Assistência de enfermagem no quarto período clínico do parto em uma maternidade pública Teresina: um projeto de intervenção

Abstract

The room clinical stage of labor corresponds to the first hour after delivery of the placenta. This period is often overlooked by health professionals, becoming a period of wide maternal risk. The fourth stage of labor is still overlooked by many professionals. In that maternity patients soon after birth are forwarded to the rooming-in wards without prior evaluation, often already with an initial uterine atony board, but that is not observed and these are without proper care, delaying the identification bleeding that can be fatal. There at the Obstetric Center (COS) of said public maternity nursing routines about this important period of delivery, which prompted the intervention of this project. Methodology: This is an intervention project, which is a proposal for action from the interpretation of reality, a form of evaluation of the patient who will be deployed in the form of in-service training on all shifts and nursing teams has been prepared, deploy in the form of training services to these teams and evaluate using data from medical records. It aims to: implement care routine that period, implement the use of the form, involve the whole staff participation in this implementation. Results and discussion: The intervention consisted in creating a routine for nursing service from the use of a form where the professional nursing is the evaluation of uterine tone, vital signs and bleeding characteristics postpartum and records Form itself after the first postpartum hours before the patient get out of the delivery room and is forwarded to the rooming. This opportunity should also encourage breastfeeding and skin-to-skin contact between mother and newborn. Final thoughts: Creating a tool to improve delivery care routine and postpartum improves nursing care at the obstetric center and can prevent deaths related to postpartum hemorrhage, and that points to the need for subsequent actions Related to this issue, such as creating routines for all nursing activities in the delivery room. Keywords: Natural childbirth, postpartum, postpartum hemorrhage, nursing.