Atuação terapêutica ocupacional em um centro obstétrico de alto risco

Abstract

Introduction:When the woman is in labor, childbirth and puerperium, they need to be accompanied by a medical team and a reliable companion. In this context, the occupational therapist promotes actions to occupational performance. Objective: To describe the possibilities of occupational therapist's interventions in a high-risk obstetric center. Method: A descriptive, documentary, retrospective, quantitative study carried out in a multiprofessional integrated residency health program at a reference hospital in Recife-PE, from April to June 2018. Sample composed of records of 10 occupational therapists residents from 2010 to 2017. The analysis was performed using Microsoft Excel, SPSS and Chisquared test. Results: A total of 351 records and 45 reports were evaluated, it was possible to observe more frequency of the interventions by R1 in labor and puerperium. While, among R2, the prevalence was in prenatal and other gynecological/obstetric situations. The interventions found in prenatal care were: activities of daily life -ADL (29.1%), psychosocial approach (27.4%) and health education (21.2%). In the labor were: assistance in labor and childbirth (71.8%), health education (11.3%) and psychosocial approach (10.3%). In puerperium were the ADL (43.1%), psychosocial approach (14.5%) and instrumental activity of daily living (12.4%). The occupational therapist elaborates actions to favor the functional and occupational performance of the woman, encompassing the different dimensions of the pregnancy-puerperal period in the hospital context. Conclusion: The practice of the occupational therapist in the HOC promotes paradigm changes, making the woman protagonist in their performance areas and favoring actions of health promotion.

AMAMENTAÇÃO E CUIDADOS AO BEBÊ DURANTE A PANDEMIA DA COVID-19: como recursos multimídias podem ajudar

“…Furthermore, during the postpartum period, mothers experience ambivalent feelings, ranging from self-confidence, resulting from the experience of the child's birth, to uncertainties, typical of this adaptive period (Medeiros & Marcelino, 2018). In this context, breastfeeding is a maternal experience that can result in this ambivalence since it is an important Instrumental Activity of Daily Living (IADL) of this new phase that can also lead to stress due to the difficulties it may present (Conceição, Brito, Silva & Marcelino, 2020). Therefore, the videos from the "Breastfeeding" series were planned to attend these maternal demands.…”

“…With this, the videos of the series "Breastfeeding" and "Neonatal Care for the Newborn" offer emotional support and promote well-being in puerperal women and enhance the potential for mental health through positive psychological interventions. This increases the independence of women in carrying out the Instrumental Activities of Daily Living (IADL) (Conceição et al, 2020). As health education resources with a psychoeducational nature, these videos could provide integration within the family, strengthening the mother-baby-family bond.…”

Estratégia nutricional para o emagrecimento pós-parto

“…A frequência de refeições é outro aspecto da dieta materna, embora a associação entre o número de refeições diárias e o controle de peso corporal ainda sejam discutidos. sugerindo a importância da frequência alimentar sobre a retenção de peso pós-parto (Paiz, 2021;Conceição et al, 2020).…”

Desvendando as evidências em terapia ocupacional no contexto hospitalar: revisão integrativa

“…Revelando-se como o terceiro agrupamento com maior quantidade de publicações, está a Terapia Ocupacional no Desempenho Ocupacional e Saúde da Mulher (Quadro 3). Na categoria, pode-se elencar que os terapeutas ocupacionais estão desenvolvendo seus estudos técnico-científicos baseando-se principalmente no período gravídico-puerperal e lactação (Conceição et al, 2020). O inventário evidenciou redução dos escores para itens como "sinto-me ansioso" (p<0,001), "sinto-me nervoso" (p=0,008) e "estou preocupado" (p<0,001) que foi corroborado pela análise dos relatos das mães no grupo focal.…”

“…Os artigos publicados realizam menção majoritariamente aos cuidados com mães e gestantes, e ao processo de hospitalização, bem como aos cuidadores hospitalares, revelando que em sua maioria é composto por mulheres (Almeida et al, 2016;Conceição et al, 2020;Correia et al, 2019;Cruz & Guarany, 2015;Joaquim et al, 2016;Jorge & Toldrá, 2017;Mendonça, 2018). De maneira específica, dentre esses estão, cuidados direcionados a gestantes, de forma a produzir materiais que possam servir como instrutores neste processo gestacional (Cruz & Guarany, 2015).…”