The Nursing Care Actions Toward the Pregnant women: Challenging the Primary Health Care / As Ações de Enfermagem no Cuidado à Gestante: Um Desafio à Atenção Primária de Saúde

Abstract

Objetivo: verificar as ações desenvolvidas pelos profissionais de enfermagem na assistência às gestantes em unidades de atenção primária à saúde. Métodos: estudo descritivo e transversal realizado em um município do Sul de Minas Gerais, que acompanhou 134 gestantes. O levantamento das ações desempenhadas pelos nove profissionais ocorreu por meio da observação sistemática e utilizou-se um instrumento que abordava as melhores evidências científicas da prática obstétrica. A análise foi apresentada por meio de tabelas de contingência, frequência absoluta e percentual. Resultados: dentre as ações realizadas na pré-consulta a aferição da pressão arterial foi de 97,7%. Quanto às orientações realizadas pelos profissionais sobre o aleitamento materno e teste do pezinho constatou-se uma percentagem de 30,59% e 74,35%, respectivamente. Conclusão: constata-se que os profissionais desenvolvem a consulta de pré-natal de forma incompleta. Ressalta-se que a educação permanente voltada para as competências essenciais em obstetrícia pode ofertar uma assistência integral e de qualidade.

Development of the concept of prenatal care Application of the hybrid model of Schwartz-Barcott and Kim

“…Of the studies analyzed (n = 19), 82.60% were conducted in Latin America 27 - 41 , 43 - 45 , 46 , while Africa 9 , 26 , Europe 42 , and Asia 3 contributed two articles each (9.26%) and one article (4.34%), respectively. Within Latin America, Brazil had the highest contribution, representing 47.82% (n = 11) of the studies, followed by Colombia with five articles (21.73%).…”

“…Low-risk prenatal nursing care is influenced by the biomedical model 28 , 30 , 38 , 43 , 45 . This model of care has focused on identifying risk factors that may alter or compromise the normal course of pregnancy.…”

“…Low-risk prenatal care provided by nurses is grounded in evidence-based interventions 3 , 32 , 43 . It is characterized by being periodic, sequential 26 , 29 , 45 , and coordinated with other disciplines 26 , 31 , 32 .…”

“…Prenatal care for low-risk pregnant women is implemented through prenatal checkup consultations 27 , 28 , 30 , 35 , 36 . During this type of consultation, the pregnant woman undergoes physical and psychosocial assessments 26 , 27 , 29 , 30 , 35 , routine care activities are performed 26 , 27 , 29 , 30 , 43 , prenatal counseling and education are provided 27 - 29 , 35 , 40 , 46 , and ongoing follow-up is ensured throughout the prenatal period 26 , 29 , 30 , 43 , 45 .…”

“… Physical and psychosocial assessments are conducted 26 , 27 , 29 , 30 , 35 . Nurses perform routine prenatal care activities during prenatal consultation 26 , 27 , 29 , 30 , 43 . Prenatal counseling and education are provided 27 - 29 , 35 , 40 , 46 .…”

Development of the concept of prenatal care Application of the hybrid model of Schwartz-Barcott and Kim

“…Of the studies analyzed (n = 19), 82.60% were conducted in Latin America 27 - 41 , 43 - 45 , 46 , while Africa 9 , 26 , Europe 42 , and Asia 3 contributed two articles each (9.26%) and one article (4.34%), respectively. Within Latin America, Brazil had the highest contribution, representing 47.82% (n = 11) of the studies, followed by Colombia with five articles (21.73%).…”

“…Low-risk prenatal nursing care is influenced by the biomedical model 28 , 30 , 38 , 43 , 45 . This model of care has focused on identifying risk factors that may alter or compromise the normal course of pregnancy.…”

“…Low-risk prenatal care provided by nurses is grounded in evidence-based interventions 3 , 32 , 43 . It is characterized by being periodic, sequential 26 , 29 , 45 , and coordinated with other disciplines 26 , 31 , 32 .…”

