Orientação à gestante quanto a escolha da via de parto

Abstract

The lack of guidance of pregnant women about the advantages and benefits of vaginal delivery for themselves and their fetuses have contributed to these women adopt birth by cesarean section as first choice. These women should be oriented since the early prenatal as the most suitable type of delivery to their clinical conditions, as vaginal delivery gathers towards cesarean, a number of advantages which make it an ideal form of to give birth as it has most cost-effective and provides the woman a much faster recovery. In contrast, abdominal childbirth increases by up to 2.3 times the risk of maternal morbidity and mortality. Since 2009, the number of abdominal births in our country has exceeded the vaginal deliveries, reaching 56.63% in 2013. These figures may reflect the lack of preparation of these women that the lack of knowledge on the subject tornam- is insecure and vulnerable at birth. During the care of pregnant women in prenatal care, many questioned, since the first consultation on which type of delivery would be submitted, and some reported that they had been approached by health professionals to agendassem cesarean section because it claimed to be a more procedure comfortable and safe for mother and baby, without exposing the risks of surgery. Thus, this intervention study aimed to guide the pregnant women during prenatal about the best choice of mode of delivery in a usual risk of pregnancy through health education activities. So far they have been held 8 educational activities with the participation of 113 pregnant. The activities were held monthly. The topics were healthy nutrition and exercise during pregnancy, type of delivery, vaginal delivery advantages over abdominal delivery for the mother and the baby, how to identify the onset of labor and positions that favor the baby out during labor . The end of each activity was marked by physical exercises to strengthen the pelvic floor to prepare the body for childbirth and offering a quick snack courtesy of the health unit employees. It is expected to reach a number of 140 women until December 2015 and demystify vaginal delivery contributing to the reduction of unnecessary cesareans number.