Implementação do uso do partograma pelos enfermeiros obstetras de uma maternidade de Aracaju.

Abstract

The partogram has been improved and simplified in search of a more practical and effective model in the monitoring of labor since its inception, in 1950. It plots your progress, identifying changes and indicating decisions at the right time. This study aims to implement and encourage the use of the partogram by obstetric nurses of the obstetric center of a maternity top risk in Aracaju city, in the Sergipe province. For this, we applied an intervention project, initially with the verification of knowledge about the partogram, promoting an updating on the issue and further collaboration and encouraging the routine use of this instrument by these professionals. We identified that all professionals involved in the research know the partogram, its importance, when and how to fill it up. Nevertheless, due to difficulties as lacking protocol, overcrowding in the sector and overcharging of care and administrative, these professionals can not put it into practice. We conducted an updating moment on the subject, in which it was possible to clarify doubts and reaffirm the importance of the instrument as healthcare quality indicator. After the intervention, we identified no changes regarding the application of the partogram, mainly caused by overcrowding, overloading, professional deficit and problems related to multiprofessional interaction. The result of this work will be presented to the management of the institution in order to signal the weaknesses and suggest changes strategies such as: development of protocols and continuing education on partogram for all professionals involved in the childbirth process.