Inserção do enfermeiro obstetra no cenário do parto e ambiência como facilitador do processo

Abstract

INTRODUCTION: The resolution of COFEN No. 478 of 2015 regulates the performance of the Nurse Obstetrician and says that it is for them to promote a model of care centered on the woman in labor and birth, favorable ambience to the labor and delivery physiological evolution and ensure the presence the woman's choice of companion, as provided by law. Must ensure practices aimed at a humanized attention. Its concept is broad and includes several meanings, from its application to obstetric and neonatal care context, begins at the pregnant woman's care during the antenatal and seeks to ensure that the health team performs best practices, evidence-based to efficacy and safety, to avoid unnecessary interventions and preserve the privacy and autonomy of all involved. OBJECTIVE: To propose the inclusion of Nurse Midwife at the scene of childbirth and improve the ambience of the Center for Childbirth, University Hospital, Federal University of Maranhão (HUUFMA). METHODS: This is a proposal of intervention carried out from December 2014 to September 2015 in HUUFMA the Birth Center. RESULTS: HUUFMA the Birth Center has become a fertile field for the start of a new model of care to women and newborns, based on the humanization and care carried out by Nurse Midwife. See a new environment and a new essence of care is a major achievement. However, much still to advance. Still remains the challenge of inserting increasingly Nurse Midwife at birth scene. CONCLUSION: Despite the extensive discussion of the humanization of assistance to women and newborn still a long way to go, especially to the implementation of a proper care at delivery. Being able to see each empowered nurse's your doing and beside the woman in labor already demonstrates a breakthrough. The Nurse Midwife returned to practice his role from the host to the woman and her family in the birth center to its monitoring during labor and delivery, making it available with quality presence for this moment. Every woman admitted to the Birth Center along with her companion, the nurse receives, fills the Nursing History and starts to obstetric evaluation, all with quality of presence, allowing a Clinical Meeting between professional and family.