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Aim: To develop scientific, systematic and clinically applicable nursing-sensitive quality indicators for vaginal birth after cesarean in obstetrics, which provide a theoretical and clinical basis for monitoring and improving the nursing quality of vaginal birth after cesarean in China. Methods: A modified Delphi-consensus technique was used in this study. Based on literature retrieval published between January 2012 and December 2022 and group discussion, the preliminary nursing-sensitive quality indicators were selected using a structural-process-outcome model. Then a questionnaire was designed on the preliminary indicators. The modified Delphi method was used to conduct two rounds of expert consultation among 26 hospitals in China. The survey data of experts’ opinions were collected and analyzed to determine the final nursing-sensitive quality indicators. The importance of indicators, rationality of calculation formula and operability of data collection were analyzed and discussed. Results: A total of 33 nursing-sensitive quality indicators were determined. The indicators were composed of 3-level ones, including 3 first-level indicators (structural, process and outcome indicators), 9 s-level ones and 33 third-level ones. The positive coefficients in the two rounds of expert consultation were 95.56 % and 97.67 %, respectively, and the authoritative coefficients were 0.88 and 0.94. The coefficients of variation ranged from 0.05 to 0.28. Conclusion: The nursing-sensitive quality indicators were successfully developed using the modified Delphi method. The indicators are scientific, systematic and clinically operable, and play an important role in improving the nursing quality for pregnant women with vaginal birth after cesarean.

Previous research describes a significant knowledge deficit in obstetrical care in emergency settings. In a post-Roe environment, additional medicolegal challenges are documented across the obstetrics and gynecology landscape, but an understudied care setting is the emergency department, where patients may present to a practice environment where there is limited or no obstetrical care available. It is unknown how emergency nurses make decisions around these types of presentations. The purpose of this study was to explore the clinical decision-making processes of emergency nurses in the care of patients with obstetrical emergencies in the context of limited or absent access to abortion care and the impact of those processes on patient care. Qualitative exploratory approach using interview data (n = 13) and situational analysis was used. Situational mapping uncovered human elements comprised nurses, providers, pregnant people, and families; nonhuman elements comprised legislation, education, and legal understanding. Social worlds mapping included challenges of inexperience, conflict about clinical responsibility, uncertainty about the meaning of legislation, and passivity around implications for patient care. Positional mapping yielded both the overlapping discourses around the phenomenon of interest and the area of silence around abortion-limiting legislation. We found that emergency nurses in states with abortion care-limiting laws had significant self-reported deficits in both education and training around the management of obstetrical emergencies. In this sample, there was a surprising lack of awareness of care-limiting legislation and the clinical, ethical, and legal implications for both emergency care staff and for patients. [ABSTRACT FROM AUTHOR]

Abstract Aim To develop a self‐management scale and evaluate its validity for pregnant woman with GDM in China. Design A cross‐sectional survey design. Methods This study was conducted through three phases. The item pools of the scale were developed through literature review and expert interview. Content validity was assessed by an expert panel. Structure validity was evaluated through exploratory factor analysis. In the end, internal consistency reliability was tested. Results The self‐management scale includes four dimensions, including self‐management consciousness, pregnancy management, blood glucose management and resource utilization, with a total of 35 items. In the scale, the Cronbach's α was 0.95. The split‐half reliability of the overall scale is 0.79. And the test‐retest reliability was 0.91. The content validity was 0.94. Conclusions The scale is significantly valid and reliable, and it can be used to evaluate the self‐management ability of pregnant woman with GDM in China.

Abstract Background The treatment and prevention of perinatal venous thromboembolism (VTE) are challenging because of the potential for both fetal and maternal complications. Methods This study developed a rapid assessment scale for VTE and evaluate its validity based on Delphi-AHP (Analytic Hierarchy Process) method in China. The research was conducted by literature retrieval and two rounds of Delphi expert consultation. The item pools of the scale were developed and a questionnaire was designed according to literature retrieval published between 2010 and 2020. A survey was conducted among experts from 25 level A hospitals in China, and data of experts’ opinions were collected and analyzed by the Delphi method. Results A perinatal VTE risk assessment scale was formed, including 5 first-level items, 20 s-level items and 40 third-level items. The response rates in the two rounds of expert consultation were 97.4% and 98.0%, and the authoritative coefficients were 0.89 and 0.92. The coefficients of variation ranged from 0.04 to 0.28. Conclusions The scale is significantly valid and reliable with a high authority and coordination degree, and it can be used to assess the risk of perinatal VTE and initiate appropriate thrombophylactic interventions in China.

Abstract Aim To identify a set of scientific, systematic and clinically applicable nursing‐sensitive quality indicators for pernicious placenta previa (PPP). Design A modified Delphi‐Consensus Technique. Methods According to literature retrieval published between 2009–2019, 38 nursing‐sensitive quality indicators were chosen and a questionnaire was designed. An online survey was conducted in 20 hospitals in China, and data of experts’ opinions were collected and analysed by improved Delphi method. Results 38 nursing‐sensitive quality indicators were identified. The response rates in the two rounds of expert consultation were 97.4% and 100%, and the authoritative coefficients were 0.89 and 0.92. The coefficients of variation ranged from 0.04–0.28. The nursing‐sensitive quality indicators were successfully constructed based on the modified Delphi technique.

Background: Virtual reality technology can improve traditional teaching methods by removing time and space constraints for learners, increasing learning interest, and promoting the potential for greater empathy and better communication skills in learners through immersion in the subjective experience of others from a first-person perspective. Methods: An immersive virtual reality obstetrical nursing learning system was constructed and applied to an obstetrical nursing curriculum. Qualitative interviews and feedback forms filled out by students were used to understand nursing students' learning experiences and feelings about the application of VR interactive experiences to obstetrical nursing. Result: Most of the students found that the VR interactive experience could inspire empathy, enhance communication between patients and nurses, provide a stress-free learning environment, and increase interest and confidence in learning. Conclusion: The development of innovative VR learning materials will help students to overcome the constraints of time and space, and provide them with the opportunity to practice their skills in an immersive simulation should in-person classes be discontinued in response to emerging epidemics, thus facilitating learning continuity. [ABSTRACT FROM AUTHOR]

Background: The treatment and prevention of perinatal venous thromboembolism (VTE) are challenging because of the potential for both fetal and maternal complications.Methods: This study developed a rapid assessment scale for VTE and evaluate its validity based on Delphi-AHP (Analytic Hierarchy Process) method in China. The research was conducted by literature retrieval and two rounds of Delphi expert consultation. The item pools of the scale were developed and a questionnaire was designed according to literature retrieval published between 2010 and 2020. A survey was conducted among experts from 25 level A hospitals in China, and data of experts' opinions were collected and analyzed by the Delphi method.Results: A perinatal VTE risk assessment scale was formed, including 5 first-level items, 20 s-level items and 40 third-level items. The response rates in the two rounds of expert consultation were 97.4% and 98.0%, and the authoritative coefficients were 0.89 and 0.92. The coefficients of variation ranged from 0.04 to 0.28.Conclusions: The scale is significantly valid and reliable with a high authority and coordination degree, and it can be used to assess the risk of perinatal VTE and initiate appropriate thrombophylactic interventions in China. [ABSTRACT FROM AUTHOR]

Aim: To develop a self‐management scale and evaluate its validity for pregnant woman with GDM in China. Design: A cross‐sectional survey design. Methods: This study was conducted through three phases. The item pools of the scale were developed through literature review and expert interview. Content validity was assessed by an expert panel. Structure validity was evaluated through exploratory factor analysis. In the end, internal consistency reliability was tested. Results: The self‐management scale includes four dimensions, including self‐management consciousness, pregnancy management, blood glucose management and resource utilization, with a total of 35 items. In the scale, the Cronbach's α was 0.95. The split‐half reliability of the overall scale is 0.79. And the test‐retest reliability was 0.91. The content validity was 0.94. Conclusions: The scale is significantly valid and reliable, and it can be used to evaluate the self‐management ability of pregnant woman with GDM in China. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to explore childbirth fear and childbirth preparation among primigravid women in the late pregnancy from 36 to 40 weeks gestation. Methods: We purposively recruited 18 primigravid women into in-depth interviews, 21 birth companions, and 13 health workers into focus group discussions. Participants were recruited from two community hospitals’ maternity waiting homes in Lilongwe, Malawi. Semi-structured interview guides were used to collect data that were analyzed using content analysis. NVivo11 computer software was used to organize the data. Results: The four categories developed were: “ambivalent pregnancy feelings” , “dependence on traditional childbirth counseling” ,“inadequate prenatal childbirth instruction” and “inconsistent roles of a birth companion” . The findings suggest that primigravid women who were mainly exposed to traditional childbirth mentoring rather than professional care providers, experienced childbirth fear, and lacked proper psychosocial childbirth preparation. Conclusions: Childbirth fear among primigravid women emanate from personal; family; ineffective traditional counseling; and inadequate antenatal childbirth instruction. Birth companions may increase childbirth stress. However, our findings highlight birth companions as readily available psychosocial support resources among primigravid women. We recommend that professional childbirth instruction during antenatal care should be strengthened to surpass traditional childbirth counseling. Appropriateness and effectiveness of birth companions need to be carefully assessed.

