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Dançar (par)a nascer: a dança na promoção do conforto no primeiro estadio do trabalho de parto
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A gravidez e o trabalho de parto constituem processos complexos e
profundamente transformadores, nos quais a promoção do conforto da mulher assume um
papel central nos cuidados de enfermagem de saúde materna e obstétrica. Neste contexto,
as intervenções não farmacológicas assumem particular relevância, destacando-se a
utilização da dança enquanto abordagem baseada no movimento, na expressão corporal e
na promoção da participação ativa da parturiente durante o primeiro estadio do trabalho
de parto (TP).
O presente relatório tem como objetivo descrever o percurso de desenvolvimento
de competências especializadas e de mestre ao longo dos diferentes estágios, com enfoque
na implementação de uma intervenção não farmacológica baseada na dança como
estratégia promotora do conforto no primeiro estadio do TP. Metodologicamente, o
trabalho sustentou-se numa revisão narrativa da literatura, articulada com uma abordagem
descritiva e reflexiva da prática desenvolvida nos diferentes contextos de estágio,
fundamentada na evidência científica disponível.
A implementação da intervenção permitiu explorar a aplicabilidade da dança em contexto
clínico e recolher as perceções das parturientes e dos profissionais relativamente ao seu
potencial enquanto estratégia promotora do conforto. As experiências desenvolvidas
sugerem que a utilização da dança poderá favorecer a mobilidade, a participação ativa da
parturiente, a perceção de conforto e uma vivência mais positiva do TP, constituindo uma
abordagem complementar às medidas farmacológicas e não farmacológicas
habitualmente utilizadas.
Conclui-se que a implementação de uma intervenção não farmacológica baseada na dança
revelou ser exequível no contexto do estágio e consistente com uma abordagem de
cuidados centrada na mulher e sustentada na Teoria do Conforto de Katharine Kolcaba.
Embora os resultados obtidos devam ser interpretados à luz das limitações inerentes ao
contexto em que foram desenvolvidos, esta experiência reforça o potencial da dança
enquanto estratégia complementar promotora do conforto durante o primeiro estadio do
TP, justificando o desenvolvimento de estudos futuros com metodologias mais robustas.
Pregnancy and labour are complex and deeply transformative processes in which the promotion of women's comfort represents a fundamental goal of maternal and obstetric nursing care. Within this context, non-pharmacological interventions have gained increasing relevance, with dance emerging as a movement-based approach that promotes body awareness, active participation and comfort during the first stage of labour. This report aims to describe the development of specialist and master's level competencies throughout the different clinical placements, with a particular focus on the implementation of a dance-based non-pharmacological intervention to promote comfort during the first stage of labour. Methodologically, the report is grounded in a narrative literature review combined with a descriptive and reflective analysis of the clinical experiences developed across the different placement settings, supported by the best available scientific evidence. The implementation of the intervention enabled the exploration of its applicability in clinical practice and the collection of participants' and healthcare professionals' perceptions regarding its potential as a comfort-promoting strategy. The experiences developed suggest that integrating dance into labour care may contribute to women's mobility, active participation, perceived comfort and a more positive childbirth experience, complementing the pharmacological and non-pharmacological strategies routinely used in maternity care. It is concluded that implementing a dance-based non-pharmacological intervention was feasible within the context of clinical placement and consistent with a woman-centred approach supported by Katharine Kolcaba's Comfort Theory. Although the findings should be interpreted considering the methodological limitations inherent to the context in which the intervention was implemented, this experience reinforces the potential of dance as a complementary strategy for promoting comfort during the first stage of labour and highlights the need for future studies using more robust research designs.
Pregnancy and labour are complex and deeply transformative processes in which the promotion of women's comfort represents a fundamental goal of maternal and obstetric nursing care. Within this context, non-pharmacological interventions have gained increasing relevance, with dance emerging as a movement-based approach that promotes body awareness, active participation and comfort during the first stage of labour. This report aims to describe the development of specialist and master's level competencies throughout the different clinical placements, with a particular focus on the implementation of a dance-based non-pharmacological intervention to promote comfort during the first stage of labour. Methodologically, the report is grounded in a narrative literature review combined with a descriptive and reflective analysis of the clinical experiences developed across the different placement settings, supported by the best available scientific evidence. The implementation of the intervention enabled the exploration of its applicability in clinical practice and the collection of participants' and healthcare professionals' perceptions regarding its potential as a comfort-promoting strategy. The experiences developed suggest that integrating dance into labour care may contribute to women's mobility, active participation, perceived comfort and a more positive childbirth experience, complementing the pharmacological and non-pharmacological strategies routinely used in maternity care. It is concluded that implementing a dance-based non-pharmacological intervention was feasible within the context of clinical placement and consistent with a woman-centred approach supported by Katharine Kolcaba's Comfort Theory. Although the findings should be interpreted considering the methodological limitations inherent to the context in which the intervention was implemented, this experience reinforces the potential of dance as a complementary strategy for promoting comfort during the first stage of labour and highlights the need for future studies using more robust research designs.
Descrição
Palavras-chave
trabalho de parto dança conforto intervenções não farmacolõgicas enfermagem de saúde materna e obstétrica labour dance comfort non-pharmacological interventions maternal and obstetric health nursing
Contexto Educativo
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Licença CC
Sem licença CC