Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/9208 |
Resumo: | Introduction: Maternal mortality became an indicator of social development, the Millennium Development Goals were a global initiative promoted by the United Nations and signed in 2000 by the governments of more than 180 countries, with targets between the years 2000 to 2015 which aimed at social development and the eradication of poverty. , to improve care for women, it is necessary to plan and evaluate existing actions, mainly during the puerperal pregnancy period. Considering the identification of risk factors related to maternal and neonatal mortality, since this situation is an important indicator that reflects socioeconomic and reproductive conditions, and especially those related to prenatal care, delivery and newborns. Objectives: To evaluate the puerperal pregnancy cycle by measuring the impact of this care within the context of humanization. Methods: This is a cross-sectional, observational, descriptive and quantitative study developed at the Dona Iris Hospital and Maternity Hospital (HMDI), located in the city of Goiânia, which performs 100% of the visits by SUS.23.0. Results and discussion: It was observed that almost 35% of the puerperae already had a child and were in the second gestation and the type of delivery, of the last gestation was normal 63% versus 37% cesarean, most did not report that they did not have abortions 81% and that used the public service for consultation in prenatal care 99.7%. These data draw attention because it is a group that despite the type of normal delivery having a higher rate the number of cesareans were high. Regarding the type of delivery, it was observed that 37% of the puerperae had a cesarean delivery. Considering that 99.7% of the women used the public service for consultation in prenatal care, and that the majority of prenatal routine exams were performed by SUS and 64% showed that women did not wait of examinations by the system preferring the private network to advance the exams. The distribution of exams 99.7% took blood and urine and all did 100% sonography. Regarding the participation of the choice of delivery 56% reported having participated and 44% stated they did not participate in the choice by the type of delivery. When considering the number of times she needed to go to the maternity ward until she was admitted to the hospital, 37% said only once and 25% had to go to maternity hospital more than or equal to twice.The results showed that most of the puerperal women 66% reported a number of vaginal touches greater than or equal to three and the professionals who performed were 59%. Conclusion: When evaluating the pregnancy-puerperal cycle in the puerperal view, a great improvement in care and assistance in this period after the humanization policy in maternities is noticed, but it is necessary to improve working conditions for professionals, financial and human resources, providing education and Cheers. It is concluded that managers need to invest more in the improvement of the policy in the attention of women offering training to the employees that the reference and reference is effective and resolutive for the woman does not peregrine with her pregnancy and that employees respect the physiology of woman avoiding abuse. |
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Amaral, Waldemar Naves dohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4708455H9Amaral, Waldemar Naves doAlmeida, Suzy Darlen Soares deSousa, Juarez Antoniohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4429717P7Oliveira, Cinthya Leal de2019-01-08T11:41:21Z2018-11-10OLIVEIRA, C. L. Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada. 2018. 73 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018.http://repositorio.bc.ufg.br/tede/handle/tede/9208Introduction: Maternal mortality became an indicator of social development, the Millennium Development Goals were a global initiative promoted by the United Nations and signed in 2000 by the governments of more than 180 countries, with targets between the years 2000 to 2015 which aimed at social development and the eradication of poverty. , to improve care for women, it is necessary to plan and evaluate existing actions, mainly during the puerperal pregnancy period. Considering the identification of risk factors related to maternal and neonatal mortality, since this situation is an important indicator that reflects socioeconomic and reproductive conditions, and especially those related to prenatal care, delivery and newborns. Objectives: To evaluate the puerperal pregnancy cycle by measuring the impact of this care within the context of humanization. Methods: This is a cross-sectional, observational, descriptive and quantitative study developed at the Dona Iris Hospital and Maternity Hospital (HMDI), located in the city of Goiânia, which performs 100% of the visits by SUS.23.0. Results and discussion: It was observed that almost 35% of the puerperae already had a child and were in the second gestation and the type of delivery, of the last gestation was normal 63% versus 37% cesarean, most did not report that they did not have abortions 81% and that used the public service for consultation in prenatal care 99.7%. These data draw attention because it is a group that despite the type of normal delivery having a higher rate the number of cesareans were high. Regarding the type of delivery, it was observed that 37% of the puerperae had a cesarean delivery. Considering that 99.7% of the women used the public service for consultation in prenatal care, and that the majority of prenatal routine exams were performed by SUS and 64% showed that women did not wait of examinations by the system preferring the private network to advance the exams. The distribution of exams 99.7% took blood and urine and all did 100% sonography. Regarding the participation of the choice of delivery 56% reported having participated and 44% stated they did not participate in the choice by the type of delivery. When considering the number of times she needed to go to the maternity ward until she was admitted to the hospital, 37% said only once and 25% had to go to maternity hospital more than or equal to twice.The results showed that most of the puerperal women 66% reported a number of vaginal touches greater than or equal to three and the professionals who performed were 59%. Conclusion: When evaluating the pregnancy-puerperal cycle in the puerperal view, a great improvement in care and assistance in this period after the humanization policy in maternities is noticed, but it is necessary to improve working conditions for professionals, financial and human resources, providing education and Cheers. It is concluded that managers need to invest more in the improvement of the policy in the attention of women offering training to the employees that the reference and reference is effective and resolutive