Aim: To identify a set of scientific, systematic and clinically applicable nursing‐sensitive quality indicators for pernicious placenta previa (PPP). Design: A modified Delphi‐Consensus Technique. Methods: According to literature retrieval published between 2009–2019, 38 nursing‐sensitive quality indicators were chosen and a questionnaire was designed. An online survey was conducted in 20 hospitals in China, and data of experts' opinions were collected and analysed by improved Delphi method. Results: 38 nursing‐sensitive quality indicators were identified. The response rates in the two rounds of expert consultation were 97.4% and 100%, and the authoritative coefficients were 0.89 and 0.92. The coefficients of variation ranged from 0.04–0.28. The nursing‐sensitive quality indicators were successfully constructed based on the modified Delphi technique. [ABSTRACT FROM AUTHOR]

Copyright of Scire Salutis is the property of CBPC - Companhia Brasileira de Producao Cientifica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To develop and validate the content of the booklet on chemotherapy treatment for children with cancer. Methods: This was a methodological study of the elaboration and validation of technologies type, developed between September 2015 and March 2017, developed in five stages: situational diagnosis, literature review, selection and summarization of content, text elaboration, creation of images and layout. The evaluation of the booklet was carried out by 10 expert judges with experience in the field of pediatric oncology using the Delphi Technique. The acceptable level of agreement for the Content Validation Indices of items, category and global was adopted as values equal to or greater than 0.80. Results: The booklet underwent two rounds of evaluation. Items in the content, language, illustrations, organization, layout, relevance and clinical applicability categories had a CVI ≥0.80, with a Global CVI of 0.96. Conclusion: The booklet was considered a validated instructional didactic technology, with clinical applicability and relevance in the field of pediatric oncology, after two stages of validation. [ABSTRACT FROM AUTHOR]

This study aimed to identify the factors associated with puerperal infection in postpartum women from January 2017 to January 2019; to associate puerperal infection with socio-demographic variables; and to associate delivery mode with puerperal infection. Method: The locus of study was the maternity unit of a hospital in the state of São Paulo. This was an exploratory, quantitative and retrospective study which employed the χ² test at a 5% significance level. Data collection took place exclusively in medical records after approval by the Ethics and Research Committee through opinion n. 3,144,647. Results: The postpartum group studied was composed of young adult housewives, in domestic partnership, with completed high school education, who rely on the Unified Health System. The variables that showed dependence were: surgical wound classification and education (p = 0.035); the classification of signs and symptoms and marital status; and the classification of the therapeutic plan and the revaluation of the surgical wound (p = 0.067). The predominant clinical antecedents were smoking, asthma and systemic arterial hypertension. As for delivery conditions, they was marked by attempted induction, frequent vaginal touches and cesarean outcome. Conclusion: The results reinforce the relation between cesarean section and puerperal infection, showing evidence of invasive procedure and higher incidence of cases of puerperal sepsis after cesarean section. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study aimed to identify the prevalence of the presence of a companion of the woman’s choice in the process of parturition and analyze the associations of the presence of a companion in obstetric care.Quantitative, retrospective and documentary study of a database of a primary study in three public maternity hospitals in the city of Niterói, Rio de Janeiro, conducted in 2014. Chi-square test of association (α = 0.05) using SSPS for Windows was performed.The variables Kristeller maneuver, oxytocin infusion, massage, breathing techniques, bathing, restriction of movement, guidance on the procedures performed, feeling of abandonment, isolation and disrespect showed a significant association with the presence of a companion during this process. This indicates that the presence of a companion influences female empowerment, provides greater security and comfort, reducing abandonment and isolation.In view of its many benefits, the initiative should be widely disseminated and encouraged.

Aim: To develop scientific, systematic and clinically applicable nursing-sensitive quality indicators for vaginal birth after cesarean in obstetrics, which provide a theoretical and clinical basis for monitoring and improving the nursing quality of vaginal birth after cesarean in China., Methods: A modified Delphi-consensus technique was used in this study. Based on literature retrieval published between January 2012 and December 2022 and group discussion, the preliminary nursing-sensitive quality indicators were selected using a structural-process-outcome model. Then a questionnaire was designed on the preliminary indicators. The modified Delphi method was used to conduct two rounds of expert consultation among 26 hospitals in China. The survey data of experts' opinions were collected and analyzed to determine the final nursing-sensitive quality indicators. The importance of indicators, rationality of calculation formula and operability of data collection were analyzed and discussed., Results: A total of 33 nursing-sensitive quality indicators were determined. The indicators were composed of 3-level ones, including 3 first-level indicators (structural, process and outcome indicators), 9 s-level ones and 33 third-level ones. The positive coefficients in the two rounds of expert consultation were 95.56 % and 97.67 %, respectively, and the authoritative coefficients were 0.88 and 0.94. The coefficients of variation ranged from 0.05 to 0.28., Conclusion: The nursing-sensitive quality indicators were successfully developed using the modified Delphi method. The indicators are scientific, systematic and clinically operable, and play an important role in improving the nursing quality for pregnant women with vaginal birth after cesarean., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Authors.)

Background: Maternity nursing is perceived as an unwelcoming specialty to many nursing students who are men. The purpose of this qualitative study was to describe the experiences of nursing students who are men at a Southeastern university before, during, and after their obstetric clinical rotations. Methods: Students were interviewed individually. The sessions were recorded and transcribed. The transcripts were analyzed individually and collectively by a three-person study team using existential phenomenology. Results: Seven nursing students who are men participated. Four major themes were discovered: preconceptions, welcoming, perceived rejection (of and by participants), and maternity unit culture. Students' perceptions appeared to be grounded in their level of comfort with maternity nursing. Conclusions: This study adds to the scant amount of information available about experiences of nursing students who are men during their clinical maternity nursing rotation and may help to explain why some men may feel unwelcome in women's health nursing. Nursing students who are men do not always feel welcome in maternity nursing. In this study, nursing students who are men offered perceptions of the experience of their maternity nursing clinical rotation. Results can be helpful in interacting with nursing students who are men on maternity units. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

