Enfermagem obstétrica: contribuições às metas dos Objetivos de Desenvolvimento do Milênio

Abstract

Objective: To characterize and analyze assistance to labor and delivery performed by residents in Obstetric Nursing. Method: Quantitative and retrospective study of 189 normal births attended by residents in Obstetric Nursing in the period between July 2013 and June 2014 in a maternity hospital located in the countryside of Rio Grande do Sul. Data collection took place by gathering information from medical records and the analysis was performed using descriptive statistics. Results:It was found the wide use of non-invasive and non-pharmacological pain relief and freedom of position during labor. It is noteworthy that 55.6% of women have not undergone any obstetric intervention. Conclusions:It was possible to identify that the Nursing Residency Program allows the reduction of obstetrical interventions, reflecting directly in the improvement of maternal health. Keywords:Obstetrics. Nurse midwives. Parturition. Humanizing delivery. Maternal and child health. Internship, nonmedical. Millennium Development Goals. RESUMOObjetivo: Caracterizar e analisar a assistência ao parto e ao nascimento realizada por Residentes em Enfermagem Obstétrica. Método: Estudo quantitativo e retrospectivo de 189 partos normais assistidos por Residentes em Enfermagem Obstétrica, no período de julho de 2013 a junho de 2014, em uma maternidade localizada no interior do Rio Grande do Sul. A coleta dos dados deu-se através de levantamento de informações dos prontuários clínicos e, para a análise, utilizou-se a estatística descritiva.Resultados: Constatou-se o amplo uso de métodos não invasivos e não farmacológicos de alívio da dor e a liberdade de posição durante o trabalho de parto. Destaca-se que 55,6% das mulheres não foram submetidas a nenhuma intervenção obstétrica. Conclusões RESUMENObjetivo: Caracterizar y analizar el trabajo de cuidado y la entrega realizada por residentes en Obstétrica, e identificar el impacto de esta práctica en la salud de las mujeres y por lo tanto a las metas de los Objetivos de Desarrollo del Milenio.Método: Estudio cuantitativo y retrospectivo de 189 partos normales a la que asistieron los residentes en Obstetricia, dentro de un año, en una maternidad ubicada dentro de Rio Grande do Sul. La recogida de datos se llevó a cabo mediante la recopilación de información de los registros clínicos y se realizó el análisis utilizando estadística descriptiva.Resultados: Se encontró un amplio uso de alivio del dolor no invasivo y no farmacológico y la libertad de posición durante el parto. Es de destacar que el 55,6% de las mujeres no sufrieron ninguna intervención obstétrica. Conclusiones:Fue posible identificar que el Programa de Residencia en Enfermería permite la reducción de las intervenciones obstétricas, lo que refleja directamente en la mejora de la salud materna. Original ArticleObstetric Nurses: contributions to the objectives of the Millennium Development Goals 95 Rev Gaúcha Enferm. 2015;36(spe):94-101.

Obstetric Nursing in best practices of labor and delivery care

“…A recent study showed that the presence of Obstetric Nursing in LA care and delivery in maternity hospitals has a positive impact, including the reduction of cesarean sections (20) . The process of performing the delivery offered by Obstetric Nursing is centered on the promotion of practices based on scientific evidence seeking to rescue the protagonism of women in the process of giving birth (21) .…”

Use of the shower aspersion combined with the swiss ball as a method of pain relief in the active labor stage

“…Reis et al 11 Quantitative and retrospective study Gallo et al 12 Literature review Lee et al 13 Randomized and controlled study Silva et al 14 Descriptive study with a quantitative approach Pereira et al 15 Quantitative approach, exploratory, descriptive and retrospective study Lobo et al 16 Descriptive study with retrospective data collection Gallo et al 17 Randomized and controlled study Araújo et al 18 Descriptive, experimental study with longitudinal characteristic and quantitative approach.…”

“…For the elaboration of this category, 6 articles were selected [8][9][10][11][12][13] . The pain and anxiety experienced by the parturient during childbirth can cause effects considered harmful, as the secretion of catecholamines and cortisol 8 .…”

“…A retrospective quantitative study, conducted in 2015, showed that among the practices to relieve pain, the shower is one of the most used. Using nonpharmacological methods makes it possible to replace the pharmacological analgesia and, consequently, reduce interventionists approaches 11 . The shower promotes the reduction of the catecholamines secretion, reducing the anxiety and increasing the mother`s satisfaction.…”

Nursing In Front Of Technology As A Care Fundament On UTI Obstetric/Neonatal

“…At the Chicago Preterm Center, an investment fund was created for the training of nurses in the area of Neonatology [17]. In obstetrics, nurses have always played a fundamental role in the good practices and technological advances of delivery and birth care, as well as in the present day, to intensive obstetric nursing care [18].…”