“…Prenatal care for low-risk pregnant women is implemented through prenatal checkup consultations 27 , 28 , 30 , 35 , 36 . During this type of consultation, the pregnant woman undergoes physical and psychosocial assessments 26 , 27 , 29 , 30 , 35 , routine care activities are performed 26 , 27 , 29 , 30 , 43 , prenatal counseling and education are provided 27 - 29 , 35 , 40 , 46 , and ongoing follow-up is ensured throughout the prenatal period 26 , 29 , 30 , 43 , 45 .…”

“… Physical and psychosocial assessments are conducted 26 , 27 , 29 , 30 , 35 . Nurses perform routine prenatal care activities during prenatal consultation 26 , 27 , 29 , 30 , 43 . Prenatal counseling and education are provided 27 - 29 , 35 , 40 , 46 .…”

Development of the concept of prenatal care Application of the hybrid model of Schwartz-Barcott and Kim

“…Of the studies analyzed (n = 19), 82.60% were conducted in Latin America 27 - 41 , 43 - 45 , 46 , while Africa 9 , 26 , Europe 42 , and Asia 3 contributed two articles each (9.26%) and one article (4.34%), respectively. Within Latin America, Brazil had the highest contribution, representing 47.82% (n = 11) of the studies, followed by Colombia with five articles (21.73%).…”

“…Low-risk prenatal nursing care is influenced by the biomedical model 28 , 30 , 38 , 43 , 45 . This model of care has focused on identifying risk factors that may alter or compromise the normal course of pregnancy.…”

“…Low-risk prenatal care provided by nurses is grounded in evidence-based interventions 3 , 32 , 43 . It is characterized by being periodic, sequential 26 , 29 , 45 , and coordinated with other disciplines 26 , 31 , 32 .…”

“…Prenatal care for low-risk pregnant women is implemented through prenatal checkup consultations 27 , 28 , 30 , 35 , 36 . During this type of consultation, the pregnant woman undergoes physical and psychosocial assessments 26 , 27 , 29 , 30 , 35 , routine care activities are performed 26 , 27 , 29 , 30 , 43 , prenatal counseling and education are provided 27 - 29 , 35 , 40 , 46 , and ongoing follow-up is ensured throughout the prenatal period 26 , 29 , 30 , 43 , 45 .…”

“… Physical and psychosocial assessments are conducted 26 , 27 , 29 , 30 , 35 . Nurses perform routine prenatal care activities during prenatal consultation 26 , 27 , 29 , 30 , 43 . Prenatal counseling and education are provided 27 - 29 , 35 , 40 , 46 .…”

Development of the concept of prenatal care Application of the hybrid model of Schwartz-Barcott and Kim

“…Of the studies analyzed (n = 19), 82.60% were conducted in Latin America 27 - 41 , 43 - 45 , 46 , while Africa 9 , 26 , Europe 42 , and Asia 3 contributed two articles each (9.26%) and one article (4.34%), respectively. Within Latin America, Brazil had the highest contribution, representing 47.82% (n = 11) of the studies, followed by Colombia with five articles (21.73%).…”

“…Low-risk prenatal nursing care is influenced by the biomedical model 28 , 30 , 38 , 43 , 45 . This model of care has focused on identifying risk factors that may alter or compromise the normal course of pregnancy.…”

“…Low-risk prenatal care provided by nurses is grounded in evidence-based interventions 3 , 32 , 43 . It is characterized by being periodic, sequential 26 , 29 , 45 , and coordinated with other disciplines 26 , 31 , 32 .…”

“…Prenatal care for low-risk pregnant women is implemented through prenatal checkup consultations 27 , 28 , 30 , 35 , 36 . During this type of consultation, the pregnant woman undergoes physical and psychosocial assessments 26 , 27 , 29 , 30 , 35 , routine care activities are performed 26 , 27 , 29 , 30 , 43 , prenatal counseling and education are provided 27 - 29 , 35 , 40 , 46 , and ongoing follow-up is ensured throughout the prenatal period 26 , 29 , 30 , 43 , 45 .…”

“… Physical and psychosocial assessments are conducted 26 , 27 , 29 , 30 , 35 . Nurses perform routine prenatal care activities during prenatal consultation 26 , 27 , 29 , 30 , 43 . Prenatal counseling and education are provided 27 - 29 , 35 , 40 , 46 .…”