Implantação da consulta de 37ª semanas de gestação pela enfermeira obstetra

Abstract

The World Health Organization, based on scientific evidence around the world, developed a manual of good practices for attending normal childbirth in 1996. Only in 2005, in Brazil, a law was passed for women to choose their companion at work labor, delivery and postpartum. When proposing the implantation of obstetrical nurse care in the consultation of 37 weeks of gestation in a hospital environment, it initiates a bond with the pregnant woman and the relatives. In this final period of gestation, she will have assured right and access to maternity referral already knowing the team that will meet you and your baby in a safe and humanized way. The nurse will monitor your insecurities, fears, doubts and distress experienced during gestation. The experiences you have had in previous pregnancies if it is multiparous, or the fear of the primitive with all the information that has been passed on by friends and family. It is a time of great sensitivity for gestation, hormonal changes, eating habits, baby growth, guidelines on obstetric violence, non-pharmacological methods, emotional and psychological issues. This attention to the woman is significant during labor and the assistance of all staff is apt to receive her and her family. When she is oriented before the moment of delivery, she can assimilate much more information and the difficulties are overcome. Like the Law of professional practice, nurses can fully follow low-risk prenatal care in the basic care network. And in the prenatal care book, prenatal care is the first step toward childbirth and humanized birth. Caring, looking, listening, listening, feeling, perceiving, are much sharper perceptions by the nursing professional. Then one can see that care, comfort are closely linked and are paramount during labor. Patience and guidance are key to a healthy, calm delivery.The Maternity where the 37th appointment will be performed by the obstetrician nurse is a reference in the low-risk pregnant woman attending the Cegonha and Mãe Paranaense Network Program, her attendance is 100% of the Unified Health System. a link between the patient and the maternity staff. This follow-up at theend of the gestation that precedes the birth will break many paradigms and myths brought by pregnant women at the moment of the consultation. The information will be passed according to the need presented in the consultation, such as difficulty in breastfeeding, family planning, vaccines, hygiene, among others. This will be a time of construction of the birth, so also, will perform the Childbirth Plan with the pregnant and family that will accompany the delivery of their free choice, where they will meet all their needs during labor. For this insertion of the Obstetrician Nurse in the attendance of this consultation, initiated work of sensitization with the managers, therefore, this position does not contemplate within the planning of servers of the human resources of the municipality, once the maternity is maintained by the city hall. Meetings were held with managers, clinical staff, heads of primary care, multiprofessional team, and human resources presenting the cost-benefit, advantages of hiring the obstetrician, follow-up of the pregnant woman before the childbirth, together with the primary care team family health program. At the end of this project it is expected that the project has already passed in the approved municipal council, and with the insertion of the obstetrician nurse by public contest or selective.