Guidelines for nursing care: an effective tool for the promotion of health in puerperium

Souza, Ana Beatriz Querino; Fernandes, Betânia Maria

doi:10.15253/2175-6783.2014000400006

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…In the late postpartum period, healthcare is focused on the newborn, and it is not always considered that the mother is fundamental in whom care should also be focused [80]. Healthcare professionals should provide effective support to the mother to prevent the early cessation of exclusive breastfeeding [78].…”

Section: Discussionmentioning

confidence: 99%

Healthy Habits and Emotional Balance in Women during the Postpartum Period: Differences between Term and Preterm Delivery

et al. 2021

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Breastfeeding could be considered as a vulnerable period, rising the risk to shift from optimism to pessimism. Preterm delivery is an event that increases postpartum maternal stress and depression, which can have a negative impact on breastfeeding and maternal–filial wellbeing. The adherence to healthy habits may have a positive influence on this vulnerable population. We aimed to analyze the impact of prematurity on maternal psychological aspects during postpartum and to study if adherence to the Healthy Food Pyramid influences psychological variables. Fifty-five breastfeeding women being attended in the Hospital Clínico San Carlos (Madrid, Spain) were recruited during the first day postpartum. The medical data were collected from the obstetrical records. The women answered an auto-administered questionnaire with several sections: sociodemographic characteristics, Perceived Stress Scale (PSS), and Life Orientation Test (LOT), at 14 days and 6 months postpartum, Adherence to the Healthy Food Pyramid Questionnaire (AP-Q) at 28 days postpartum and the Edinburgh Postpartum Depression Scale (EPDS) at 6 months postpartum. The PSS and LOT scores were not statistically different in mothers with preterm compared to term delivery either at 14 days or at 6 months postpartum. Longitudinally, the PSS did not show significant differences, but the LOT score was lower at 6 months compared to 14 days postpartum (p-Value = 0.046). A higher EPDS score was significantly found in mothers with preterm delivery (9.0 ± 4.7) than those with a term delivery (5.4 ± 4.2; p-value = 0.040). A significant and positive correlation was observed between the AP-Q score and LOT both at 14 days and 6 months postpartum. Conclusively, maternal optimism decreases during the postpartum period, women with preterm delivery being at risk of postpartum depression. Furthermore, there is a relationship between optimism and adherence to healthy habits. Healthcare professional counseling is essential during the entire breastfeeding period, particularly in vulnerable mothers with preterm delivery.

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Section: Discussionmentioning

confidence: 99%

Healthy Habits and Emotional Balance in Women during the Postpartum Period: Differences between Term and Preterm Delivery

et al. 2021

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“…Estudo de intervenção realizado com 168 puérperas, em que a intervenção consistiu na realização de cinco consultas de enfermagem, apontou maior taxa de aleitamento materno exclusivo; maior adesão ao exame colpocitológico e uso de sulfato ferroso e melhorias na cobertura vacinal materna (19) , indicando a importância do acompanhamento puerperal e seus benefícios na saúde materna.…”

Section: Discussionunclassified

Qualidade de vida no período puerperal: importância e satisfação

et al. 2019

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Objetivo: mensurar a qualidade de vida de mulheres que estão vivenciando o puerpério. Métodos: estudo transversal, realizado com 103 puérperas, a partir da aplicação do instrumento “Índice de Qualidade de Vida”, de Ferrans e Powers. Resultados: a média do índice de qualidade de vida geral foi de 24,77 pontos. Dentre os domínios, o que teve a maior pontuação foi o família e o mais afetado foi o socioeconômico. Presença de dor e condições socioeconômicas foram os principais motivos de insatisfação das puérperas, enquanto que a saúde dos filhos e da família foi sinalizada como o item mais importante e de maior satisfação. Conclusão: as puérperas apresentaram altos escores de qualidade de vida. Contudo, o domínio socioeconômico foi o mais comprometido e o domínio família o que apresentou melhores escores, indicando importância e satisfação diante do nascimento e da configuração familiar.

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“…Chauhan and Tadi 2 consider the late phase to last from 6 weeks to 6 months after childbirth. According to Souza and Fernandes, 5 the postpartum period can last up to a year, adding a remote period from the 43rd day to one year postpartum. The postpartum period is a time of transition, involving adaptations and physical, biological, familial, and emotional transformations reflected not only in individual care but also in the interactions that the woman establishes with her child, partner, and other family members.…”

Section: Introductionmentioning

confidence: 99%

“…6 Despite being a phase of the pregnancy-puerperal cycle filled with many challenges and vulnerabilities, it is often the stage where the woman receives the least attention and support from health professionals. 5 The needs felt throughout the postpartum period challenge healthcare professionals from prenatal care to prepare the woman for the situations she will experience in this new phase, as well as working with the family to strengthen relationships and prepare the support network for the arrival of the new member. In this sense, it is important to begin planning for the postpartum period during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Strengths-Based Care: A Postpartum Plan for a Positive Fourth Trimester Experience

de Almeida Nunes da Pena,

Ferreira dos Santos

2024

Pensar Enf

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Introduction The fourth trimester or postpartum period is a concept that places the woman (newborn and couple) at the centre of care, within the family. In this study, an instrument was developed to enable the puerperal woman/couple to plan and organise the postpartum period, in order to facilitate adaptation during this period. The theoretical framework of Laurie Gottlieb's Strengths-Based Nursing Care guided this process. Objective This study begins with the research question: What difficulties does the puerperal woman experience in the postpartum period? Its objectives are: to identify the triad's bio-psycho-social needs in the first 12 weeks postpartum, the puerperal woman's/couple's strategies for overcoming perceived difficulties and the items to be included in the postpartum plan, from the maternal perspective. Methods A descriptive exploratory study with a mixed-methods approach, with a questionnaire administered to mothers aged between 18 and 39, obtaining 141 responses with eligibility criteria between April 14 and May 5, 2023. The data collection tool was shared through groups of mothers on social networks (Facebook, Instagram, WhatsApp). Content analysis was carried out according to Bardin and semantic categorization was used to process the qualitative data and statistical analysis of the quantitative data. Results The study revealed the difficulties, the needs of the triad in the first 12 weeks, the strategies or strengths to overcome the difficulties and the suggested items for the postpartum plan. Conclusion It can be concluded that the postpartum plan is an innovative concept, since pregnant women/couples focus on drawing up the birth plan, unaware of or not valuing the postpartum plan. However, most of the participants considered planning to be one of the strengths or strategies for a positive experience of the fourth trimester.

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Guidelines for nursing care: an effective tool for the promotion of health in puerperium

Cited by 3 publications

References 9 publications

Healthy Habits and Emotional Balance in Women during the Postpartum Period: Differences between Term and Preterm Delivery

Healthy Habits and Emotional Balance in Women during the Postpartum Period: Differences between Term and Preterm Delivery

Qualidade de vida no período puerperal: importância e satisfação

Strengths-Based Care: A Postpartum Plan for a Positive Fourth Trimester Experience

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