O uso da tração controlada do Cordão Umbilical em relação ao tempo de dequitação e complicações hemorrágicas

Abstract

Nursing and especially the category of obstetric nurses have contributed and performed functions aimed at improving obstetric care as well as humanization of delivery care. It is salutary to the important role of this professional throughout the delivery process, highlighting the important surveillance in the third stage of labor, for clinical signs, as it is a period that presents bleeding risks, which might cause maternal mortality. This study aimed to: compare the use of umbilical cord Controlled Traction in relation to placental delivery time and bleeding complications as a way of active management in the 3rd stage of labor during the delivery room stages, the specialization course in midwifery . This was an exploratory study with a quantitative approach. The study population consisted of women who were on the 3rd delivery period, admitted in maternity hospitals: Hospital St. Vincent de Paul in União dos Palmares, Maternity Prof. Mariano Teixeira University Hospital, Maternity Our Lady of Fatima, Maternity Nossa Senhora da Guia in Maceio, during the realization of the stages in the delivery room of the specialization course in midwifery in the period 05/08/15 to 05 / 10/15. In total 108 deliveries were performed. The research identified that was used controlled cord traction technique in 98% of deliveries, therefore only 2% of births used expectant management. In general, the graduate students have adopted the active management of the third stage of labor, using the techniques among them controlled cord traction. Active management and active management of 3rd stage: is based on the routine practice of actions aimed at preventing the bleeding complications of the 3rd stage, using: prophylactic and routine use of oxytocics; clamping, early section and controlled cord traction for placental attachment associated with pressure at the bottom of the uterus. These techniques were used simultaneously with the delayed section of the umbilical cord to prevent anemia in the newborn, which are recommended by scientific evidence.