Exercícios facilitadores durante trabalho de parto: uma proposta para melhoria da assistência obstétrica

Abstract

Freedom of position, maternal mobility and encouraging the non-supine positions are considered by the World Health Organization as clearly useful behaviors and should be encouraged during labor and delivery. Studies have shown the superiority of vertical positions because they have advantages in increasing maternal pelvic diameters, pro-moting a rectification of the birth canal and alignment of the fetus in the maternal basin, maximizing maternal expulsive tugs in the second stage, in addition to promoting a re-duction of working time of delivery. This study aims to implement the use of facilitators exercises during labor by the nursing staff. The methodology adopted is intervention project where sensitization and training workshops will be held on the subject in ques-tion with the nursing staff of the Hospital Delivery Room Dom Malan, located in Pe-trolina Pernambuco. The hourly charge of the workshops is eight hours and will be di-vided into five stages: 1st moment:presentation of the problem and the proposed work-shop for the participants and reporting thereof on their previous knowledge on the sub-ject. 2nd Moment:Lecture exhibition on enhancing exercises: What exercises can be developed by the woman and at what stage of labor each year is indicated. 3rd Mo-ment:knowledge evaluation acquired after lecture. 4th Time:Practical activity facilita-tors exercises with the use of materials available at the institution. 5th Time:Workshop evaluation by participants. It is expected that the development of this project enables 100% of nursing professionals in the Delivery Room on facilitating exercise of labor.