OBJECTIVE: To identify the meanings attributed by mothers to hypertensive disorders of pregnancy (HDPs) and their consequences, such as premature birth and hospitalization of the infant in the neonatal intensive care unit (NICU). METHOD: A qualitative study, based on the Central Nucleus Theory, with 70 women who had hypertensive disorders of pregnancy and preterm delivery. We used the technique of free word association (FWAT) with three stimuli: high blood pressure during pregnancy, prematurity and NICU. RESULTS: We obtained 1007 evocations, distributed as follows: high blood pressure during pregnancy (335) prematurity (333) and NICU (339). These constituted three thematic units: representation of HDPs, prematurity and the NICU. The categories death and negative aspects were inherent to the three units analyzed, followed by coping strategies and needs for care present in HDPs and prematurity. CONCLUSION: The study had death as its central nucleus, and highlighted the subjective aspects present in the high risk pregnancy and postpartum cycle. It is hoped that this research will contribute to qualifying nursing care for women confronting the problem of HDPs, so that they can cope with less impacts from the adverse effects of high risk pregnancy and birth. OBJETIVO: Identificar los significados atribuidos por las madres de los trastornos hipertensivos del embarazo (THE) y sus consecuencias, y sus consecuencias, tales como el nacimiento prematuro y hospitalización del recién nacido en la unidad de cuidados intensivos neonatales (UCIN). Metodo: Un estudio cualitativo, basado en la teoría del núcleo central, con 70 mujeres que tenían trastornos hipertensivos del embarazo y parto prematuro. Se utilizó la técnica de la asociación libre de palabra (TALP) con tres estímulos: presión arterial alta durante el embarazo, nacimiento prematuro y UCIN. RESULTADOS: Se obtuvieron 1007 evocaciones, distribuidos de la siguiente manera: presión arterial alta durante el embarazo (335) prematuridad (333) y UCIN (339). Estos constituyeron tres unidades temáticas: la representación de THE, prematuridad y UCIN. Las categorias muerte y aspectos negativos fueron inherentes a las tres unidades analizadas, seguidos por las estrategias de afrontamiento y las necesidades de atención actual en THE y prematuridad. CONCLUSÍON: El estudio tenía la muerte como su núcleo central, y puso de relieve los aspectos subjetivos presentes en el embarazo de alto riesgo y el ciclo de post-parto. Se espera que esta investigación contribuya a calificar la atención de enfermería para las mujeres que enfrentan el problema de los THE, de modo que puedan hacer frente con menos impacto de los efectos adversos de los embarazos de alto riesgo y el parto. OBJETIVO: identificar os significados atribuídos por puérperas às síndromes hipertensivas da gravidez e suas consequências, como o nascimento prematuro e a hospitalização do filho na unidade de terapia intensiva neonatal MÉTODO: estudo qualitativo, baseado na Teoria do Núcleo Central, com 70 mulheres que apresentaram síndrome hipertensiva da gravidez e parto prematuro. Utilizou-se a Técnica de Associação Livre de Palavras com três estímulos: pressão alta na gravidez, prematuridade e unidade de terapia intensiva neonatal. RESULTADOS: foram obtidas 1.007 evocações, assim distribuídas: pressão alta na gravidez (335) prematuridade (333) e unidade de terapia intensiva neonatal (339). Constituíram-se três unidades temáticas: representação das síndromes hipertensivas da gravidez, da prematuridade e da unidade de terapia intensiva neonatal. As categorias morte e aspectos negativos foram inerentes às três unidades analisadas, seguidas de estratégias de enfrentamento e necessidade de cuidados, presentes nas síndromes hipertensivas da gravidez e prematuridade. CONCLUSÃO: o estudo teve como núcleo central a morte, e se destacaram os aspectos subjetivos presentes no ciclo gravídico e puerperal de alto risco. Espera-se que essa investigação contribua para qualificar a assistência de enfermagem à mulher adiante da problemática das síndromes hipertensivas da gravidez, para que ela possa enfrentar com menos desgastes os efeitos adversos da gravidez e de nascimento de alto risco.

Esta pesquisa exploratório-descritiva foi desenvolvida com o objetivo de identificar as características sociodemográficas de casais que optam pelo domicílio como local para a ocorrência do parto. Participaram 25 casais que elegeram os serviços de uma equipe de enfermeiras obstétricas que assiste a partos domiciliares, em Florianópolis-SC. As informações foram obtidas por meio dos registros em prontuários dos atendimentos prestados pelas enfermeiras e de entrevistas semiestruturadas com os casais praticantes do parto domiciliar planejado, tendo sido realizada análise descritiva do perfil obtido. Identificou-se que a maioria dos casais era de pessoas com formação superior, relacionamento estável, que residiam em casa própria e tinham estabilidade profissional. Grande parte dos participantes não era natural de Florianópolis e alguns casais vieram de outras cidades para que o parto ocorresse nesta cidade. Foi possível concluir que a opção pelo parto em casa está atrelada à revalorização do ambiente doméstico, e não a um resgate do passado.Estudio exploratorio-descriptivo, desarrollado con el objetivo de identificar las características sociodemográficas de las parejas que eligen el hogar como un lugar para la ocurrencia del parto. Participaron 25 parejas que han elegido los servicios de un equipo de enfermeras obstétricas que asisten partos en domicilio de Florianópolis-SC. La información se obtuvo a través de los registros de la atención prestada por las enfermeras y entrevistas semiestructuradas con las parejas participantes del nacimiento domiciliario planificado, después de haber realizado un análisis descriptivo del perfil obtenido. Se identificó que la mayoría de las parejas practicantes del parto en casa son personas con educación superior, relación estable, que viven en sus propias casas y tienen seguridad laboral. Gran parte de los participantes no es natural de Florianópolis y algunas parejas vinieron de otras ciudades para que el nacimiento ocurriera en esta ciudad. Se concluyó que la opción por el parto domiciliario está relacionado con la revalorización del ambiente domestico y no a un rescate del pasado.This exploratory-descriptive study was developed with the objective to identify the sociodemographic characteristics of couples opting for home birth. There were 25 couples who participated and elected the services from a team of obstetric nurses who attend homebirth, in Florianópolis-SC. The data were got from medical registers which informed about the attendances of the nurses and from semi-structured interviews with the practitioners' couples of planned home birth, being realized a descriptive analysis of the profile obtained. It was found that most couples were people with higher education, stable relationship, reside in their own home and have job security. A great number of the participants were not born in Florianópolis and some of them came from other places just to give birth in Florianópolis. It can be concluded that the choice of home birth is linked to the revaluation of the home environment rather than a rescue of the past.

Apesar da complexidade dos determinantes, a escolaridade é apontada como fator positivo no sucesso do aleitamento materno. Assim, o objetivo deste estudo qualitativo foi compreender os significados sobre a vivência do amamentar entre as enfermeiras da área materno-infantil. Para a coleta de dados, em 2009, realizamos entrevista semiestruturada com oito enfermeiras, funcionárias de um hospital universitário, em Recife, Pernambuco. As falas foram submetidas à análise de conteúdo temática e interpretadas a partir dos constructos da Teoria das Representações Sociais. Da reinterpretação e resignificação do amamentar para as enfermeiras, emergiram quatro temas: o poder dos peitos; realização pessoal permeada pela ambivalência de sentimentos; rede social; o ser mulher, mãe e enfermeira. O estudo revelou que as enfermeiras, ao se tornarem nutrizes vivenciaram a amamentação de maneira semelhante às mulheres que não têm o ensino superior. ABSTRACT Despite the complex determinants concerning a successful breastfeeding, education is seen as a positive factor. Therefore the present qualitative study aimed to understand the meanings of the experience of breastfeeding among nurses from maternal and child healthcare. For data collection, in 2009, semistructured interviews were conducted with eight nurses, employees of a university hospital in Recife, Pernambuco. The statements were analysed by thematic content analysis and interpreted based on the Theory of Social Representations. In the reinterpretation and redefinition of nursing for nurses, four themes emerged: the power of the breasts; personal satisfaction permeated by feelings of ambivalence ; social support network ; being woman, mother and nurse. The study pointed out that nurses, when become breastfeeding mothers, experienced breastfeeding similarly to women who do not have high level education. RESUMEN Apesar de la complejidad de los determinantes, la educación es identificada como un factor positivo en El éxito de la lactancia. El objetivo de este estudio cualitativo fue comprender el significado de la lactancia materna entre lãs enfermeras de salud materno-infantil. Para recopilar los datos, en 2009, se llevaron a cabo entrevistas semi-estructuradas con ocho enfermeras, empleadas de un hospital universitario de Recife, Pernambuco. Los discursos fueron sometidos a análisis de contenido temático e interpretados a partir de los constructos de la Teoría de las Representaciones Sociales. Desde la reinterpretación y redefinición de enfermería para las enfermeras, cuatro núcleos temáticos han surgido: el poder de los senos; la realización personal impregnada de sentimientos de ambivalência; red social; ser mujer, madre y enfermera. El estudio reveló que las enfermeras, para convertirse en madres con experiencia de lactancia materna de manera similar a las mujeres que no tienen educación superior.

