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A utilização do mindfulness durante a gravidez: uma revisão integrativa da literatura
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Abstract(s)
O presente relatório de estágio foi elaborado no âmbito do Mestrado em Enfermagem de Saúde
Materna e Obstétrica da Escola Superior de Enfermagem do Porto, com base no ensino clínico
desenvolvido numa instituição de referência no norte de Portugal, entre 14 de setembro de
2023 e 26 de abril de 2024. O documento descreve e reflete sobre os cuidados especializados
prestados pelo Enfermeiro Especialista em Enfermagem de Saúde Materna e Obstétrica
(EEESMO) e desenvolve uma revisão integrativa da literatura sobre uma temática relevante e
inovadora no contexto da especialização, neste caso sobre intervenções baseadas no
mindfulness durante a gravidez com complicação.
Um dos objetivos do relatório é descrever e refletir sobre a conceção e prestação de cuidados
especializados pelo EEESMO na assistência a grávidas com complicações, parturientes,
puérperas e recém-nascidos, com base na prática baseada na evidência, a partir das
experiências observadas e realizadas no contexto clínico, para o desenvolvimento de
competências.
A elaboração de uma revisão integrativa da literatura foi motivada pelo crescente interesse em
abordagens não farmacológicas na gravidez com complicação, neste caso na utilização do
mindfulness, com o propósito de agregar e analisar o efeito destas intervenções nos resultados
materno-fetais em situações de gravidez de alto risco. Para tal, foi realizada uma pesquisa na
base de dados EBSCOhost, tendo resultado na análise de oito artigos científicos selecionados.
Os resultados indicaram que as intervenções baseadas em mindfulness são eficazes na redução
da ansiedade, no fortalecimento da ligação mãe-filho(a) e na preparação para o parto em
mulheres com gravidez de alto risco. Contudo, os efeitos sobre a depressão e o stress
mostraram-se menos conclusivos. Ainda assim, o mindfulness surge como uma alternativa
promissora para o apoio à saúde mental e ao bem-estar das grávidas. São, porém, necessários
mais estudos, com amostras maiores e metodologias mais robustas, para validar o impacto
destas intervenções, especialmente no que diz respeito à depressão e aos efeitos a longo prazo.
Além da análise sobre a utilização do mindfulness, o relatório reflete sobre outras práticas na
área da especialidade, procurando contribuir para uma enfermagem mais sensível às
necessidades específicas das mulheres e dos casais durante a gravidez, o parto e o exercício da
parentalidade.
The present report was prepared within the framework of the Master's Degree in Maternal and Obstetric Health Nursing at the Porto Higher School of Nursing, based on clinical training carried out in a reference institution in north of Portugal, between 14th September 2023 and 26th April 2024. The present document describes and reflects on the specialised care provided by the Specialist Nurse in Maternal and Obstetric Health Nursing and includes an integrative literature review on a relevant and innovative topic within the specialisation. In this case, it focuses on mindfulness-based interventions during complicated pregnancies. One of the objectives of the report is to describe and reflect on the design and provision of specialized care by the EEESMO in assisting pregnant women with complications, parturients, postpartum women, and newborns, based on evidence-based practice, drawing from the experiences observed and carried out in the clinical context, for the development of competencies. The integrative literature review was motivated by the growing interest in non-pharmacological approaches to complicated pregnancies, specifically the use of mindfulness, with the objective of gathering and analysing the effects of these interventions on maternal-foetal outcomes in high-risk pregnancies. To this end, a search was conducted in the EBSCOhost database, resulting in the analysis of eight selected scientific articles. The findings indicated that mindfulness-based interventions are effective in reducing anxiety, strengthening the mother-child bond, and preparing for childbirth in women with high-risk pregnancies. However, the effects on depression and stress were less conclusive. Nevertheless, mindfulness emerges as a promising alternative for supporting mental health and well-being during pregnancy. More studies, with larger samples and more robust methodologies, are needed to validate the impact of these interventions, particularly regarding depression and longterm effects. In addition to the analysis of mindfulness use, the report reflects on other practices in the field of this specialisation, seeking to contribute to a more sensitive nursing approaches to the specific needs of women and couples during pregnancy, childbirth, and the exercise of parenthood.
The present report was prepared within the framework of the Master's Degree in Maternal and Obstetric Health Nursing at the Porto Higher School of Nursing, based on clinical training carried out in a reference institution in north of Portugal, between 14th September 2023 and 26th April 2024. The present document describes and reflects on the specialised care provided by the Specialist Nurse in Maternal and Obstetric Health Nursing and includes an integrative literature review on a relevant and innovative topic within the specialisation. In this case, it focuses on mindfulness-based interventions during complicated pregnancies. One of the objectives of the report is to describe and reflect on the design and provision of specialized care by the EEESMO in assisting pregnant women with complications, parturients, postpartum women, and newborns, based on evidence-based practice, drawing from the experiences observed and carried out in the clinical context, for the development of competencies. The integrative literature review was motivated by the growing interest in non-pharmacological approaches to complicated pregnancies, specifically the use of mindfulness, with the objective of gathering and analysing the effects of these interventions on maternal-foetal outcomes in high-risk pregnancies. To this end, a search was conducted in the EBSCOhost database, resulting in the analysis of eight selected scientific articles. The findings indicated that mindfulness-based interventions are effective in reducing anxiety, strengthening the mother-child bond, and preparing for childbirth in women with high-risk pregnancies. However, the effects on depression and stress were less conclusive. Nevertheless, mindfulness emerges as a promising alternative for supporting mental health and well-being during pregnancy. More studies, with larger samples and more robust methodologies, are needed to validate the impact of these interventions, particularly regarding depression and longterm effects. In addition to the analysis of mindfulness use, the report reflects on other practices in the field of this specialisation, seeking to contribute to a more sensitive nursing approaches to the specific needs of women and couples during pregnancy, childbirth, and the exercise of parenthood.
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Keywords
gravidez gravidez de alto risco gravidez com complicação mindfulness