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      Representações de puérperas sobre o cuidado recebido no trabalho de parto e parto Translated title: Representaciones de puérperas sobre el cuidado recibido en el trabajo de parto y parto Translated title: The representations puerperal women have about the care they received during labor

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          Abstract

          Resumo Objetivo: descrever as representações sociais de puérperas sobre o cuidado recebido durante o trabalho de parto e parto. Metodologia: trata-se de um estudo descritivo baseado na Teoria do Núcleo Central, desenvolvido com 119 puérperas em uma maternidade pública localizada no Brasil, na cidade de Fortaleza, Ceará. Os dados foram coletados por meio do Teste de Associação Livre de Palavras, que continha como estímulos indutores: trabalho de parto, parto, cuidado no trabalho de parto e parto, sendo transcritos e analisados pelo software Evoc. Resultados: a partir da análise estrutural, os vocábulos dor, felicidade e orientação apresentaram maior frequência como elemento central dos respectivos termos indutores. Conclusão: por meio dos resultados obtidos, é possível afirmar que o momento do trabalho de parto e do parto é crucial para que o enfermeiro planeje e execute uma adequada assistência durante o processo de parturição a fim de reduzir o impacto das representações negativas em relação a esse processo.

          Translated abstract

          Resumen Objetivo: describir las representaciones sociales de puérperas sobre el cuidado recibido durante el trabajo de parto y parto. Metodología: se trata de un estudio descriptivo basado en la Teoría del Núcleo Central, desarrollado con 119 madres, en un hospital público de Fortaleza, Ceará, Brasil. Los datos fueron recolectados por medio del Test de Asociación de Palabras, que contenía como estímulos inductores: cuidado, trabajo de parto, parto, cuidado en el trabajo de parto y en el parto, siendo transcritos y analizados por el software Evoc. Resultados: a partir del análisis estructural, los vocablos dolor, felicidad y orientación presentaron mayor frecuencia como elemento central de los respectivos términos inductores. Conclusión: por medio de los resultados obtenidos, es posible afirmar que el momento del trabajo de parto y el parto es crucial para que el enfermero planee y ejecute una adecuada asistencia durante el proceso de parto con el fin de reducir el impacto de las representaciones negativas en relación con ese proceso.

          Translated abstract

          Abstract Objective: to describe the social representations puerperal women have about the care they received during labor and delivery. Methodology: this is a descriptive study, based on the Theory of the Central Nucleus, which was undertaken with 119 women in the postpar-tum period in a public maternity hospital, located in the city of Fortaleza, Ceará, Brazil. The data were collected through the Free Word Association Test, which included as inductive stimuli: care, labor, delivery and care in labor and delivery. The data were transcribed and analyzed with Evoc software. Results: the structural analysis showed that the words "pain", "happiness" and "guidance" ocurred more frequency as a central feature of the respective inducing terms. Conclusion: the results confirm that the moment of labor and delivery is crucial for nurses in the planning and implementation of adequate care during parturition insofar, as such measures lessen the impact of negative representations of childbirth.

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          Intervenções obstétricas durante o trabalho de parto e parto em mulheres brasileiras de risco habitual

          Este artigo avaliou o uso das boas práticas (alimentação, deambulação, uso de métodos não farmacológicos para alívio da dor e de partograma) e de intervenções obstétricas na assistência ao trabalho de parto e parto de mulheres de risco obstétrico habitual. Foram utilizados dados da pesquisa Nascer no Brasil, estudo de base hospitalar realizada em 2011/2012, com entrevistas de 23.894 mulheres. As boas práticas durante o trabalho de parto ocorreram em menos de 50% das mulheres, sendo menos frequentes nas regiões Norte, Nordeste e Centro-oeste. O uso de ocitocina e amniotomia foi de 40%, sendo maior no setor público e nas mulheres com menor escolaridade. A manobra de Kristeller, episiotomia e litotomia foram utilizada, em 37%, 56% e 92% das mulheres, respectivamente. A cesariana foi menos frequente nas usuárias do setor público, não brancas, com menor escolaridade e multíparas. Para melhorar a saúde de mães e crianças e promover a qualidade de vida, o Sistema Único de Saúde (SUS) e, sobretudo o setor privado, necessitam mudar o modelo de atenção obstétrica promovendo um cuidado baseado em evidências científicas.
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            Competence of birth attendants at providing emergency obstetric care under India’s JSY conditional cash transfer program for institutional delivery: an assessment using case vignettes in Madhya Pradesh province

