Maternal solitude before the new guidelines in SARS-COV-2 times: a Brazilian cutting

Abstract

Aim To reflect on the lonely experience of women during the pregnancy-puerperal cycle in times of pandemic by the SARS-CoV-2 virus. Method Theoretical-reflective study on the new Brazilian guidelines for care for women during pregnancy, childbirth and postpartum in times of Covid-19 and its influence on the exacerbation of maternal loneliness. The discussion about the transformations of women in this period refers to Maldonado's studies. Results Motherhood is a lonely process for women. The new technical norms that are in force bring important changes in the assistance to this cycle, mainly with regard to the importance of social distance, which intensifies the feeling of loneliness and helplessness. Final considerations This reflection can guide health professionals, especially the work of nurses in the scope of obstetrics, so that during the assistance to women in the pregnancy-puerperal cycle, they pay attention to the subtlety of feelings of loneliness that can interfere with maternal well-being fetal.

Changes in assistance and care in the pregnancy-puerperal cycle in times of coronavirus / Mudanças da assistência e cuidado no ciclo gravídico-puerperal em tempos de coronavírus

“…With the need for social isolation to contain the contamination of the virus, these women found themselves alone and imprisoned, often resulting in mental illness. 7,8 In the different countries affected by the pandemic, we found literature with different recommendations about labor and birth assistance, but there is no consensus about the conducts adopted in practice. Because it is a new disease about which little is known, the initial uncertainties about the risk group, the possibility of contamination of the newborn, among other factors, were issues that potentiated negative feelings in pregnant and postpartum women.…”

“…Because it is a new disease about which little is known, the initial uncertainties about the risk group, the possibility of contamination of the newborn, among other factors, were issues that potentiated negative feelings in pregnant and postpartum women. [5][6][7][8][9] Another important point is in relation to the quality and humanization of professional assistance that is faced with a new challenge: the difficulty of constant face-to-face follow-up to answer questions and provide guidance. The changes in the consultations generated uncertainties and concerns on the part of the pregnant women, which corroborates the authors, since in these consultations the doubts would be answered, experiences would be shared, orientations would be passed on, etc.…”

A integralidade no cuidado materno-infantil

“…No âmbito da obstetrícia, um estudo mostrou que cabe à enfermeira atuar, durante a assistência à mulher no ciclo gravídico-puerperal, atentando-se para as sutilidades de sentimentos que as pacientes exprimem, principalmente, de solidão, visto que podem influenciar no bem-estar materno-fetal (PAIXÃO et al, 2021).…”

“…A partir desse conhecimento, dois estudos (LIMA et al, 2021;PAIXÃO et al, 2021), afirmam que é possível ao profissional enfermeiro criar habilidades para as gestantes superarem as dificuldades impostas pela pandemia, ao mesmo tempo, preparar melhor mulheres para a gravidez, parto e puerpério, inclusive, segundo Paixão et al (2021), utilizando-se de tecnologias digitais para interagir com a paciente quanto a consultas individuais e estabelecimento de redes de apoio em grupo de gestantes/puérperas. Assim, advertem Lima et al (2021), investir na educação continuada pode ser uma ferramenta essencial para uma assistência de enfermagem de qualidade no contexto da pandemia da Covid-19.…”

Assistência De Enfermagem Durante O Trabalho De Parto Humanizado Em Tempos De Pandemia Por Covid-19

“…Nesse sentido, a maior parte dos estudos, evidenciou que foram muitas as alterações impostas pelos protocolos de segurança no planejamento do parto, o que pode trazer mudanças nos diversos procedimentos a serem realizados (GIALLORENZI, 2020;DULF et al, 2021;LIMA et al, 2021;PAIXÃO et al, 2021;WEBLER et al, 2021), além da limitação do número de pessoas antes autorizadas a estarem presentes no momento do evento, provocando frustrações na mulher (WEBLER et al, 2021). Outras medidas de protocolo são a proibição da entrada de parteiras e doulas aos partos, bem como, a coleta de um kit de proteção para o obstetra responsável pela paciente (GIALLORENZI, 2020;LIMA et al, 2021).…”