Este estudo qualitativo e exploratório-descritivo objetivou conhecer a percepção de puerpéras sobre atendimento em serviço de pré-natal. Os dados coletados mediante entrevista semiestruturada foram submetidos à análise temática, tendo por sujeitos oito puérperas. O acesso, agendamento das consultas e atendimento prioritário em caso de intercorrências foram destacados como qualificadores da atenção pré-natal. O estudo apontou fragilidades no que tange à integralidade, humanização, acolhimento, ausência de vínculo, uso indiscriminado de tecnologias e intervenções desnecessárias, as quais podem produzir e/ou potencializar situações de vulnerabilidade. Os resultados sinalizam a necessidade de reorganização da atenção no pré-natal e nascimento, sob a lógica da longitudinalidade do cuidado, tanto nos serviços públicos como privados e de pactuação de ações intersetoriais nos modos de promoção da saúde das mulheres e de fomento à formulação de políticas públicas mais equânimes e positivas na perspectiva da integralidade da atenção.Estudio cualitativo, exploratorio-descriptivo, objetivando conocer la percepción de puérperas acerca de la atención en servicio de prenatal. Datos recolectados mediante entrevista semiestructurada y sometidos a análisis temático, siendo los sujetos ocho puérperas. El acceso, marcado de las consultas y atención prioritaria en caso de emergencias fueron destacados como calificadores de la atención prenatal. El estudio determinó fragilidades vinculadas a la integralidad, humanización, recibimiento, ausencia de vínculo, uso indiscriminado de tecnologías e intervenciones innecesarias, las cuales pueden generar y/o potenciar situaciones de vulnerabilidad. Los resultados expresan la necesidad de reorganización de la atención en el prenatal y el nacimiento, en la lógica de la longitudinalidad del cuidado, tanto en servicios públicos como privados; y de acuerdo de acciones intersectoriales en los modos de promoción de salud de la mujer y de fomento a la formulación de políticas públicas más ecuánimes y positivas en la perspectiva de la integralidad de la atención.This qualitative and exploratory-descriptive study aimed to reveal the perceptions of puerperal women about prenatal service care. The data collected through semi-structured interviews were submitted to thematic analysis and consisted of the opinions of eight puerperal women. The access, booking of consultations and provision of priority services in case of complications were highlighted as qualifiers of the prenatal care. The study revealed limitations concerning the comprehensive care, humanization, sheltering, bond absence, indiscriminate use of technologies and unnecessary interventions, which can produce or enhance vulnerabilities. The results indicate the necessity of refocusing attention to the prenatal period and birth, under the longitudinality of care aspect, both in public and private services; pact of actions between the related sectors to promote women's health is necessary to support the formulation of more equitable and positive public policies for comprehensive care perspective.

O objetivo deste estudo foi descrever os resultados maternos e neonatais da assistência na Casa de Parto David Capistrano Filho. Pesquisa exploratório-descritiva, com abordagem quantitativa, que analisou 458 prontuários dos partos normais e nascimentos no período de janeiro de 2008 a dezembro de 2009. As parturientes eram mulheres jovens, de 15 a 25 anos de idade (66,6%), e nulíparas (55%). Durante o trabalho de parto, elas permaneceram com o acompanhante (94,1%) e receberam cuidados para o relaxamento e o conforto. A taxa de episiotomia foi de 2,4%. Não houve óbitos maternos e neonatais. Os casos de asfixia neonatal representaram 0,2% dos nascidos vivos. As transferências para o hospital corresponderam a 2,8% das mulheres no pós-parto e 8,5% entre os neonatos. A maioria dos resultados encontrados foi semelhante aos descritos nas pesquisas brasileiras e internacionais acerca da assistência em centros de parto.El objetivo de este estudio fue describir los resultados maternos y neonatales de la asistencia en la Casa de Parto David Capistrano Filho. Investigación exploratoria y descriptiva con enfoque cuantitativo, que analizó 458 registros clínicos de los partos normales y nacimientos en el período de Enero de 2008 a Diciembre de 2009. Las mujeres embarazadas eran mujeres jóvenes, entre 15 y 25 años de edad (66,6%), y nulíparas (55%). Durante el trabajo de parto, ellas recibieron dieta oral (100%), permanecieron con el acompañante (94,1%) y recibieron cuidados para la relajación y confort. La tasa de episiotomía fue del 2,4%. No hubo óbitos maternos y neonatales. Los casos de asfixia neonatal representaron 0,2% de los neonatos. Los traslados para el hospital correspondieron a 2,8% de las mujeres en el postparto y a 8,5% entre los recién nacidos. La mayoría de los resultados fueron similares a los descritos en las investigaciones brasileñas e internacionales a cerca de la asistencia en centros de nacimientos.The purpose of this study was to describe the maternal and neonatal assistance results in the Casa de Parto David Capistrano Filho Birthing Center. An exploratory and descriptive research with a quantitative approach, which were analyzed 458 patients' files data of normal delivery and births in period from January 2008 to December 2009. The pregnants were young women, from 15 to 25 years old (66.6%), and nulliparous (55%). During labor, they remained with the companion (94.1%) and received care to relaxation and comfort. The episiotomy rate was 2.4%. There were no maternal and neonatal deaths. The cases of neonatal asphyxia accounted for 0.2% of live births. Transfers rate to hospital corresponded to 2.8% of women postpartum and 8.5% among newborns. Most results were similar to those described in Brazilian and internationals researches about birth centers assistance.

O estudo objetivou compreender como se dá a maternagem na presença da cirurgia neonatal. Trata-se de uma pesquisa qualitativa, realizada a partir do método história de vida entre dezoito mulheres-mães de recém-nascidos submetidos a cirurgias. Os dados, coletados entre julho e agosto de 2009, apontaram para a emergência de duas unidades de significação: Separação, afastamento e rejeição diante da cirurgia neonatal e A vivência de uma maternagem 'diferente'. A maternagem na presença de uma cirurgia neonatal é um momento de transição e adaptação frente ao não esperado, e ao que é usual e normativo. Ocorre de forma diferenciada, podendo passar por fases de rejeição, afastamento e apresenta foco no ato cirúrgico e nos procedimentos executados. A construção de modelos de apoio à mulher e à família é essencial para o enfrentamento e a adaptação na vivência da cirurgia neonatal.El estudio tuvo como objetivo comprender cómo ocurre la maternaje del recién nascido en presencia de una cirugía neonatal. Se trata de un estudio cualitativo realizado con el método historia de vida, envolviendo dieciocho mujeres-madres de recién nacidos sometidos a cirugía. Los datos, recogidos entre julio y agosto de 2009, señalaran la presencia de dos unidades de significado: Separación, alienación y rechazo ante la cirugía neonatal y la Experiencia de una maternaje 'diferente'. La maternaje en presencia de una cirugía neonatal es un tiempo de transición y adaptación ante al no esperado, y al que es normal y normativo. Se produce de diferentes maneras y pode pasar por fases de rechazo, alienación y se centrando en la cirugía y procedimientos realizados. La construcción de modelos para apoyar la mujer y la familia es esencial para la supervivencia y la adaptación ante la experiencia de la cirugía neonatal.The study aimed to understand the phenomenon of mothering in the presence of a neonatal surgery. This is a qualitative study, applying the life story method, engaging eighteen women-mothers of newborn undergoing surgery. The data, collected between July and August 2009, pointed to the emergence of two units of meaning: Separation, removal and rejection in the face of neonatal surgery and Experiencing a 'different' way of mothering'. Mothering in the presence of a neonatal surgery is a time of transition and adaptation against the unexpected, and what is normal and normative. Occurs in different ways, and may go through phases of rejection and separation and has focused on surgery and procedures performed. The construction of models to support women and family is essential for them to cope and adapt to the experience of neonatal surgery.

