y PE internada por aumento presórico arterial y amaurosis bilateral; instalada la sulfatoterapia e indicada la cesárea después de la confirmación de laboratorio de síndrome HELLP parcial. La evaluación oftalmológica constató desprendimiento de retina y hemorragias oculares leves necesitando de pulsoterapia y con recuperación visual posterior. Conclusión: se consideró la asistencia a gestantes con situaciones clínicas raras, respaldada en el pensamiento complejo, que posibilitó la construcción de cuidados ampliados, con intervenciones directas y resultados positivos, obteniéndose la mejora de la calidad de vida durante y después del internamiento. Descriptores: Síndrome Uveomeningoencefálico; La preeclampsia; Cuidados de Enfermería; Epistemología; Filosofía en Enfermería.

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Comprehensive and obstetric care in the Unified Health System (SUS): reflection in the light of Edgar Morin's complexity theory

Cited by 11 publications

References 11 publications

The Childbirth Environment and Parenthood: Time, Pain, and Subjective Constitution

The Childbirth Environment and Parenthood: Time, Pain, and Subjective Constitution

Case management as a high-risk prenatal care strategy

Convergência da síndrome de Vogt-Koyanagi-Harada e pré-eclâmpsia

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