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Identificação de critérios para a realização de episiotomia: contribuição para a tomada de decisão
| Name: | Description: | Size: | Format: | |
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| 1.3 MB | Adobe PDF |
Advisor(s)
Abstract(s)
No âmbito do curso de Mestrado em Enfermagem de Saúde Materna e
Obstétrica, foi realizado o estágio de natureza profissional que resulta no
presente relatório, cujos objetivos são descrever, analisar e refletir de forma
crítica as atividades que contribuíram para a aquisição de competências
específicas do Enfermeiro Especialista em Saúde Materna e Obstétrica.
A componente de estágio desenvolveu-se ao longo de 1 ano letivo, em
contextos de gravidez com complicações, bloco de partos e puerpério, com
uma duração de 800 horas de contacto clínico.
A conceção de cuidados é uma etapa fundamental para a aquisição de
competências específicas, estando por isso explanados ao longo deste
relatório um total de 6 casos clínicos e respetivos planos de cuidados
individualizados: 4 referentes ao bloco de partos, 1 referente a gravidez de
risco e 1 referente ao puerpério. Os casos abordam os cuidados autónomos e
especializados prestados com base nas necessidades específicas das
mulheres e famílias, tendo sempre por base os princípios de qualidade e as
competências específicas do Enfermeiro Especialista em Saúde Materna e
Obstétrica.
Face à constante necessidade de desenvolver o conhecimento e procurar as
mais recentes evidências científicas que suportam a atuação do enfermeiro
especialista, conforme descrito nas competências comuns inerentes a este,
surgiu a revisão narrativa abordada neste relatório que irá desenvolver a
temática sobre os critérios para a realização, ou não, da episiotomia. O objetivo
desta narrativa é relatar e compreender a evidência científica para melhorar o
processo de tomada de decisão. A revisão narrativa descreveu como principais
critérios para a realização da episiotomia a presença de sofrimento fetal, a
prevenção de lacerações de 3º e 4º grau e o parto instrumentado.
As part of the Master’s Degree in Maternal and Obstetric Health Nursing, a professional internship was carried out, resulting in this report, whose objectives are to describe, analyze, and critically reflect on the activities that contributed to the acquisition of specific skills of the Specialist Nurse in Maternal and Obstetric Health. The internship component was developed over one academic year in contexts of complicated pregnancies, delivery rooms, and the postpartum period, totaling 800 hours of clinical contact. Care planning is a fundamental step in acquiring specific skills. Thus, this report explains six clinical cases and their respective individualized care plans: four related to delivery rooms, one to high-risk pregnancy, and one to the postpartum period. The cases address the autonomous and specialized care provided based on the specific needs of women and families, always grounded in the principles of quality and the specific skills of the Specialist Nurse in Maternal and Obstetric Health. Given the constant need to develop knowledge and seek the most recent scientific evidence to support the specialist nurse’s practice, as described in the common competencies inherent to this role, a narrative review was undertaken in this report to explore the criteria for performing or not performing an episiotomy. The objective of this narrative is to report and understand the scientific evidence to improve the decision-making process. The narrative review identified the main criteria for performing an episiotomy as the presence of fetal distress, the prevention of third- and fourth-degree tears, and instrumental delivery.
As part of the Master’s Degree in Maternal and Obstetric Health Nursing, a professional internship was carried out, resulting in this report, whose objectives are to describe, analyze, and critically reflect on the activities that contributed to the acquisition of specific skills of the Specialist Nurse in Maternal and Obstetric Health. The internship component was developed over one academic year in contexts of complicated pregnancies, delivery rooms, and the postpartum period, totaling 800 hours of clinical contact. Care planning is a fundamental step in acquiring specific skills. Thus, this report explains six clinical cases and their respective individualized care plans: four related to delivery rooms, one to high-risk pregnancy, and one to the postpartum period. The cases address the autonomous and specialized care provided based on the specific needs of women and families, always grounded in the principles of quality and the specific skills of the Specialist Nurse in Maternal and Obstetric Health. Given the constant need to develop knowledge and seek the most recent scientific evidence to support the specialist nurse’s practice, as described in the common competencies inherent to this role, a narrative review was undertaken in this report to explore the criteria for performing or not performing an episiotomy. The objective of this narrative is to report and understand the scientific evidence to improve the decision-making process. The narrative review identified the main criteria for performing an episiotomy as the presence of fetal distress, the prevention of third- and fourth-degree tears, and instrumental delivery.
Description
Keywords
Enfermeiro Especialista em Saúde Materna e Obstétrica Episiotomia Tomada de Decisão Relatório de estágio