O presente trabalho trata-se de estudo exploratório-descritivo que teve como objetivo descrever a taxa e as causas de transferência intraparto para o hospital de mulheres assistidas no domicílio por enfermeiras obstétricas e os desfechos desses nascimentos. A amostra foi composta por onze mulheres e seus recém-nascidos, de janeiro de 2005 a dezembro de 2009. Os dados foram coleta-dos em prontuários e cadernetas de saúde e analisados por estatística descritiva. A taxa de transferência foi de 11%, a maioria de nulíparas (63,6%), e todas foram transferidas durante o primeiro período clínico do parto. Os motivos mais frequentes de transferência foram parada de dilatação cervical e progressão da apresentação fetal, e desproporção cefalopélvica. Os escores de Apgar no 1º e 5º minutos foram >7 em 81,8% dos casos e não houve internação em unidade de terapia intensiva neonatal. Neste estudo constatou-se que o parto domiciliar planejado assistido por enfermeiras obstétricas, com protocolo assistencial, apresentou bons resultados maternos e neonatais, mesmo quando a transferência para o hospital foi necessária.Estudio exploratorio descriptivo que objetivó describir la tasa y causas de traslados hospitalarios intraparto a mujeres atendidas en domicilio por enfermeras obstétricas y los desenlaces de tales nacimientos. Muestra compuesta por once mujeres y sus recién nacidos, de enero 2005 a diciembre 2009; datos recolectados a partir de historia clínicas y carpetas de salud, analizadas por estadística descriptiva. La tasa de traslado fue 11,0%, mayoritariamente de nulíparas (63,3%), todas ellas trasladadas durante el primer período clínico del parto. Los motivos más frecuentes obedecieron a interrupción de dilatación cervical, progresión de presentación fetal y desproporción cefalopélvica. Los puntajes de Apgar en minutos 1 y 5 fueron >7 en 81,8% de los casos, no produciéndose internación en unidad de terapia intensiva neonatal. Según el estudio, el parto domiciliario planificado atendido por enfermeras obstétricas según protocolo de atención, exhibió buenos resultados maternales y neonatales, inclusive cuando fue necesario efectuar traslados hospitalarios.The objective of this explorative and descriptive study was to describe the rates and reasons for intrapartum transfers from home to hospital among women assisted by nurse midwives, and the outcomes of those deliveries. The sample consisted of eleven women giving birth and their newborns, from January 2005 to December 2009. Data was collected from the maternal and neonatal records and was analyzed using descriptive statistics. The transfer rate was 11%, most of the women were nulliparous (63.6%), and all of them were transferred during the first stage of labor. The most common reasons for transfer were arrested cervical dilation, arrested progress of the fetal head and cephalopelvic disproportion. Apgar scores were >7 for 81.8% of the newborns; and there were no admissions to the neonatal intensive care unit. The results show that planned home births assisted by nurse midwives following a clinical protocol, had good outcomes even when a transfer to the hospital was needed.

This study emphasizes the importance of good assistance and hosting for the parturients, particularly in adolescence, and to understand the adolescent postpartum women’s perceptions about the assistance of the nursing staff in a parturition room after the labor at a public referral hospital in Feira de Santana, Bahia. This is a qualitative descriptive study made through semi-structered interviews with seven puerperals during the first five hours postpartum in october 2008. The data were analyzed using the content analysis methodology. The results showed that the assistance provided to the puerperals was based on the technicist model and thus, the host and humanized care were neglected by the health professionals. It is necessary a reflection about the humanized care and the attitude currently adopted for a better understanding of the condition and human needs.

Este estudo objetivou analisar as práticas de cuidado desenvolvidas pelas enfermeiras à mulher na Maternidade Carmela Dutra, de Florianópolis, Santa Catarina, no período de 1956 a 2001. Pesquisa qualitativa com abordagem sócio-histórica. Foram entrevistadas nove enfermeiras, utilizando-se a técnica de História Oral Temática. Os dados foram categorizados utilizando-se análise de conteúdo temática, com base no referencial foucaultiano. Emergiram quatro categorias: Contexto da Maternidade; Práticas de cuidado à mulher na admissão; Práticas de cuidado à mulher no parto e Práticas de cuidado à mulher no puerpério. Concluiu-se que o cuidado prestado à mulher na maternidade foi exercido por religiosas e parteiras, por enfermeiras leigas e por enfermeiras obstétricas, numa trajetória que vai do cuidado laico ao profissional, entrelaçado por relações de saber-poder demarcadas por lutas e resistências ao poder médico hegemônico da época.Este estudio tuvo como objetivo analizar las prácticas de cuidado desarrolladas por las enfermeras a la mujer en la Maternidad Carmela Dutra, de Florianópolis, estado de Santa Catarina, Brasil, durante el período de 1956 a 2001. Investigación cualitativa con abordaje socio-histórico. Fueron entrevistadas nueve enfermeras, utilizando la técnica de Historia Oral Temática. Los datos fueron categorizados utilizando análisis de contenido temático, con base en el referencial foucaultiano. Emergieron cuatro categorías: Contexto de la Maternidad; Prácticas de cuidado a la mujer en la admisión; Prácticas de cuidado a la mujer en el parto y Prácticas de cuidado a la mujer en el puerperio. Se concluyó que el cuidado brindado a la mujer en el maternidad fue ejercido por religiosas y parteras, por enfermeras laicas y por enfermeras obstétricas, en una trayectoria que va del cuidado laico al profesional, entrelazado por relaciones de saber-poder demarcadas por luchas y resistencias al poder médico hegemónico de la época.This study examines the practices of care developed by nurses to women at Maternity Carmela Dutra, Florianópolis, Santa Catarina state, Brazil, in the period 1956 to 2001. It is a qualitative research with socio-historical approach. Nine nurses were interviewed using the technique of thematic oral history. The data were categorized using thematic content analysis and based on the foulcaultian theoretical framework. Four categories emerged: Context of Motherhood; care practices to women on admission; care practices to women on childbirth and care practices to women on puerperium. It was concluded that the care provided to women at the Maternity has been exercised by religious and midwives, nurses and lay nurse midwives, a path that goes from laic to professional care, intercalated with knowledge-power relationships marked by struggles and resistances to doctor's hegemony of that time.

Estudo de natureza histórico-social cujo objetivo é analisar o processo de inserção das enfermeiras na assistência ao parto e as lutas dessas profissionais para implantar as práticas obstétricas humanizadas na Maternidade Alexander Fleming. Utilizou-se a história oral temática como método. As etapas da análise foram: ordenação, classificação e triangulação dos dados. Para sustentação da análise, utilizamos os conceitos de campo, habitus, poder simbólico e capital, de Pierre Bourdieu. Os resultados apontaram que a inserção das enfermeiras na assistência ao parto ocorreu mediante a lotação de recursos humanos para este projeto e de uma capacitação intensiva. Ao serem inseridas no centro obstétrico, as enfermeiras criaram um espaço próprio de atuação e elaboraram um protocolo assistencial. Concluímos que as estratégias de luta simbólica utilizadas pelas enfermeiras contribuíram para a conquista de espaços que as distinguiram no campo pelo desenvolvimento de práticas humanizadas que estavam de acordo com seu habitus.Se trata de un estudio de carácter histórico y social cuya finalidad es analizar el proceso de inserción de las enfermeras en el momento de la entrega y la lucha de estos profesionales para implementar las prácticas obstétricas humanizadas en la Maternidade Alexander Fleming. El método utilizado fue la historia oral temática. Los pasos del análisis fueron: ordenación, clasificación y triangulación de los datos. Para sustentación del análisis se utilizó los conceptos de campo, habitus, poder simbólico y capital, de Pierre Bourdieu. Los resultados mostraron que la inclusión de las enfermeras en la atención del parto se produjo a través de la capacidad de recursos humanos para este proyecto y de un entrenamiento intensivo. Al ser insertado en el centro obstétrico, las enfermeras han creado su propio espacio para la acción y han desarrollado un protocolo de atención. Concluimos que las estrategias de lucha simbólica utilizadas por las enfermeras contribuyeron para la conquista de espacios que las distinguieron en el campo por el desarrollo de prácticas humanizadas que estaban en consonancia con su habitus.The objective of this historical-social study is to analyze the battle strategies in the process of implementing humanized practice at the Alexander Fleming maternity. The method used was oral thematic history. The analysis was performed using data triangulation, by articulating the oral statements with the written documents. The foundations of the study are the theoretical notions of field, habitus, symbolic power, symbolic battle and capital of the sociologist Pierre Bourdieu. The results showed that the inclusion of nurses in delivery care occurred through human resource capacity for this project and an intensive training. By being inserted in the center obstetric nurses have created their own space for action and developed a protocol of care. Obstetrical nurses, by means of battle their strategies, have taken over areas and positions that distinguished them for the development of humanized practices that agree with their updated habitus.

