Visita prévia das gestantes na maternidade de uma instituição filantrópica do município de Araçuaí- MG

Abstract

Problem: Insecurity and fear of the unknown are factors that negatively imply during childbirth and birth. Prior knowledge of motherhood implies strengthening the recovery of women's autonomy, empowering them and making them protagonists of their labor. In São Vicente de Paulo Hospital, the previous visit of pregnant women in the maternity hospital is a strategy that has not yet been instituted by the institution. This project aimed to implant the previous visit of the pregnant women in a philanthropic institution in the municipality of Araçuaí / MG. Place of intervention: Hospital São Vicente de Paulo in the municipality of Araçuai, MG. Target audience: Doctors, nurses, nursing technicians and pregnant women. Rationale: To favor the empowerment of women based on the guidelines that will be offered during the maternity visit. Methodology: Initially a situational diagnosis was carried out with the director, medical staff and nurses, discussing the importance of the pregnant woman's previous visit to maternity, as a strategy to rescue women's autonomy and, consequently, to improve the quality of care. The PI was divided into 4 steps. First stage: definition of IP based on situational diagnosis; In the second stage, we established bond with primary care; In the third stage, meeting with the ESF nurses, outlining strategies for the implementation of the IP. And, in the fourth and last stage, the first visit of pregnant women to maternity. The visits are being accompanied by the maternity nurse, social worker and doulas. During the visit there is a conversation wheel, a dynamic that helps in the elaboration of the birth plan, and in the final demonstration of the physical structure from admission to prepartum. Results and evaluation: With the visit the pregnant women showed anxiety, however, after the accomplishment of the birth plan, with the conversation wheel and knowing the environment, and the approximation of the future reality brought the feeling of tranquility and, at the same time time, the certainty that it would be a good thing, making fullness take hold of the moment. In view of all the difficulties for the IP, it is concluded that the previous visit of the pregnant women is important because it favors the reduction of anxiety and fear that is often present in the pregnant women's life and that negatively influences the time of delivery , such observation could be possible through the direct observation performed with the pregnant women who participated in the visits.