This study aims to evaluate maternal and perinatal outcomes among cases of planned and emergency cesarean section in PE with severe features. Retrospective cohort study with 202 women diagnosed with severe pre-eclampsia, with gestational age greater than 32 weeks. They were divided according to the mode of delivery: vaginal delivery, planned cesarean section and emergency cesarean section. Were analyzed the sociodemographic characteristics, obstetric history and clinical conditions at admission, post operatory maternal and perinatal outcomes and complications according to the type mode of delivery. A total 202 patients were included in the study, 78.7% of whom underwent planned cesarean section, 21.3% emergency cesarean sections and only 11.8% induced labor was performed and of the total. Only 2% of total progressed to vaginal delivery. Patients living in the interior (53.5%, P 0.040), primiparous (OR 1.4, P <0.001), history of previous pre-eclampsia (OR 1.3, P = 0.020) and presence of signs of severity (OR 10.1, P <0.001) had a higher risk of evolving to an emergency cesarean section. Postpartum hemorrhage was greater in the programmed cesarean section (OR 2.4, P 0.049). Regarding perinatal complications, the time of fetal hospitalization in days was longer in the programmed cesarean section (OR 6.7, P 0.035). These results demonstrate that there is a high rate of indication for cesarean sections (98%) in patients with severe preeclampsia. A high rate of cesarean section does not positively affect the indicators of maternal and neonatal morbidity and mortality. In addition, in women in whom delivery was induced, there was no increase in neonatal risks..
Objective: to understand the meanings of postpartum women about the educational practices developed in a Normal Birth Center. Method: descriptive-exploratory study, of qualitative approach, with 15 postpartum women assisted at the Haydeê Pereira Sena Normal Childbirth Center, in the metropolitan region of Pará, Brazil. Semi structured interviews were used from August to November 2020. Data were transcribed and submitted to content analysis in the thematic modality. Results: it was found that the activities developed by the nurse midwives promote a link to the visibility of the site as a service that seeks to welcome and support women, ensuring greater tranquility, confidence, and respect at the time of birth. Conclusion: the results translate the need to encourage educational practices to ensure rights and respect for women, such as quality assistance, a welcoming environment, aggregating tranquility, and confidence for normal birth. Thus, it contributes effectively to the practice of obstetric nursing with direct impact on the care of women and families.
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