Estudo transversal sobre resultados obstétricos e neonatais dos partos domiciliares planejados assistidos por enfermeiras obstétricas em Florianópolis, SC. Dados coletados nos prontuários de 100 parturientes assistidas de 2005 a 2009 apontam 11 transferências hospitalares, sendo nove submetidas a cesariana. A maioria das que pariram no domicílio apresentou batimentos cardíacos fetais (94,0%) e evolução no partograma normais (61,0%), adotou posição vertical na água, no período expulsivo (71,9%), e os recém-nascidos receberam Apgar do 5° minuto > 7 (98,9%). A frequência de episiotomia foi 1,0%, 49,4% não necessitaram sutura perineal. Os resultados indicam que o parto domiciliar é seguro.Estudio transversal sobre resultados obstétricos y neonatales de los partos domiciliares planificados asistidos por enfermeras obstétricas en Florianópolis, Sur de Brasil. Datos colectados en los prontuarios de 100 parturientas asistidas de 2005 a 2009, señalan 11 transferencias hospitalarias, siendo nueve sometidas a cesárea. La mayoría de las que parieron en el domicilio presentó pulsaciones cardíacas fetales (94,0%) y evolución en el partograma normales (61,0%), adoptó posición vertical en el agua, en el período expulsivo (71,9%), y los recién nacidos recibieron Apgar al 5° minuto >7 (98,9%). La frecuencia de episiotomía fue 1,0%, 49,4% no necesitaron sutura perineal. Los resultados indican que el parto domiciliar es seguro.A cross-sectional study was performed to analyze obstetric and neonatal results of planned home births assisted by obstetric nurses in the city of Florianópolis, Southern Brazil. Data collected from the medical records of 100 parturient women cared for between 2005 and 2009 indicated 11 hospital transfers, nine of which underwent a Cesarean section. The majority of women who had a home birth showed normal fetal heart beat (94.0%) and progress on the partogram (61.0%), vertical water delivery was the position most frequently chosen (71.9%), newborns had an Apgar score > 7 at five minutes (98.9%), episiotomy was performed in 1.0%, and 49.4% did not need perineal suturing. Outcomes indicated that planned home birth is safe.

No início do século XX, as mulheres eram consideradas incapazes e inferiores, dominadas por seus maridos. Estes eram deixados à margem dos acontecimentos ligados à reprodução e criação dos filhos. O parto era um ritual doméstico, assistido pela parteira. Sua transferência para o hospital retirou da mulher o protagonismo no processo de parir, e hoje o médico é a figura central. O objetivo deste estudo é analisar o processo de exclusão do pai no nascimento de seu filho sob a perspetiva das relações de poder no contexto da medicalização do parto. Trata-se de uma revisão de literatura, que analisou 16 textos, cujo recorte temporal foi de 2000 a 2010. Estes foram analisados segundo os núcleos temáticos: relação de poder do homem sobre a mulher, transição do parto em domicílio para o ambiente hospitalar, exclusão do pai do ambiente hospitalar, dominação médica sobre o corpo feminino e (re)inserção do pai no processo de parturição. Conclui-se que a reinserção do homem no acompanhamento do nascimento de seu filho ainda não é plena, apesar de incentivada pelo Ministério da Saúde/Brasil. É preciso que profissionais e serviços de saúde se conscientizem da importância e benefícios desta atitude no processo de humanização do parto.A principios del siglo XX, se consideraba a las mujeres incapaces e inferiores, dominadas por sus maridos. Se dejaba a los hombres al margen de los eventos relacionados con la reproducción y con la educación de los niños. El parto era un ritual doméstico, asistido por matronas. Su transferencia al hospital, le retiró a la mujer el protagonismo en el proceso de parto, y hoy en día, el doctor es el actor central. Este estudio objetivó analizar el proceso de exclusión del padre del nacimiento de su hijo, bajo el enfoque de las relaciones de poder en el marco de la medicalización del parto. Se trata de una revisión sistemática de la literatura, en la que se analizaron 16 textos, cuya producción ocurrió entre 2000 y 2010. Estos se clasificaron por núcleos temáticos: relación de poder del hombre sobre la mujer, transición del parto a domicilio al ambiente hospitalario, exclusión del padre del ambiente hospitalario, dominación médica sobre el cuerpo femenino y (re)inserción del padre en el proceso de parto. Se concluyó que la reinserción del hombre en el acompañamiento del nacimiento de su hijo no se da plenamente, a pesar de ser incentivada por el Ministerio de Salud/Brasil. Es necesario que los profesionales de salud y servicios tomen conciencia de la importancia y de los beneficios de esta actitud en la humanización del parto.At the beginning of the 20th century, women were considered incapable and inferior, dominated by their husbands. Men were excluded from events related to reproduction and children’s education. Childbirth was a domestic ritual attended by midwives. Its transfer to the hospital placed the woman as protagonist in the process of giving birth, and nowadays the doctor is the central actor. The objective of the study was to analyze the process of the father’s exclusion from his child’s birth from the perspective of power in the context of the medicalization of childbirth. It was a systematic literature review analyzing 16 texts concerning the period from 2000 to 2010. The texts were classified according to the thematic nucleus: relationship of the man’s power over the woman, transition of childbirth from home to hospital, father’s exclusion from the hospital environment, medical dominance over the feminine body and the father’s (re)insertion in the childbirth process. It was concluded that a man’s reinsertion into the process of his child’s birth is not a reality, despite being promoted by the Brazilian Health Ministry. It is necessary that health professionals and services become aware of the importance and benefits of this attitude for the humanization of childbirth.

Objective. To assess puerperal women's level of satisfaction with their delivery. Methodology. A descriptive study was developed at a teaching hospital in São José do Rio Preto (Brazil between July and December 2010. Participants were 200 puerperal women from the neonatal screening service, who completed the Delivery Experience and Satisfaction Questionnaire to measure their satisfaction level. Answer options for each question range between 1 and 10 (maximum satisfaction). Results. The puerperal women's mean age was 28 years; 96% had a partner; all women had participated in prenatal care; 82% were submitted to caesarean section. Satisfaction with pain management during labor ranged from 8.5 for caesarean section to 6 for normal birth. In comparison with the vaginal birth group, women subject to c-section showed greater satisfaction with postpartum pain intensity (8.7 versus 6.2) and less satisfaction with labor (6.0 versus 8.5) and delivery (7.1 versus 9.0). Conclusion. Without any difference per delivery type, women's satisfaction level with their delivery was high. Women who underwent caesarean section obtained higher satisfaction scores for postpartum pain management, while women who underwent vaginal birth manifested greater satisfaction with pain control during labor and delivery.Objetivo. Evaluar el nivel de satisfacción de las puérperas con sus partos. Metodología. Estudio descriptivo realizado en el hospital de enseñanza de São José do Rio Preto (Brasil), de juliodiciembre de 2010. Participaron 200 puérperas del servicio de tamizaje neonatal, que diligenciaron el instrumento Questionário de Experiência e Satisfação com o Parto para medir el nivel de satisfacción. Cada pregunta tiene opciones de respuesta entre 1 a 10 (máxima satisfacción). Resultados. El promedio de edad de las puérperas fue 28 años, el 96% tenía compañero, todas realizaron control prenatal, 82% fueron sometidas a cesárea. El nivel de satisfacción promedio fue de 9 en las mujeres con parto normal o por cesárea. La satisfacción con el manejo del dolor en el trabajo de parto fue de 8.5 para cesárea versus 6 en el parto normal. Comparadas con el grupo de parto vaginal, las cesariadas tuvieron una mayor satisfacción con la intensidad del dolor en el posparto (8.7 versus 6.2), y menor en el de trabajo de parto (6.0 versus 8.5) y parto (7.1 versus 9.0). Conclusión. Sin diferencia por tipo de parto, la satisfacción de las mujeres con su parto fue alta. Las cesariadas tuvieron mayor satisfacción con el manejo del dolor posparto, mientras que las de parto vaginal manifestaron mayor satisfacción en el control del dolor durante el trabajo de parto.Objetivo. Avaliar o nível de satisfação das puérperas com seus partos. Metodologia. Estudo descritivo realizado no hospital de ensino de São José do Rio Preto (Brasil), de julho-dezembro de 2010. Participaram 200 puérperas do serviço de seleção neonatal, que preencheram o instrumento Questionário de Experiência e Satisfação com ou Parto para medir o nível de satisfação, cada pergunta tem opções de resposta entre 1 a 10 (máxima satisfação). Resultados. A média de idade das puérperas foi 28 anos, o 96% tinha parceiro, todas realizaram controle pré-natal, 82% foram submetidas a cesárea. O nível de satisfação média foi de 9 nas mulheres com parto normal ou por cesárea. A satisfação com o manejo da dor no trabalho de parto foi de 8.5 para cesárea contra 6 no parto normal. Comparadas com o grupo de parto vaginal, as cesariadas tiveram uma maior satisfação com a intensidade da dor no pós-parto (8.7 contra 6.2), e menor no de trabalho de parto (6.0 contra 8.5) e parto (7.1 contra 9.0). Conclusão. Sem diferença por tipo de parto, a satisfação das mulheres com seu parto foi alta. As que realizaram cesárias tiveram maior satisfação com o manejo da dor pós-parto, enquanto as de parto vaginal manifestaram maior satisfação no controle da dor durante o trabalho de parto e parto.

