Influência Da Participação Do Companheiro No Pré-Natal: Satisfação De Primíparas Quanto Ao Apoio No Parto

Abstract

RESUMO Objetivo: correlacionar a satisfação de primíparas quanto ao apoio e à utilidade do companheiro durante o processo de parto com a sua presença e capacitação no pré-natal. Métodos: estudo correlacional realizado com 155 primíparas no alojamento conjunto de uma maternidade terciária. Utilizou-se a subescala 6, referente ao apoio do companheiro, do Questionário de Experiência e Satisfação com o Parto. Para testar a associação entre as variáveis foi utilizado o teste do qui-quadrado, considerando-se o nível de significância de 5%. Resultados: a variável presença do companheiro no pré-natal esteve estatisticamente associada à satisfação da puérpera com o apoio (p=0,0004) e com a utilidade do apoio (p=0,007) durante o trabalho de parto, enquanto a variável capacitação do companheiro no pré-natal esteve estatisticamente associada à satisfação com o apoio (p=<0,00001) e à utilidade do apoio (p=<0,001; p=<0,00001 e p=0,006) prestado pelo companheiro durante todas as fases avaliadas (trabalho de parto, parto e pós-parto imediato). Conclusão: as associações significativas encontradas demonstram a importância de estimular a participação do parceiro no processo parturitivo e a sua capacitação.

Qualidade da assist�ncia obst�trica relacionada ao parto por via vaginal: estudo transversal

“…Na condição de acompanhante, o pai pode ter o papel de apoiar a mãe, ajudando-a a passar pelas contrações e a realizar os métodos não farmacológicos de alivio da dor ou ao cortar o cordão umbilical. Além disso, estudos comprovam que a participação paterna durante o processo parturitivo é considerada como positiva pelas puérperas, uma vez que favorece o vínculo entre o casal e o recém-nascido (16) .…”

Inserção do acompanhante no processo gravídico-puerperal

“…It can be stated that the companion who is prepared and informed becomes active and participatory to the process of promoting well-being for the parturient and the birth of the baby. 1, It was emphasized in a study, 18 that the guidance received in escort preparation courses is essential to reduce anxiety and provide security during the process of accompanying the pregnant woman. Also relevant in this study is the importance of conducting these preparatory courses by qualified and specialized professionals, in order to adequately prepare the woman (pregnant woman) and the companion, in order to ensure the provision of care and safety for those involved.…”

“…Also relevant in this study is the importance of conducting these preparatory courses by qualified and specialized professionals, in order to adequately prepare the woman (pregnant woman) and the companion, in order to ensure the provision of care and safety for those involved. 18 In articles A1, A3, A6 and A8, it was reinforced that the presence of the father in the context of the birth transmits the indispensable emotional support to the woman during the gestational period and during the delivery, however, the lack of knowledge about the physiology and mechanisms of the delivery provides a passive presence of the father as a companion. Knowledge about parturition is necessary for effective care.…”

“…such as the safety of placing oneself on one's lap, the provision of care, such as bathing, changing diapers and, especially, strengthening the bond between the father-sonmother trinomial. 1,15,18 Scientific evidence has shown that the nursing professional should perform the function of transmitting information and guidance during prenatal consultations and maternity, being the mediator of knowledge through the clarification of possible doubts, and should encourage the active participation of the companion in the whole pregnancy-puerperal process. 1,15 It is believed that the implementation of care strategies in health and maternity units will promote the integration and active performance of the father in postpartum pregnancy.…”

“…It is necessary that the health team is prepared to receive, support, encourage and guide the companion from the beginning of prenatal care until the moment of hospitalization of the parturient and the accommodation. 18,22 For the effective participation of the companion, in A4 and A9, the need for maternities to be aware of the conditions of ambience (integrated spaces that contribute to the best flow) with privacy and comfort for women and their companions was mentioned. It is necessary to offer qualified and humanized care with a focus on valuing and encouraging the presence of the companion and, especially, the guarantee of laws and rights.…”