Abstract
ABSTRACT Objective: to reflect on nursing care for women undergoing parturition from the perspective of nursing professionals. Method: this is a study with a qualitative approach based on Convergent Care Research. The participants were 36 nursing professionals, who developed assistance activities for women undergoing parturition in an Obstetric and Gynecological Surgical Center of a University Hospital in southern Brazil. For data collection, the convergence group discussion technique was used, through audio-recorded thematic workshops following the phases of the process called Four Rs (4Rs), from June to August 2017. The data were analyzed using the thematic analysis proposed by Creswell, supported by the Iramuteq software. Results: five classes emerged: weaknesses/limitations in the parturition process; ambience and human resources in the parturition process; imposition of care and lack of privacy for women in the parturition process; process of being born: the understanding of nursing professionals; and contributions in the care process for a better birth. Conclusion: the present study allowed understanding the relationships of the nursing care for women in the process of parturition, identifying the barriers and weaknesses in the care process, reflecting and discussing possibilities for the systematization of nursing care in the parturition process.
Highlights
In the last two decades, women have been encouraged to have their babies in health facilities in much of the world, to ensure qualified assistance and timely referrals to the needs presented; the quality of care still does not guarantee the achievement of desired results and is below the ideal
The present study allowed us to reflect on the relationships of nursing care to women in the parturition process and to identify challenges inserted in the care practice
In this process, nursing professionals play a fundamental role in guaranteeing individuality and comprehensive care for women, in a way that converges with good practices in delivery and birth care based on scientific evidence, so that they take place safely and with quality
Summary
In the last two decades, women have been encouraged to have their babies in health facilities in much of the world, to ensure qualified assistance and timely referrals to the needs presented; the quality of care still does not guarantee the achievement of desired results and is below the ideal. Through guidelines,[1] the World Health Organization (WHO) has been seeking changes in the care model, which emphasize that care focused on the needs and expectations of women is as important as clinical care Based on this understanding, the WHO recommends respecting women’s values and choices, emotional support, and effective communication as essential components that should complement any clinical intervention.[1,3]. A review that included 35 studies from 19 countries showed that most pregnant women want a positive birth experience, in which safety and psychosocial well-being are valued Among which they included the birth of a healthy baby in a safe environment, with emotional support, and competent and reassuring professionals; they mostly wanted physiological labor and delivery, to maintain personal control through active decision-making, that is, protagonism, empowerment and autonomy in the process of delivery and birth.[4]
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