Trata-se de um estudo qualitativo, de natureza exploratória, que objetivou identificar o conhecimento das enfermeiras obstétricas em relação à responsabilidade profissional na assistência ao parto. Foram entrevistadas 11 enfermeiras que atuavam na assistência ao parto em hospitais e/ou domicílio no estado de Santa Catarina, entre março e agosto de 2009. Após análise pelo Discurso do Sujeito Coletivo, emergiram Ideias Centrais que contemplam os temas sobre as relações das enfermeiras obstétricas com os médicos e a instituição; a responsabilização profissional e as repercussões morais e legais do erro. Verificou-se que as enfermeiras conhecem pouco a respeito das repercussões legais do erro. Ao assumir a assistência ao parto, devem dedicar total atenção aos limites da competência e à prevenção de erros previsíveis, tendo em mente que assumirão também a responsabilização por suas falhas. A atualização sobre responsabilidade legal é tão importante quanto a científica e pode contribuir para a autoconfiança profissional.Investigación cualitativa, exploratoria, que tuvo como objetivo identificar el conocimiento de las enfermeras obstétricas en relación a la responsabilidad profesional en la atención al parto. Se entrevistaron once enfermeras que trabajaban en la atención al parto en hospitales y/u hogares, en Santa Catarina, entre marzo y agosto de 2009. A partir del análisis de Discurso del Sujeto Colectivo, surgieron las ideas centrales que abordan los siguientes temas: las relaciones de las enfermeras obstétricas con los médicos y la institución; la responsabilidad profesional y las implicaciones morales y jurídicas del error. Se encontró que las enfermeras saben poco acerca de las consecuencias jurídicas del error. Al atender el parto, deben prestar plena atención a los límites de la competencia y prevención de errores previsibles, teniendo en cuenta que también deberán asumir la responsabilidad por sus fallas. La actualización de la responsabilidad jurídica es tan importante como la científica y puede contribuir a la autoconfianza profesional.The objective of this qualitative, exploratory study was to identify obstetrics nurses' knowledge concerning professional delivery responsibilities. Eleven nurses in hospital delivery wards and/or home birthing in Santa Catarina, Brazil were interviewed from March - August, 2009 for data collection. After analysis, using Discourse of the Collective Subject, Central Ideas emerged concerning themes related to relationships among obstetrics nurses, physicians, and institutions; professional responsibility; and legal and moral repercussions of errors. This study verified that nurses understand little about legal repercussions of potential delivery errors. Assuming their role in assisting deliveries, they must dedicate their total attention to competence limits and predictable error prevention, maintaining that they will also assume responsibility for their failures. An opportunity to bring these nurses up-to-date concerning their legal responsibilities is as important as scientific and may contribute to greater professional self-confidence, creating more efficient overall nursing performance.

Pesquisa qualitativa de abordagem sócio-histórica com o objetivo de analisar as práticas de cuidado desenvolvidas, pelas enfermeiras, ao recém-nascido na Maternidade Carmela Dutra, Florianópolis-SC, no período de 1956 a 2001. Os sujeitos da pesquisa foram nove enfermeiras que trabalharam na Maternidade no período demarcado. Os dados foram categorizados utilizando-se análise de conteúdo temática com base no referencial foucaultiano. Emergiram três categorias: O bebê nascia e passava por uma janelinha para o berçário; As mães não eram donas dos filhos; O prematuro era bem embrulhadinho e levado da sala de parto para o berçário de alto risco. Os resultados mostraram que as práticas de cuidados prestadas aos recém-nascidos passaram por muitas transformações importantes e desafiantes para as enfermeiras. A pesquisa possibilitou conhecer o cotidiano do trabalho das enfermeiras, iluminando o interior das práticas de cuidado e as relações de poder-saber, fortalecendo sua identidade e colaborando para a construção profissional.Investigación cualitativa con abordaje social e histórico que tiene el objetivo de analizar las prácticas de cuidado desarrolladas por las enfermeras al recién nacido en la Maternidad Carmela Dutra, Florianópolis-SC, durante el período desde 1956 hasta 2001. Los sujetos de la investigación fueron nueve enfermeras que trabajaron en la Maternidad durante el período demarcado. Los datos fueron categorizados utilizando el análisis de contenido temático con base en el referencial foucaultiano. Emergieron tres categorías: El bebé nacía y pasaba por una ventanita hasta la cuna; Las madres no eran las dueñas de los hijos; El prematuro era conducido de la sala de parto a la cuna de alto riesgo bien envuelto. Los resultados mostraron que las prácticas de cuidados prestadas a los recién nacidos pasó por muchas transformaciones importantes y desafiantes para las enfermeras. La pesquisa posibilitó conocer el cotidiano del trabajo de las enfermeras, iluminando el interior de las prácticas de cuidado y las relaciones de poder/saber, fortaleciendo su identidad y colaborando para la construcción profesional.A qualitative study of socio-historical approach aiming to analyze the practices developed by nurses with newborns in the Maternity Carmela Dutra, Florianópolis - SC, from 1956 to 2001. The study subject were nine nurses who worked in the Maternity in the period demarcated. The data were categorized using thematic content analysis based on Foucaultian referential. Three categories emerged: The baby was born and passed through a window to the nursery; the mothers were not owners of their children; the premature was very well wrapped up and taken from the delivery room for the high-risk nursery. The results showed that the practices of care provided to newborns have gone through many major and challenging transformations for nurses. The results allow us to know the daily work of nurses, illuminating the interior of care practices and the relations of power-knowledge, strengthening their identity and contributing to the professional construction.

ABSTRACT Objective: To present clinical and epidemiological aspects of prematurity in a Normal Delivery Center, and to describe outcomes. Methods: A cross-sectional retrospective study, with 189 medical records of premature, single, and living fetuses, with gestational ages between 25 and 36.6 weeks. Results: The prevalence of preterm births was 7.8%, and 23.2% in adolescent mothers. The most frequent obstetric complication was premature rupture of ovular membranes (35.4%), followed by hypertensive syndrome (18.5%). Cesarean section was performed in 33% of cases. The Apgar score in the 1st minute was < 7 in 36.0% of cases, and in the 5th minute of life, in 9.5% of cases. Conclusion: Among the aspects studied, results showed that the prevalence of preterm births was higher than expected for the adolescent mothers, however, with a satisfactory perinatal outcome.

