Concepcão de mulheres sobre o trabalho de parto e parto assistido por enfermeiras (os)

Abstract

The process of birth is a natural event, shared between women and their families, and midwives - for a long time - the midwife responsible for the activity. In the sixteenth century was the medicalization of childbirth, passing this to be lived public way. Gradually, we realized the need to promote minimal interventions during labor and delivery, with care to bring comfort to the mother and her child. In this context, (the) midwife (o) is (the) professional who is always present in the monitoring of labor, acting directly in assisted birth. With this research has as object the design of women on the assistance of (the) nurse (o) during labor and vaginal delivery in the Delivery Center (DC), and aims to describe the design of the women on the assistance provided by (the) nurse (o) during labor and vaginal delivery in a birthing center Lauro de Freitas - Bahia; Describe the socio-demographic characteristics and obstetric women assisted by (the) nurse (o) and identify the limits and possibilities of such assistance in the design of women. This is a study of exploratory and descriptive, with a qualitative approach, developed in the period from August to November 2014, in a DC in the city of Lauro de Freitas, participating in the study 11 women. Obeying the ethical aspects, the empirical data were obtained through structured form for collecting secondary data and semi-structured interview, which was recorded by NEXTCALL program. Through content analysis guided by Bardin, 4 themes emerged: The choice of a delivery center, indicating the reasons for which the desired normal delivery, and because sought a DC; Support received, describing the type of support received from family, companion and DC professionals; Experiencing good practice: report all recommended practices that were stimulated, including the performance of the obstetric nurse, and finally, professional Anonymity: category in which it appears the dubious aspect of the presentation of the professionals who provide care to women. Finally, the results of this study corroborate that the experience vaginal delivery in DC women feel protagonists of their birth; that the presence of (a) escort was crucial to support women, reducing the feeling of fear and abandonment. The care of midwives in a DC, described by women, were in agreement with the recommendations and were considered satisfactory and effective, as brought comfort and support, and forward security. Some women clearly distinguished professional categories who provided care to them, while others do not, it is necessary to stress the importance of presentation and reception of professionals for the woman and her (his) companion. The limits of assistance appointed by them was the fact that no pediatrician on staff, and the possible absence of a suitable suture material. Only one respondent reported having complications in the puerperium, not disqualifying assistance extended such assistance, which concerns quality by all interviewees. Thus, the study proposes that the DC, which is currently closed to be reopened, given the need for a warm and humanized service in the region