Características das puérperas atendidas em um hospital privado do interior paulista: subsídios para a elaboração de um fluxograma para consulta puerperal de enfermagem

Abstract

Puerperium is the ultimate stage of the pregnancy-puerperium cycle and is permeated by intense physical and psychological changes. These changes may be influenced by the guidelines received during pregnancy in the prenatal consultations, courses for pregnant women, and by the sociocultural environment in which the puerperal woman is inserted, which may entail pathological specific changes of this cycle. From this perspective, the puerperal nursing consultation has the role of preventing these changes by means of guidelines and clarifications of the doubts presented by puerperal women, and it is important to associate social/family knowledge with scientific knowledge and refer them to other professionals whenever required. Accordingly, this research was intended to identify the main complaints and problems presented by puerperal women during the consultation and to draw up a flowchart adapted to the needs of the puerperal women served at the institution. This is a descriptive, exploratory and cross-sectional study, where the data were processed quantitatively. The strategy used to obtain the data was the semi-structured interview, which was composed of data relating to sociodemographic situation, prenatal, delivery, puerperium and physical examination of the mother-child binomial. Mothers of newborns who remained hospitalized after maternal discharge were discarded from the study. The study was performed in the maternity ward of a private hospital in the countryside of São Paulo, between the months of October and December 2016, with a population of 114 puerperal women who had their delivery in the respective period. Of the surveyed puerperal women, 55.9% were primiparous, and the age range varied between 19 and 43 years. Regarding prenatal care, 97.3% underwent more than 06 consultations and 66.7% claimed that they did not receive any guideline about the puerperal period in the prenatal consultations. Cesarean delivery occurred in 89.5% of the cases. All the puerperal women were breastfeeding, and 42.1% of them reported difficulties in breastfeeding. In general, these difficulties were related to performing the "right handling" of the newborn on the maternal breast. Among the breast-related complications, we found that 36.8% were related to nipple traumas, where breast fissures were responsible for 30.7% of the cases. Of the treated patients, 80.7% of the puerperal women required guidelines on self-care and/or for the care provided to the newborn. Of the evaluated newborns, 90.4% presented good general condition and were released to the home and 9.6% were referred for evaluation with a pediatrician. We can conclude that, although the puerperal consultation has indicated improvements in the care offered to the mother-child binomial, we perceived a decreased number of puerperal women who returned to the service to undergo the puerperal consultation, either by the culture of medicalization or the preference of women in terms of undergoing the puerperium consultation with the physician. Based on these findings, there ...

Agenda 2030 Da Onu Em Discussão: Foco No Terceiro Objetivo Para Garantia De Acesso À Saúde De Qualidade E Promoção Do Bem-Estar Para Todos E Todas

“…Ao abordar o papel do profissional farmacêutico no SUS, é inevitável adentrar o cuidado ao paciente, visto que além de funções de gestão, o farmacêutico atua na saúde pública como um cuidador direto do paciente, tendo como objetivo principal a promoção da saúde e da utilização racional dos medicamentos SILVA et al, 2020).…”

“…Considera-se que mulheres com vida sexual ativa e em idade reprodutiva possuem chances de engravidar sem planejamento, na ausência de métodos contraceptivos, incluindo mulheres com neoplasia. Nesse contexto, uma gestação durante o tratamento oncológico tornase complicada, podendo ocasionar em dilemas clínicos e éticos para a mulher, parceiro, família e equipe de saúde (SILVA et al, 2020).…”

“…Diante disso, também se relaciona a atenção às gestantes privadas de liberdade, haja vista que esta tem como finalidade diminuir as taxas de morbimortalidade materna e infantil, que deve ser realizada de modo integral e universal. Nesse sentido, vale pontuar que o profissional enfermeiro tem uma relação mais próxima com a usuária no processo de cuidado, sendo essencial na educação e promoção em saúde, favorecendo, assim, uma maior adesão das mulheres ao pré-natal (ARAÚJO et al, 2020;SILVA et al, 2020).…”

“…A utilização de protocolos, processos de melhorias e monitoramento de indicadores podem contribuir para a qualidade e segurança do paciente. Diante da conformidade dos processos, a média apresentou índice abaixo do limite de 70%, comprometendo a maioria do processo de trabalho da equipe de enfermagem (SILVA et al, 2020). O índice de conformidade foi menor (29,17%) na esterilização e maior (56,94%) na guarda/distribuição dos produtos.…”

“…Quanto aos subprocessos, foi maior (90,28%) na selagem e menor (8,33%) no enxágue dos produtos (SILVA et al, 2020).…”