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| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.84 MB | Adobe PDF |
Authors
Abstract(s)
Os avanços tecnológicos e médicos verificados ao longo do século XX
conduziram a práticas em obstetrícia cada vez mais focadas nos profissionais. O
parto, anteriormente considerado um evento natural e inato, passou a ser dominado
pelo intervencionismo, com consequente interferência no processo fisiológico,
desvalorização das preferências da mulher e minimização da sua capacidade de parir.
É neste contexto que o enfermeiro obstetra pode assumir um papel fulcral para a
normalização do parto, implementando um modelo de cuidados que promova
escolhas informadas e envolvimento na tomada de decisão e proporcione liberdade à
parturiente, capacitando-a para atingir uma experiência de parto positiva.
O presente Relatório de Estágio procura espelhar a aquisição de competências
comuns e específicas de Enfermeira Especialista em Enfermagem de Saúde Materna
e Obstetrícia e do grau de Mestre, descrevendo e analisando o percurso efetuado no
contexto do Estágio com Relatório, inserido no 9ºCurso de Mestrado em Enfermagem
de Saúde Materna e Obstétrica, o qual foi potenciado pela implementação do projeto
intitulado: Liberdade de movimentos para o parto normal: cuidado centrado na mulher.
Como referencial teórico, norteador dos cuidados, foi selecionada a Teoria de
Enfermagem Centrada na Pessoa, de Brendan McCormack e Tanya McCance.
Metodologicamente foi implementada uma prática baseada na evidência e uma prática
reflexiva, traduzida na descrição, análise e reflexão das intervenções instituídas.
Através da Scoping Review foi efetuado o mapeamento da evidência científica
disponível sobre a temática. No decurso do Estágio com Relatório, foi aplicado um
instrumento de registo de interação, posteriormente submetido a análise de conteúdo
e análise estatística. Os resultados obtidos traduzem o papel protetor e promotor da
liberdade de movimentos na incidência do parto normal, proporcionando à parturiente
uma ferramenta para otimizar a sua experiência e gerir a dor, benefícios a que
acrescem a diminuição da duração do TP, do risco de trauma perineal e a melhoria
dos outcomes neonatais. Esta revela-se uma intervenção especializada primordial do
EEESMO, capaz de respeitar a fisiologia do nascimento e de recuperar a autonomia
e o protagonismo da mulher, maximizando a sua experiência de parto.
The technological and medical advances made throughout the twentieth century have led to practices in obstetrics increasingly focused on professionals. Childbirth, previously considered a natural and innate event, began to be dominated by interventionism, with consequent interference in the physiological process, devaluating women's preferences and minimizing their ability to give birth. It is in this context that midwife can assume a central role for the normalization of childbirth, implementing a care model that promotes informed choices and decision-making involvement and provides freedom for the parturient, enabling her to achieve an positive childbirth experience. The present report seeks to reflect the acquirement of competencies of midwife and master's degree, describing and analysing the course carried out in the context of the Internship with Report, inserted in the 9thCMESMO of ESEL, which was boosted by the implementation of the project titled: Freedom of movement for normal childbirth: woman-centered care. Brendan McCormack and Tanya McCance's Theory of Person-Centered Nursing was selected as the theoretical guiding reference of care. Methodologically, an evidence-based practice and a reflexive practice was implemented, translated into the description, analysis and reflection of the instituted interventions. Through the Scoping Review, the available scientific evidence on the subject was mapped. During the Internship with Report, an interaction recording instrument was applied and later submitted to content analysis and statistical analysis. The results obtained reflect the protective and promoter role of freedom of movement in the incidence of normal childbirth, providing to the parturient a tool to optimize her experience and manage pain, benefits that add to the reduction in the duration of labour, the risk of perineal trauma and the improvement of neonatal outcomes. This proves to be a primordial specialized intervention of midwives, capable of respecting the physiology of birth and restoring women's autonomy and protagonism, maximizing their experience of childbirth.
The technological and medical advances made throughout the twentieth century have led to practices in obstetrics increasingly focused on professionals. Childbirth, previously considered a natural and innate event, began to be dominated by interventionism, with consequent interference in the physiological process, devaluating women's preferences and minimizing their ability to give birth. It is in this context that midwife can assume a central role for the normalization of childbirth, implementing a care model that promotes informed choices and decision-making involvement and provides freedom for the parturient, enabling her to achieve an positive childbirth experience. The present report seeks to reflect the acquirement of competencies of midwife and master's degree, describing and analysing the course carried out in the context of the Internship with Report, inserted in the 9thCMESMO of ESEL, which was boosted by the implementation of the project titled: Freedom of movement for normal childbirth: woman-centered care. Brendan McCormack and Tanya McCance's Theory of Person-Centered Nursing was selected as the theoretical guiding reference of care. Methodologically, an evidence-based practice and a reflexive practice was implemented, translated into the description, analysis and reflection of the instituted interventions. Through the Scoping Review, the available scientific evidence on the subject was mapped. During the Internship with Report, an interaction recording instrument was applied and later submitted to content analysis and statistical analysis. The results obtained reflect the protective and promoter role of freedom of movement in the incidence of normal childbirth, providing to the parturient a tool to optimize her experience and manage pain, benefits that add to the reduction in the duration of labour, the risk of perineal trauma and the improvement of neonatal outcomes. This proves to be a primordial specialized intervention of midwives, capable of respecting the physiology of birth and restoring women's autonomy and protagonism, maximizing their experience of childbirth.
Description
Keywords
Enfermagem obstétrica Parto normal Assistência centrada no paciente Movimento