Abordagem sobre as boas práticas do parto e nascimento na atenção primária: incentivo ao parto normal

Abstract

The present work has as general objective to perform intervention in Primary Care to encourage normal humanized delivery. It is an intervention study aimed at raising the awareness of professionals working in primary care, regarding the Good Practices in Care of Childbirth and Birth, in order to improve prenatal care, regarding the preparation of women for the moment of childbirth. The study followed the following phases: Phase 1 - Application of a pre-test to approach the good practices of childbirth and birth during prenatal care and Training through a focus group for nurses; Phase 2 - Intervention with the ACS group acting in the municipality to explain the project and its objectives in primary care; Phase 3 - Intervention with a group of pregnant women and companions for explanation and demonstration of good practices of childbirth and birth; Phase 4 - Second part of the Training through a focus group for nurses working in Primary Care, encouraging the use of the Pregnant Woman's Booklet as a roadmap for a quality consultation and a complete instrument containing subjects on good practices in labor , childbirth and the puerperium. The activities were carried out in the months of November 2017 to January 2018. It was possible to perceive the satisfaction of the ACS and the pregnant women in participating in the project because they came to know a reality previously unknown in the municipality. At the moment performed with the nurses it was visualized an advance in the results compiled from the pre and post-test, evidencing an improvement in the practice in assisting the pregnant woman in prenatal care offering information pertinent to her care during labor and delivery. Given the obstetric reality of the municipality, it was possible to perceive the progress after the interventions carried out both in the primary care network and in the hospital with the interventions of another student of this specialization. The environment and the knowledge of the secondary care professionals have changed, guaranteeing a more qualified assistance to the parturients. Linked to this, we see a new spirit in the professionals in observing the changes and the happiness of the pregnant women when having a well assisted delivery. During the puerperium consultations we have received positive feedback and how important the information passed on to these women during consultations was. We know that the greatest results will come over time and that this was just the beginning of a great process, so we recognize the need for other moments to discuss the process of gestation, birth and birth in our city.