O estudo buscou compreender os sentimentos vivenciados por mulheres-mães diante da cirurgia neonatal de seus filhos, portadores de malformações congênitas. Trata-se de uma pesquisa qualitativa, baseada no método história de vida. Utilizou a entrevista aberta entre 18 mulheres-mães de recém-nascidos submetidos a procedimentos cirúrgicos no período neonatal. A coleta de dados foi realizada entre julho e agosto de 2009. A análise temática das narrativas apontou para a expectativa de "normalização" da criança e das trajetórias de vida das mulheres. A experiência de hospitalização é ambígua: ao passo que desejam e criam grande expectativa perante o ato cirúrgico, sentem-se em conflito com múltiplos medos (da morte, da anestesia e da cronicidade). No processo de cuidado aos portadores de malformações congênitas cirúrgicas, a enfermagem deve considerar não apenas a visão técnica, mas, sobretudo, os sentimentos ambíguos expressos pelas mulheres-mães, em uma importante fase de construção de vínculos afetivos junto ao seu filho.El estudio trata de comprender los sentimientos que experimentan las mujeres-madres frente a la cirugía neonatal de los hijos, los pacientes con malformaciones congénitas. Este es un estudio cualitativo basado en el método historia de vida. Utilizó la entrevista grabada entre dieciocho mujeres, las madres de recién nacidos sometidos a procedimientos quirúrgicos en el período neonatal. La recolección de datos se llevó a cabo entre julio y agosto de 2009. El análisis temático de las narrativas señaló que la expectativa de "normalización" de los niños y las trayectorias de vida de las mujeres. La experiencia de hospitalización es ambigua: al mismo tiempo que deseen para crear grandes expectativas y lo remitirá a la cirugía, se sienten en conflicto con varios temores (de la muerte, la anestesia y la cronicidad). En el proceso de atención a pacientes con malformaciones congénitas quirúrgicas, la enfermería debe considerar no sólo el punto de vista técnico, pero sobre todo, los sentimientos de ambigüedad expresados por las mujeres-madres, en una fase impor tante de la construcción de vínculos afectivos con su hijo.The study sought to understand the feelings experienced by women-mothers of neonatal surgery on his children, patients with congenital malformations. This is a qualitative research method based on the life history. We used structured interviews with eighteen women, mothers of infants undergoing surgical procedures in the neonatal period. Data collection was conducted between July and August 2009. The thematic analysis of narratives pointed to the expectation of "normalization" of the child and the life trajectories of women. Hospital admission is ambiguous: while wishing to create great expectations and forward to the surgery, they feel in conflict with multiple fears (of death, anesthesia, and chronicity). In the process of care to patients with congenital surgical malformations nursing must consider not only the technical view, but above all, the ambiguous feelings expressed by womenmothers, in an important phase of building emotional bonds with your child.

O objetivo deste estudo foi realizar uma revisão sistemática sobre as escalas de rastreamento de Depressão Pós-Parto (DPP) aplicadas até 16 semanas após o parto em puérperas acima de 15 anos. Buscaram-se artigos em quatro bases de dados. Os artigos deveriam indicar a definição e a validação precisa dos instrumentos utilizados. Dos 424 resumos, 62 foram acessados na íntegra e, de acordo com os critérios estabelecidos, foram incluídos 18 artigos nesta revisão. O período de rastreamento de DPP variou de 2 a 10 dias pós-parto e o reteste entre 8 e 16 semanas pós-parto. A DPP foi diagnosticada entre 8,8 a 40% da amostra dos estudos. A escala mais utilizada foi a Edinburg Depression Postpartum Scale (EDPS). Concluiu-se que as escalas são comumente utilizadas em pesquisas, mas podem ser uma ferramenta facilitadora para identificação de DPP na assistência às gestantes e às puérperas.El estudio objetivó realizar una revisión sistemática sobre las escalas de rastreo de Depresión Postparto (DPP) aplicado hasta 16 semanas postparto en puérperas con más de 15 años. Se buscaron artículos en 4 bases de datos. Los artículos deberían indicar la definición y la validación exacta de los instrumentos utilizados. De los 424 resúmenes, se accedió a 62 íntegramente y de acuerdo con los criterios establecidos, se incluyeron 18 artículos en esta revisión. El período de rastreo varió de 2 a 10 días postparto y la nueva prueba entre 8 y 16 semanas postparto. La DPP fue diagnosticada entre 8,8 y 40% de la muestra de los estudios. Edinburgh Depression Postpartum Scale (EDPS) fue la escala más utilizada. Se concluyó que las escalas se usan generalmente en investigaciones pero pueden resultar una herramienta facilitadora para identificar la DPP en la atención a las gestantes y puérperas.This study aimed at conducting a systematic review of postpartum depression (PPD) screening scales in puerperal applied until 16 weeks after delivery among women above 15 years old. Articles were searched in 4 databases. The included articles should precisely describe the definition and the validation of the used instruments. Out of the 424 abstracts found, 62 complete articles were accessed, and only 18 articles that fulfilled the above-mentioned requirements were included. PPD screening period varied from 2 to 10 days postpartum, and patients were retested between 8 to 16 weeks postpartum. PPD was diagnosed in 8.8 to 40% of the patients sampled in those studies. The most frequent used scale was the Edinburgh Postpartum Depression Scale (EPDS). It was concluded that scales are frequently used in research studies, and may allow the identification of PPD in gestating and puerperal patient care.

Tratou-se de um estudo qualitativo baseado na abordagem fenomenológica com o objetivo de compreender as experiências de puérperas que vivenciaram o trabalho de parto e o parto em um modelo assistencial humanizado. Os dados foram coletados em um hospital localizado na cidade de São Paulo, onde foram entrevistadas oito puérperas. Da análise dos dados surgiram os temas: Suportando o trabalho de parto e Tendo a oportunidade de resgatar a autonomia, e o fenômeno desvelado foi "Vivendo a ambiguidade da parturição em um modelo assistencial humanizado". Os relatos evidenciaram sentimentos como dor, medo e ansiedade, porém, possibilitou a participação e resgate da autonomia. Embora o estudo tenha sido realizado em um modelo assistencial considerado humanizado, as experiências das puérperas revelam que ainda se distanciam de uma efetiva humanização, conforme seus princípios. Este estudo pode ser utilizado para nortear ações educativas voltadas à humanização e gerar mudanças assistenciaisEste es un estudio cualitativo con abordaje fenomenológica con la finalidad de comprender las experiencias de puerperas que vivieron el trabajo de parto y el parto en la asistencia humanizada. La colecta de los dados ocurrio en un hospital en la ciudad de São Paulo, donde fuera entrevistadas ocho mujeres en el periodo post-partum. De la analisis de los dados surgieron los temas: Soportando el trabajo de parto y Tiendo la oportunidad de rescatar la autonomía, siendo desvelado lo fenómeno "Viviendo la ambigüedad de la parturición en un modelo asistencial humanizado". Los relatos evidenciaron sentimientos relacionados a dolor, miedo y ansiedad, pero, posibilitou la participación y rescate de la autonomía. Aunque el estudio tener sido realizad en la asistencia humanizada, las experiencias de las puérperas fueram distantes de los principios de la asistencia humanizada. El actual estudio puede nortear aciones educativas al parto direccionadas para humanización y generar innovación en la asistenciaThat was a qualitative study with phenomenological approach that aimed at understanding women's post-partum experiences in a humanized assistance. Data were collected in a hospital from São Paulo, SP, Brazil. Eight women in post-partum period were interviewed. From data analysis two themes were extracted: Bearing the labor and Having the opportunity rescuing autonomy, being disclosed the phenomenon: "Living the ambiguity on the birth process in a humanized assistance model". The reports show feelings like pain, fear and anxiety, however, it allowed a participation and rescuing autonomy. Although the study have been realized in a humanized assistance, the women's experiences reveals that they are far from an effective humanization, according to its principles. This study can be used to guide educative actions target to humanization and to generate managerial changes