PUERPERAS’ EXPERIENCES ABOUT THE CONTACT WITH THE NEWBORN AND THE BREASTFEEDING ON THE IMMEDIATE POSTPARTUM

Objetivo: analisar a vivência de puérperas primigestas sobre o contato pele a pele com o recém-nascido e a amamentação precoce no pós-parto vaginal imediato em uma maternidade pública de Feira de Santana-Bahia. Métodos: Trata-se de um estudo descritivo, exploratório e qualitativo, realizado com seis puérperas, através de entrevistas semiestruturadas. A coleta dos dados ocorreu de março a abril de 2009, sendo os dados analisados através da Análise de Conteúdo. Resultados: as parturientes vivenciam sentimentos diversos relacionados ao recém-nascido, sentem-se preocupadas com as condições clínicas e não clínicas dos mesmos e são separadas bruscamente do filho em prol da prestação de cuidados com o recém-nascido. Conclusão: a rotina de promoção do contato pele a pele deverá considerar a opinião das mulheres envolvidas nesta prática, já que a simples execução e o seguimento desta não contemplam os princípios da humanização e da excelência do cuidado.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

Sinais sugestivos de dor durante a punção venosa periférica em prematuros

Objective: to identify the suggestive signs of pain in preterm newborns in a Neonatal Intensive Care Unit of Bahia’s Countryside during venous puncture by applying the NIPS scale. Method: this is a descriptive and quantitative study that was made in a Neonatal Intensive Care Unit, with 29 newborns. Results: the average gestational age was 31.9 weeks and the average birth weight was 1,718 g. 93.1% of newborns were female. 69% of newborns suggested no signs of pain. The suggestive signs of pain were contracted face, crying, arms and legs flexed and changed breathing pattern. Conclusions: the care nursing should focus on the assessment and management of pain in the newbornObjetivo: identificar las señales sugestivas de dolor en prematuros de una Unidad de Terapia Intensiva Neonatal del interior de Bahía durante la punción venosa periférica a través de la aplicación de la escala de NIPS. Método: estudio descriptivo y cuantitativo, realizado con veintinueve recién nacidos. Resultados: la edad gestacional media fue de 31,9 semanas y el peso medio al nacer de 1.718g. El 93,1% de los recién nacidos eran del sexo femenino. Los datos apuntaron que el 69% presentaron señales sugestivas de ausencia de dolor. Las señales sugestivas de dolor fueron cara contraída, lloro, brazos y piernas flexionadas y padrón respiratorio modificado. Conclusiones: la evaluación y el manejo del dolor en el recién nacido necesitan ser vistos como un foco del cuidado integral de la enfermería.Objetivo: identificar os sinais sugestivos de dor em recém-nascidos prematuros de uma Unidade de Terapia Intensiva Neonatal do interior da Bahia durante a punção venosa periférica através da aplicação da escala de NIPS. Método: estudo descritivo e quantitativo, realizado em uma Unidade de Terapia Intensiva Neonatal do interior da Bahia e realizado com 29 recém-nascidos. Resultados: A idade gestacional média foi de 31,9 semanas e o peso médio ao nascer, de 1.718 g. 93,1% dos recém-nascidos eram do sexo feminino. Os dados apontaram que 69% apresentaram sinais sugestivos de ausência de dor. Os sinais sugestivos de dor foram face contraída, choro, braços e pernas fletidos e padrão respiratório alterado. Conclusões: A avaliação e o manejo da dor no recém-nascido necessitam ser vistos como um foco do cuidado integral da enfermagem

CRITERIA FOR PERIPHERAL VENOUS ACCESS FIXATION IN PREMATURE NEWBORNS

Objetivo: analisar os critérios para a fixação de acessos venosos periféricos em recém-nascidos prematuros, utilizados pela equipe de enfermagem, da Unidade Semi-intensiva Neonatal de um hospital público do interior da Bahia. Métodos: estudo descritivo, exploratório e qualitativo realizado em um hospital público da Bahia, no período de agosto a setembro de 2009, com dezesseis profissionais de enfermagem. Foi aprovado por Comitê de Ética em Pesquisa pelo parecer de no 01.278-2009. Os dados foram coletados de entrevistas semi-estruturadas e registros fotográficos de acessos venosos periféricos, sendo analisados através da Análise de Conteúdo de Bardin e Análise Semiológica de Imagens, respectivamente. Resultados: a fixação dos acessos venosos periféricos é realizada através de critérios inconsistentes e sem evidências científicas, não havendo padronização que norteiem os profissionais a realizarem esta prática. Conclusões: sugerimos a elaboração de um protocolo assistencial que embase estes profissionais e sistematize esta prática, pautada na qualidade e excelência do cuidado

