Cuidados e resultados da assistência na sala de relaxamento de uma maternidade pública, Rio de Janeiro, Brasil

Abstract

Trata-se de estudo descritivo e retrospectivo que analisou 648 registros dos atendimentos na sala de relaxamento para gestantes em trabalho de parto no ano de 2007. O perfil obstétrico foi de gestantes de baixo risco, nulíparas, e em fase ativa do trabalho de parto. Os cuidados mais realizados foram: banho morno (76,4%), deambulação (56,2%) e massagem (52,8%). A maioria (86,3%) das parturientes teve parto normal e as cesarianas representaram 11,1% dos partos. As enfermeiras obstétricas assistiram 56,5% dos partos normais e os demais foram atendidos pelos médicos (44,5%). O índice de Apgar abaixo de sete no quinto minuto foi atribuído em 1,4% dos nascidos vivos. Os demais apresentaram boas condições de vitalidade no nascimento. A sala de relaxamento é um ambiente de cuidado que promove a humanização da assistência ao trabalho de parto e favorece o parto normal.

Care Quality To Physiological Delivery At A University Hospital

“…This is a particular and differentiated reality before other obstetrical care institutions, where most births are attended by obstetricians [11][12], and pointing to care transition model to health doctor-centered to multiprofessional care.…”

“…In a cross-sectional study, where 56.5% of births were attended by midwives, it was suggested that models involving the participation of the professional have lower rates of interventions [13], and are more likely to evolve into spontaneous labor and high sense of autonomy for the patient [12,14,15].…”

“…As for non-pharmacological methods of pain relief, such as the warm bath, lumbosacral massage, walking and a Swiss ball, the scientific literature has discussed their effectiveness as techniques to reduce the perception of pain caused by uterine contractions and to contribute to the evolution of delivery [12,25]. Despite the benefits, few institutions offer them routinely, or at most has a discrete application, but that does not reach 50% of pregnant women assisted [21].…”

“…Even the WHO recommendations that episiotomy has an estimated ratio of no more than 10%, it is not uncommon to identify their indiscriminate use, especially in deliveries performed by doctors [5,12].…”

Use of the shower aspersion combined with the swiss ball as a method of pain relief in the active labor stage

“…Reis et al 11 Quantitative and retrospective study Gallo et al 12 Literature review Lee et al 13 Randomized and controlled study Silva et al 14 Descriptive study with a quantitative approach Pereira et al 15 Quantitative approach, exploratory, descriptive and retrospective study Lobo et al 16 Descriptive study with retrospective data collection Gallo et al 17 Randomized and controlled study Araújo et al 18 Descriptive, experimental study with longitudinal characteristic and quantitative approach.…”