Contato pele-a-pele na operação cesariana: o enfermeiro como promotor desta prática

Abstract

INTRODUCTION: With the “Rede Cegonha” project, we have been establishing multidisciplinary actions in maternity, seeking quality care focused on women and baby. The actions have been in practice based on scientific evidence of the realization of skin to skin contact immediately after birth. Despite the great incentive to vaginal childbirth, there are a large number of caesarean surgeries, which means that in a large number of pregnant women, is not carried out the skin to skin contact and breastfeeding within the first hour. OBJECTIVES: To implement the practice of skin to skin contact in the caesarean surgeries as a routine of the institution allowing the nurse to accomplish this action. To monitor indicators of the operating room related to this practice METHODOLOGY: this is a project conducted in the months of June to September 2015 in a tertiary maternity in the state of Ceará. It has been noted the need to provide the skin to skin contact in assisting the binomial not only in birth by vaginal delivery, but also after cesarean surgery. The work began with the proposal of the exhibition with the surgical team then had inclusion criteria being pregnancy to term, Apgar at 5 minutes greater than 7, maternal stability and neonatal as well as information about the benefits and verbal authorization of the procedure. After evaluation of the newborn by the neonatologist, the newborns were placed in skin-to-skin. The experiment was conducted in 228 dyads. As we were doing this practice, we realize its viability and adherence of the team. We obtained an average of 23.1% of skin to skin contact after cesarean section, however, we realized that there was a failure on the windows registry, since only identified 40.5% of filled indicators. We emphasize that despite being a practice carried out by any of the professionals involved with the birth, such assistance was only realized when the nurse came to take on this task. CONCLUSION: we realize that is a possible action to be performed with minimal cost and positive impact on the mother-child binomial providing all the benefits of this contact in the first hour of life, reducing clearance, providing early breastfeeding and leading to cesarean surgery all this practical advantages.