Criteria for peripheral venous access fixation in premature newborns

Objectives: To analyze the criteria for the peripheral venous access fixation in premature newborns used by nursing staff of the Semi-Intensive Neonatal Unit of the public hospital in the interior of Bahia. Method: A qualitative descriptive exploratory study that was made with sixteen professional nursing staff of a public hospital in the interior of Bahia in the period from August to September 2009. This study was approved by the Ethics Committee, with opinion number 01278-2009. Data were collected through semi-structured interviews and photographic records of peripheral venous access, and analyzed through content analysis of Bardin and semiological analysis of images, respectively. Results: The peripheral venous access fixation is achieved by inconsistent criteria and without scientific evidence. There is no standard to guide the professionals to carry out this practice. Conclusion: We suggest the elaboration of a care protocol care to underpin these professionals and systematize this practice, based on quality and excellence of care

CRITERIA FOR PERIPHERAL VENOUS ACCESS FIXATION IN PREMATURE NEWBORNS

Objetivo: analisar os critérios para a fixação de acessos venosos periféricos em recém-nascidos prematuros, utilizados pela equipe de enfermagem, da Unidade Semi-intensiva Neonatal de um hospital público do interior da Bahia. Métodos: estudo descritivo, exploratório e qualitativo realizado em um hospital público da Bahia, no período de agosto a setembro de 2009, com dezesseis profissionais de enfermagem. Foi aprovado por Comitê de Ética em Pesquisa pelo parecer de no 01.278-2009. Os dados foram coletados de entrevistas semi-estruturadas e registros fotográficos de acessos venosos periféricos, sendo analisados através da Análise de Conteúdo de Bardin e Análise Semiológica de Imagens, respectivamente. Resultados: a fixação dos acessos venosos periféricos é realizada através de critérios inconsistentes e sem evidências científicas, não havendo padronização que norteiem os profissionais a realizarem esta prática. Conclusões: sugerimos a elaboração de um protocolo assistencial que embase estes profissionais e sistematize esta prática, pautada na qualidade e excelência do cuidado

Relacionamento entre profissionais de saúde e parturientes: um estudo com desenhos

This study aimed to analyze the relationship between health professionals and parturients in the obstetric center at a public maternity in the interior ofBahia. This is a qualitative descriptive exploratory study that complied with the Resolution 196/96 of the National Health Council and was made in the period from February to April 2010, through semi-structured interviews with thirteen new mothers. The content analysis showed that the assistance new mothers received was indifferent, because health professionals have established an asymmetrical and power relationship, with the largest contact with the parturient occurred during the expulsive period. It is necessary the adoption of actions aimed at the host's mother, making this experience a humanized, assigning women the main role in this sublime momentEste estudio buscó analizar la relación entre profesionales de la salud y parturientas en un centro obstétrico de una maternidad pública del interior del estado de Bahia. Fue un estudio descriptivo, exploratorio y cualitativo, según la resolución 196/96 del Consejo Nacional de Salud, en el periodo de febrero a abril de 2010, que se llevó a cabo por medio de entrevistas semiestructuradas con trece puérperas. El Análisis de Contenido de los datos demostró que las entrevistadas reflejaron la asistencia recibida como indiferente, pues los profesionales de la salud establecieron una relación asimétrica y de poder, siendo que el mayor contacto con la parturienta fue en el periodo del alumbramiento. Existe una gran necesidad de establecer acciones dirigidas a un acompañamiento más directo de la parturienta, para que el parto se convierta en una experiencia más humana, que le devuelva el rol protagónico de tan sublime momento.Este estudo buscou analisar o relacionamento entre profissionais de saúde e parturientes no centro obstétrico de uma maternidade pública do interior da Bahia. Tratou-se de um estudo descritivo, exploratório e qualitativo, realizado com treze puérperas através de entrevistas semiestruturadas, no período de fevereiro a abril de 2010 e que respeitou a resolução 196/96 do Conselho Nacional de Saúde. A Análise de Conteúdo dos dados demonstrou que as entrevistadas caracterizaram a assistência recebida como indiferente, pois os profissionais de saúde estabeleceram uma relação assimétrica e de poder, sendo o contato maior com a parturiente no período expulsivo. Há necessidade da adoção de ações que visem o acolhimento da parturiente, fazendo desta uma experiência humanizada, devolvendo à mulher o protagonismo deste tão sublime momento

