Loading...
Publication
Vulnerabilidade das mulheres em trabalho de parto :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.12 MB | Adobe PDF |
Authors
Abstract(s)
O trabalho de parto é um processo fisiológico do qual pode emergir um conjunto
de tensões negativas nas mulheres, motivadas por uma panóplia de emoções e
sentimentos, traduzidos por medos, receios, incertezas, ansiedades e desejos, cuja
intensidade varia em função da individualidade, crenças, conhecimentos, cultura, e
padrões socioeconómicos de cada mulher. Este stress afeta as suas respostas físicas,
fisiológicas, psicológicas, e comportamentais, de que resultam necessidades que
terão necessariamente de ser satisfeitas, caso contrário, poderão potenciar um estado
de vulnerabilidade nas mulheres que, por sua vez, se irá repercutir na forma como
estas vão vivenciar um momento que deve ser único, tranquilo, positivo e humanizado.
Neste trabalho privilegiou-se a dimensão individual da vulnerabilidade, pois é nesta
que mais facilmente o enfermeiro pode atuar no bloco de partos.
Efetuada uma revisão scoping, partindo da pergunta “quais os fatores que
influenciam a vulnerabilidade das mulheres durante o trabalho de parto?”, foi possível
identificar três ordens de fatores: o ambiente de cuidados, os cuidados de
enfermagem especializados e o trabalho de equipa.
No sentido de diminuir a vulnerabilidade das mulheres durante o trabalho de parto,
é importante que o enfermeiro especialista em saúde materna e obstétrica atue ao
nível da advocacy, intervindo nos fatores referidos, a fim de satisfazer as
necessidades de alívio, tranquilidade e transcendência das mulheres, nos contextos
físico, psico-espiritual social e ambiental, de acordo com a teoria de conforto de
Kolcaba. Conclui-se que as intervenções recomendadas devem passar pela
promoção de cuidados centrados nas mulheres e seus conviventes significativos, com
respostas holísticas e apoio permanente e solidário.
Labor is a physiological process from which a set of negative tensions can emerge in women, motivated by a panoply of emotions and feelings, translated by fears, apprehensions, uncertainties, anxieties and desires, whose intensity varies depending on the individuality, beliefs, knowledge, culture, and socioeconomic standards of each woman. This stress, surely, affects their physical, physiological, psychological, and behavioral responses, from which result needs that must be satisfied, otherwise, it enhances a state of vulnerability in women which, in turn, will have an impact on how they will experience a moment that should be unique, peaceful, positive, and humanized. In this work the individual dimension of the vulnerability was privileged, because it is in this dimension that the nurse can more easily work at the birth unit. A scoping review was carried out and based on the question “which factors influence women's vulnerability during labor?”, it was possible to identify three orders of factors: the care environment, specialized nursing care, and the teamwork. To reduce the vulnerability of women during labor, the nurse specialists in maternal health and obstetrics must play their advocacy role, seeking to act on the above mentioned factors, in order to satisfy the needs of relief, tranquility and transcendence of women, in physical, psycho-spiritual, social and environmental contexts, according to Kolcaba's theory of comfort. It is concluded that the recommended interventions should pass through the promotion of care centered on women, holistic responses and permanent and solidary support (to women and significant partners).
Labor is a physiological process from which a set of negative tensions can emerge in women, motivated by a panoply of emotions and feelings, translated by fears, apprehensions, uncertainties, anxieties and desires, whose intensity varies depending on the individuality, beliefs, knowledge, culture, and socioeconomic standards of each woman. This stress, surely, affects their physical, physiological, psychological, and behavioral responses, from which result needs that must be satisfied, otherwise, it enhances a state of vulnerability in women which, in turn, will have an impact on how they will experience a moment that should be unique, peaceful, positive, and humanized. In this work the individual dimension of the vulnerability was privileged, because it is in this dimension that the nurse can more easily work at the birth unit. A scoping review was carried out and based on the question “which factors influence women's vulnerability during labor?”, it was possible to identify three orders of factors: the care environment, specialized nursing care, and the teamwork. To reduce the vulnerability of women during labor, the nurse specialists in maternal health and obstetrics must play their advocacy role, seeking to act on the above mentioned factors, in order to satisfy the needs of relief, tranquility and transcendence of women, in physical, psycho-spiritual, social and environmental contexts, according to Kolcaba's theory of comfort. It is concluded that the recommended interventions should pass through the promotion of care centered on women, holistic responses and permanent and solidary support (to women and significant partners).
Description
Keywords
Enfermagem obstétrica Vulnerabilidade em saúde Mulheres Trabalho de parto