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Centros de parto normal: Modelos de cuidados centrados na mulher e impacto nos cuidados materno-infantis
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Este relatório de estágio de natureza profissional, elaborado no âmbito do
Mestrado em Enfermagem de Saúde Materna e Obstétrica (2023–2025), tem
como objetivo analisar criticamente o processo de aquisição das competências
comuns e específicas do Enfermeiro Especialista em Enfermagem de Saúde
Materna e Obstétrica, de acordo com o Regulamento n.º 391/2019 da Ordem
dos Enfermeiros. O estágio decorreu em três áreas nucleares de intervenção,
Gravidez com Complicações, Trabalho de Parto e Parto, e Puerpério e
Parentalidade, permitindo integrar teoria e prática clínica supervisionada,
desenvolver raciocínio clínico e consolidar competências na vigilância da
gravidez de baixo e alto risco, na assistência ao trabalho de parto e parto, na
adaptação ao puerpério, na promoção do aleitamento materno e no apoio à
transição para a parentalidade. O relatório inclui quatro casos clínicos
representativos destas áreas, que evidenciam a tomada de decisão
fundamentada, a integração da evidência científica e a aplicação dos padrões de
qualidade da prática especializada. Complementarmente, apresenta-se uma
Revisão Integrativa da Literatura sobre os Centros de Parto Normal, que analisa
o impacto deste modelo de cuidados centrados na mulher nos resultados
maternos e neonatais, na experiência da grávida e do acompanhante, e nas
implicações para a prática do EEESMO. Em síntese, este relatório reflete um
percurso de aprendizagem que favoreceu a aquisição de competências clínicas,
científicas e relacionais, contribuindo para a construção da identidade
profissional enquanto EEESMO. A articulação entre prática supervisionada,
análise crítica e investigação reforça a relevância da prática baseada na
evidência e da humanização dos cuidados como pilares da saúde materna e
obstétrica contemporânea.
This professional internship report, developed within the scope of the Master’s Degree in Maternal and Obstetric Health Nursing (2023–2025), aims to critically analyse the process of acquiring the common and specific competencies of the Specialist Nurse in Maternal and Obstetric Health Nursing, in accordance with Regulation No. 391/2019 of the Portuguese Nurses Association. The internship took place in three core areas of interventivo, Pregnancy with Complications, Labour and Birth, and Puerperium and Parenthood, enabling the integration of theory and supervised clinical practice, the development of clinical reasoning, and the consolidation of skills in the surveillance of low- and high-risk pregnancies, assistance during labour and birth, adaptation to the puerperium, promotion of breastfeeding, and support for the transition to parenthood. The report includes four clinical cases representing these areas, which highlight evidence-based decision-making, the integration of scientific evidence, and the application of quality standards in specialised practice. In addition, it presents an Integrative Literature Review on Birth Centres, analysing the impact of this woman-centred care model on maternal and neonatal outcomes, the experience of women and their partners, and the implications for the practice of the Specialist Nurse in Maternal and Obstetric Health Nursing. In summary, this report reflects a learning process that enhanced the acquisition of clinical, scientific, and relational competencies, contributing to the construction of professional identity as a Specialist Nurse in Maternal and Obstetric Health Nursing (EEESMO). The articulation between supervised practice, critical analysis, and research reinforces the relevance of evidence-based practice and the humanization of care as pillars of contemporary maternal and obstetric health.
This professional internship report, developed within the scope of the Master’s Degree in Maternal and Obstetric Health Nursing (2023–2025), aims to critically analyse the process of acquiring the common and specific competencies of the Specialist Nurse in Maternal and Obstetric Health Nursing, in accordance with Regulation No. 391/2019 of the Portuguese Nurses Association. The internship took place in three core areas of interventivo, Pregnancy with Complications, Labour and Birth, and Puerperium and Parenthood, enabling the integration of theory and supervised clinical practice, the development of clinical reasoning, and the consolidation of skills in the surveillance of low- and high-risk pregnancies, assistance during labour and birth, adaptation to the puerperium, promotion of breastfeeding, and support for the transition to parenthood. The report includes four clinical cases representing these areas, which highlight evidence-based decision-making, the integration of scientific evidence, and the application of quality standards in specialised practice. In addition, it presents an Integrative Literature Review on Birth Centres, analysing the impact of this woman-centred care model on maternal and neonatal outcomes, the experience of women and their partners, and the implications for the practice of the Specialist Nurse in Maternal and Obstetric Health Nursing. In summary, this report reflects a learning process that enhanced the acquisition of clinical, scientific, and relational competencies, contributing to the construction of professional identity as a Specialist Nurse in Maternal and Obstetric Health Nursing (EEESMO). The articulation between supervised practice, critical analysis, and research reinforces the relevance of evidence-based practice and the humanization of care as pillars of contemporary maternal and obstetric health.
Descrição
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Centros de parto normal Humanização do parto Enfermeiro especialista Enfermagem de Saúde Materno