SOCIAL NETWORK AND SUPPORT FOR PARENTS OF PREMATURE INFANTS HOSPITALIZED IN THE INTENSIVE CARE UNIT NEONATAL

Objetivo: conhecer a rede e o apoio social de pais de recém-nascidos prematuros hospitalizados na Unidade de Terapia Intensiva Neonatal de um hospital público da Bahia e descrever como a rede e o apoio social atuam. Métodos: Trata-se de um estudo descritivo e qualitativo, aprovado por Comitê de Ética na Pesquisa e realizado com nove pais. Resultados: A Análise de Conteúdo demonstrou que os pais consideraram os profissionais de saúde atuantes na unidade neonatal e seu cuidado constante como uma rede e apoio social para o enfrentamento do processo de hospitalização. Por outro lado, estes pais consideraram a fé, a religião e/ou espiritualidade como elementos primordiais para a cura, conforto e segurança. Conclusão: É preciso entender a família como um sistema formado por subsistemas que interagem entre si e com uma rede de apoio maior, estabelecendo uma teia de relações sociais para enfrentar as demandas da doença e da hospitalização.

SOCIAL NETWORK AND SUPPORT FOR PARENTS OF PREMATURE INFANTS HOSPITALIZED IN THE INTENSIVE CARE UNIT NEONATAL

Objetivo: conhecer a rede e o apoio social de pais de recém-nascidos prematuros hospitalizados na Unidade de Terapia Intensiva Neonatal de um hospital público da Bahia e descrever como a rede e o apoio social atuam. Métodos: Trata-se de um estudo descritivo e qualitativo, aprovado por Comitê de Ética na Pesquisa e realizado com nove pais. Resultados: A Análise de Conteúdo demonstrou que os pais consideraram os profissionais de saúde atuantes na unidade neonatal e seu cuidado constante como uma rede e apoio social para o enfrentamento do processo de hospitalização. Por outro lado, estes pais consideraram a fé, a religião e/ou espiritualidade como elementos primordiais para a cura, conforto e segurança. Conclusão: É preciso entender a família como um sistema formado por subsistemas que interagem entre si e com uma rede de apoio maior, estabelecendo uma teia de relações sociais para enfrentar as demandas da doença e da hospitalização

SOCIAL NETWORK AND SUPPORT FOR PARENTS OF PREMATURE INFANTS HOSPITALIZED IN THE INTENSIVE CARE UNIT NEONATAL

Objetivo: conhecer a rede e o apoio social de pais de recém-nascidos prematuros hospitalizados na Unidade de Terapia Intensiva Neonatal de um hospital público da Bahia e descrever como a rede e o apoio social atuam. Métodos: Trata-se de um estudo descritivo e qualitativo, aprovado por Comitê de Ética na Pesquisa e realizado com nove pais. Resultados: A Análise de Conteúdo demonstrou que os pais consideraram os profissionais de saúde atuantes na unidade neonatal e seu cuidado constante como uma rede e apoio social para o enfrentamento do processo de hospitalização. Por outro lado, estes pais consideraram a fé, a religião e/ou espiritualidade como elementos primordiais para a cura, conforto e segurança. Conclusão: É preciso entender a família como um sistema formado por subsistemas que interagem entre si e com uma rede de apoio maior, estabelecendo uma teia de relações sociais para enfrentar as demandas da doença e da hospitalização.

CARE IN THE BIRTH PROCESS ACCORDING TO THE VIEW OF THE PUERPERA

Objetivo: Analisar a percepção das puérperas quanto à atenção recebida durante o processo parturitivo em uma maternidade pública de Feira de Santana-Bahia. Métodos: Trata-se de um estudo qualitativo, exploratório e descritivo, realizado no período de fevereiro a abril de 2010, através de entrevistas semi-estruturadas com dezenove puérperas e respeitou a resolução 196/96 do Conselho Nacional de Saúde. Resultados: A Análise de Conteúdo demonstrou que as entrevistadas foram submetidas a condutas que, comprovadamente, interferem na evolução do trabalho de parto e do parto, e decidiram pela busca da atenção hospitalar com o aumento das contrações uterinas e do avançar dos sinais do trabalho de parto, como uma forma de amenizar o sofrimento no cenário do espaço obstétrico. Conclusão: Para a melhoria desta prática clínica, é importante a fundamentação com evidências científicas e o uso de novas tecnologias de cuidado que proporcionem o alívio da dor e o conforto da parturiente