Assistance to Planned Home Childbirth: Professional Trajectory and Specificities of the Obstetric Nurse Care

Abstract

Objective: to analyze the professional trajectory of obstetric nurses, who work in planned home childbirth. Method: a descriptive and exploratory study with a qualitative approach, conducted with 12 obstetric nurses who work in planned home childbirth. The participants were recruited using the non-probabilistic Snowball Sampling technique. In this perspective, semi-structured interviews were used, applied during the months of August to November 2018, in private places in the city of Rio de Janeiro. The collected data were submitted to content analysis in the thematic modality. Results: the research pointed out the value of experience and professional training - important milestones - in the setting of planned home childbirth, and motivators for the work of the professionals, as they enable autonomy. It is also emphasized the need for the obstetric nurse to acquire different skills for home childbirth, not covered during the training process. Conclusion: the results consolidate that obstetric nurses, who work in planned home childbirth and have a professional trajectory focused on the constant theoretical improvement associated with an approximation with “experts” in the area, provide experience, safety and quality of obstetric care, as well as autonomous action, in this care-related setting.

Planejamento e estratégias na gestão do pré-natal de alto risco: estudo fenomenológico

“…Nursing training represents preparation for generalist professional practice, requiring specializations and continuous professional development and improvement training (16) . Professional experience adds safety to obstetric practice, allowing the professional to correlate the knowledge acquired in theory, improving skills, acquiring dexterity and reflective capacity on lived experiences (17) . Despite the nursing training being favorable for the management position, the difficulty in communication between the professional nurse manager and the doctor who works in practice was highlighted, evidencing obstacles in interpersonal communication and challenges faced in the performance of the nurse manager.…”

Ações de cuidado da enfermeira obstétrica no parto domiciliar planejado: revisão integrativa da literatura

“…Entretanto, a partir do século XX com o advento das maternidades institucionalizadas, as mulheres começaram a ser orientadas a parir no espaço hospitalar. Desta forma, os nascimentos passaram a acontecer cercados por rotinas rígidas, sujeitas a várias intervenções, muitas vezes, desnecessárias e com isso, desconsiderando a individualidade e subjetividade de cada mulher, transformando-a num agente passivo em todo o processo de parir (Odent, 2002;Oliveira, et al, 2020;Koettker, et al, 2017;Frank & Pelloso, 2013).…”