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Debriefing no pós-parto como estratégia terapêutica para a promoção da saúde mental - Desenvolvimento de competências clínicas especializadas em Enfermagem de Saúde Materna e Obstétrica
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Integrado no Mestrado em Enfermagem de Saúde Materna e Obstétrica, o presente relatório
descreve as atividades realizadas ao longo do estágio curricular num hospital de apoio perinatal
na ilha da Madeira, realizado entre setembro de 2024 e maio de 2025.
A experiência prática realizada ao longo do estágio possibilitou prestar cuidados especializados
a mulheres e casais em distintas etapas do processo reprodutivo, abrangendo o trabalho de parto,
o parto e o período pós-parto, bem como situações de gravidez com complicações. Paralelamente,
permitiu apoiar a adaptação à gravidez e ao exercício da parentalidade, favorecendo a
consolidação de competências fundamentais para a atuação especializada em Enfermagem de
Saúde Materna e Obstétrica.
Neste relatório são descritas e interpretadas as experiências obtidas ao longo do estágio, apoiando
a análise crítica em conhecimento científico atualizado e aplicável à realidade clínica.
O papel do Enfermeiro Especialista em Enfermagem de Saúde Materna e Obstétrica consiste, entre
outros, em apoiar a mulher e o casal em todas as fases do processo reprodutivo, desde a gravidez
até ao pós-parto, desenvolvendo intervenções sustentadas em evidência científica atual e
sensíveis às necessidades específicas de cada contexto familiar.
O período pós-parto envolve mudanças físicas, emocionais e sociais que podem aumentar a
vulnerabilidade das mulheres a perturbações de saúde mental, como ansiedade, depressão pósparto
e stress. Quando não identificadas precocemente, essas condições podem comprometer o
bem-estar materno, a ligação com o bebé e a dinâmica familiar. Nesse contexto, têm sido
propostas estratégias de apoio psicológico, destacando-se o debriefing, originalmente
desenvolvido na psicologia para situações de trauma. Este consiste num diálogo estruturado
que auxilia na integração de experiências emocionalmente intensas. Em saúde materna, visa
favorecer a compreensão do parto, prevenir sofrimento psicológico e apoiar a adaptação à
maternidade. A atenção crescente ao impacto emocional do nascimento reforça a necessidade de
estudar o debriefing como intervenção terapêutica no puerpério, promovendo práticas de saúde
mental humanizadas e baseadas em evidência científica.
Integrated into the Master’s in Maternal and Obstetric Health Nursing, this report describes the activities carried out during the curricular internship at a perinatal support hospital on the island of Madeira, conducted from September 2024 to May 2025. The practical experience gained during the internship enabled the provision of specialized care to women and couples at various stages of the reproductive process, including labor, delivery, and the postpartum period, as well as in cases of complicated pregnancy. Additionally, it allowed support for adaptation to pregnancy and the transition to parenthood, promoting the consolidation of essential competencies for specialized practice in Maternal and Obstetric Health Nursing. This report presents and interprets the experiences acquired during the internship, supporting critical analysis with up-to-date scientific knowledge applicable to clinical practice. The role of the Specialist Nurse in Maternal and Obstetric Health Nursing consists of supporting women and couples throughout all stages of the reproductive process, from pregnancy to the postpartum period, delivering care grounded in current scientific evidence and responsive to the specific needs of each family context. The postpartum period involves physical, emotional, and social changes that can increase women’s vulnerability to mental health disorders, such as anxiety, postpartum depression, and stress. When not identified early, these conditions may compromise maternal well-being, mother–infant bonding, and family dynamics. In this context, psychological support strategies have been proposed, highlighting debriefing, originally developed in psychology for trauma situations. This intervention consists of a structured dialogue that aids in integrating emotionally intense experiences. In maternal health, it aims to enhance understanding of the birth experience, prevent psychological distress, and support adaptation to motherhood. The growing attention to the emotional impact of childbirth underscores the need to study debriefing as a therapeutic intervention during the postpartum period, promoting humanized and evidence- based mental health practices.
Integrated into the Master’s in Maternal and Obstetric Health Nursing, this report describes the activities carried out during the curricular internship at a perinatal support hospital on the island of Madeira, conducted from September 2024 to May 2025. The practical experience gained during the internship enabled the provision of specialized care to women and couples at various stages of the reproductive process, including labor, delivery, and the postpartum period, as well as in cases of complicated pregnancy. Additionally, it allowed support for adaptation to pregnancy and the transition to parenthood, promoting the consolidation of essential competencies for specialized practice in Maternal and Obstetric Health Nursing. This report presents and interprets the experiences acquired during the internship, supporting critical analysis with up-to-date scientific knowledge applicable to clinical practice. The role of the Specialist Nurse in Maternal and Obstetric Health Nursing consists of supporting women and couples throughout all stages of the reproductive process, from pregnancy to the postpartum period, delivering care grounded in current scientific evidence and responsive to the specific needs of each family context. The postpartum period involves physical, emotional, and social changes that can increase women’s vulnerability to mental health disorders, such as anxiety, postpartum depression, and stress. When not identified early, these conditions may compromise maternal well-being, mother–infant bonding, and family dynamics. In this context, psychological support strategies have been proposed, highlighting debriefing, originally developed in psychology for trauma situations. This intervention consists of a structured dialogue that aids in integrating emotionally intense experiences. In maternal health, it aims to enhance understanding of the birth experience, prevent psychological distress, and support adaptation to motherhood. The growing attention to the emotional impact of childbirth underscores the need to study debriefing as a therapeutic intervention during the postpartum period, promoting humanized and evidence- based mental health practices.
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Enfermagem Debriefing Pós-parto Saúde mental