            Background Access to emergency obstetric care by competent staff can reduce maternal mortality. India has launched the Janani Suraksha Yojana (JSY) conditional cash transfer program to promote institutional births. During implementation of the JSY, India witnessed a steep increase in the proportion of institutional deliveries-from 40% in 2004 to 73% in 2012. However, maternal mortality reduction follows a secular trend. Competent management of complications, when women deliver in facilities under the JSY, is essential for reduction in maternal mortality and therefore to a successful program outcome. We investigate, using clinical vignettes, whether birth attendants at institutions under the program are competent at providing appropriate care for obstetric complications. Methods A facility based cross-sectional study was conducted in three districts of Madhya Pradesh (MP) province. Written case vignettes for two obstetric complications, hemorrhage and eclampsia, were administered to 233 birth attendant nurses at 73 JSY facilities. Their competence at (a) initial assessment, (b) diagnosis, and (c) making decisions on appropriate first-line care for these complications was scored. Results The mean emergency obstetric care (EmOC) competence score was 5.4 (median = 5) on a total score of 20, and 75% of participants scored below 35% of the maximum score. The overall score, although poor, was marginally higher in respondents with Skilled Birth Attendant (SBA) training, those with general nursing and midwifery qualifications, those at higher facility levels, and those conducting >30 deliveries a month. In all, 14% of respondents were competent at assessment, 58% were competent at making a correct clinical diagnosis, and 20% were competent at providing first-line care. Conclusions Birth attendants in the JSY facilities have low competence at EmOC provision. Hence, births in the JSY program cannot be considered to have access to competent EmOC. Urgent efforts are required to effectively increase the competence of birth attendants at managing obstetric complications in order to translate large gains in coverage of institutional delivery services under JSY into reductions in maternal mortality in Madhya Pradesh, India.
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              Nonpharmacologic Approaches for Pain Management During Labor Compared with Usual Care: A Meta-Analysis

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
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                Role: ND
                Role: ND
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                Journal
                aven
                Avances en Enfermería
                av.enferm.
                Universidad Nacional de Colombia (Bogotá, D.C., Colombia )
                0121-4500
                April 2018
                : 36
                : 1
                : 22-30
                Affiliations
                [2] Ceará orgnameFaculdade Terra Nordeste Brazil
                [7] Ceará orgnameEstratégia de Saúde da Família Brasil
                [4] Ceará orgnameUniversidade Estadual do Ceará Brazil
                [1] Ceará orgnameFaculdade Nordeste Brazil
                [3] Ceará orgnameUniversidade Estadual do Ceará Brazil dafne.rodrigues@ 123456uece.br
                [8] Ceará orgnameUniversidade Estadual do Ceará Brazil anavirginiamf@ 123456terra.com.br
                [6] Ceará orgnameUniversidade Estadual do Ceará Brazil
                [5] Ceará orgnamePrograma Institucional de Bolsas de Iniciação Científica Brasil
                Article
                S0121-45002018000100022
                10.15446/av.enferm.v36n1.63993
                c62d4261-6233-4f8b-9f10-9cba13b8a9e7

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 11 April 2017
                : 11 September 2017
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 25, Pages: 9
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                SciELO Colombia


                Trabajo de Parto,Natural Childbirth,Labor, Obstetric,Psicología Social. (fuente: DeCS, BIREME),Dolor de Parto,Psychology, Social. (source: DeCS, BIREME),Labor Pain,Trabalho de Parto,Parto Normal,Dor do Parto,Psicologia Social. (fonte: DeCS, BIREME)

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