Atendimento às mulheres em situação de abortamento no Hospital Maternidade Pública Dona Regina: estratégia para mudança do cenário de prática

Abstract

Objective: To implement the Interdisciplinary Protocol of Humanized Attention to Abortion of the HMDR with the professionals that provide care to these women, from hospitalization to discharge. Methodology: Descriptive research, in the convergent care modality, carried out through the implementation of the Interdisciplinary Protocol of Humanized Attention to Abortion in conversation wheels in the months of April, May and July of 2017, together with the multiprofessional team of the various HMDR sectors. Results and Discussion: In the year 2016, 562 cases of abortion were performed. Of these, 25% used the Manual Intra-Uterine Aspiration (MVA) method, 70% curettage method and 4% drug treatment. Of the total number of HMDR appointments to these women, 68.5% were of gestational age less than 12 weeks, and in this situation the most used method was curettage, representing 62% of the total number of methods used. The initial disinterest of the professionals was observed in the presence of numerous justifications for not participating in the conversation, among the main ones were: inappropriate time, too much service demand, occupation, no motivation to change the context of practice, blaming another individual as responsible by this action, lack of recognition of the role as health professional. Conclusion: It was concluded that the protocol was not shared among the professionals involved in the care of women in the abortion situation during their elaboration process, and that the maternity professionals showed total ignorance about the same since its first edition.