for the woman does not peregrine with her pregnancy and that employees respect the physiology of woman avoiding abuse.Introdução: A mortalidade materna passou a ser um indicador de desenvolvimento social. Neste caminho para melhorar a assistência à mulher, o planejamento e a avaliação de ações já existente devem ser primordiais no período gravídico puerperal. Uma vez que, neste período, fatores de risco estão relacionados com a mortalidade materna e neonatal, pois tal situação reflete nas condições socioeconômicas, reprodutivas e, principalmente, as relacionadas à assistência pré-natal, ao parto e aos recém-nascidos. Objetivo: Avaliar o acompanhamento do ciclo gravídico puerperal de forma panorâmica a assistência obstétrica em uma maternidade humanizada. Métodos: Tratou-se de realizar uma revisão integrativa com o tema assistência humanizada à gestante no ciclo gravídico puerperal cujo título é; Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal: uma revisão integrativa, e um estudo original com o título: Compreendendo o ciclo gravídico-puerperal na rede de saúde pública em uma maternidade humanizada: visão das puérperas, estudo transversal, observacional, descritivo e quantiqualitativo, desenvolvido em uma maternidade pública em Goiânia-Goiás,com amostra de 342 puérperas cujas as entrevistas ocorreram entre julho e dezembro de 2017, por meio de um questionário com questões fechadas e já validadas. Resultados e Discussão: A revisão integrativa provou que as publicações esforçaram para melhorar o acompanhamento da mulher, e que os profissionais têm contribuído com publicações sobre educação à saúde no ciclo gravídico puerperal de baixo risco baseado no modelo humanizado.No artigo original observa-se que (35%) das puérperas já tinham um filho e estavam na segunda gestação, e o tipo de parto da última gestação foi normal (63%). A maioria relatou que não teve aborto (81%) e que usou o serviço público para consultas no pré-natal (99,7%). Esses dados chamam atenção, pois trata-se de um grupo que mesmo apresentando o parto normal uma taxa maior, o número de cesarianas foi alto. Considerando que (99,7%) das mulheres utilizaram o serviço público para a consulta na assistência ao pré-natal, e que a maior parte dos exames de rotina do pré-natal foi realizada pelas redes SUS, em conjunto com a particular (64 %), conclui-se que as mulheres não aguardavam a espera de exames pelo sistema, preferindo a rede privada para adiantá-los. A distribuição de exames foi de (99,7%) para sangue e urina e todas fizeram ultrassonografia (100%). Quanto à participação da escolha do tipo do parto, (56%) relataram ter participado e (44%) afirmaram que não. Ao considerar o número de vezes que precisaram ir à maternidade até conseguir internação para o parto, (37%) afirmaram ter ido apenas uma vez, e (25%) precisaram ir à maternidade duas ou mais vezes . Os resultados revelaram que a maior parte das puérperas (66%) relataram um número de toques vaginais maior e ou igual a três, e os profissionais que realizaram foram médicos (59%). Conclusão: Ao avaliar o ciclo gravídico puerperal na visão das puérperas, verificou-se que o acompanhamento pela equipe de saúde atendeu a maioria das expectativas delas trazendo segurança para vivenciar o pós-parto, além das orientações de saúde na sequência.Nas publicações os profissionais de saúde tem contribuído com publicações sobre assistência no ciclo gravídico puerperal de baixo risco.Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2019-01-08T10:30:45Z No. of bitstreams: 2 Dissertação - Cinthya Leal de Oliveira - 2018.pdf: 1421724 bytes, checksum: b926987ab6697b4b7ffba2923a524faf (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2019-01-08T11:41:21Z (GMT) No. of bitstreams: 2 Dissertação - Cinthya Leal de Oliveira - 2018.pdf: 1421724 bytes, checksum: b926987ab6697b4b7ffba2923a524faf (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2019-01-08T11:41:21Z (GMT). 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dc.title.eng.fl_str_mv |
Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada |
title |
Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada |
spellingShingle |
Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada Oliveira, Cinthya Leal de Assistência Parto Humanização Ciclo gravídico Assistance Childbirth Humanization Pregnancy cycle CIENCIAS DA SAUDE::MEDICINA |
title_short |
Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada |
title_full |
Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada |
title_fullStr |
Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada |
title_full_unstemmed |
Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada |
title_sort |
Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada |
author |
Oliveira, Cinthya Leal de |
author_facet |
Oliveira, Cinthya Leal de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Amaral, Waldemar Naves do |
dc.contributor.advisor1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4708455H9 |
dc.contributor.referee1.fl_str_mv |
Amaral, Waldemar Naves do |
dc.contributor.referee2.fl_str_mv |
Almeida, Suzy Darlen Soares de |
dc.contributor.referee3.fl_str_mv |
Sousa, Juarez Antonio |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4429717P7 |
dc.contributor.author.fl_str_mv |
Oliveira, Cinthya Leal de |
contributor_str_mv |
Amaral, Waldemar Naves do Amaral, Waldemar Naves do Almeida, Suzy Darlen Soares de Sousa, Juarez Antonio |
dc.subject.por.fl_str_mv |
Assistência Parto Humanização Ciclo gravídico |
topic |
Assistência Parto Humanização Ciclo gravídico Assistance Childbirth Humanization Pregnancy cycle CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Assistance Childbirth Humanization Pregnancy cycle |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: Maternal mortality became an indicator of social development, the Millennium Development Goals were a global initiative promoted by the United Nations and signed in 2000 by the governments of more than 180 countries, with targets between the years 2000 to 2015 which aimed at social development and the eradication of poverty. , to improve care for women, it is necessary to plan and evaluate existing actions, mainly during the puerperal pregnancy period. Considering the identification of risk factors related to maternal and neonatal mortality, since this situation is an important indicator that reflects socioeconomic and reproductive conditions, and especially those related to prenatal care, delivery and newborns. Objectives: To evaluate the puerperal pregnancy cycle by measuring the impact of this care within the context of humanization. Methods: This is a cross-sectional, observational, descriptive and quantitative study developed at the Dona Iris Hospital and Maternity Hospital (HMDI), located in the city of Goiânia, which performs 100% of the visits by SUS.23.0. Results and discussion: It was observed that almost 35% of the puerperae already had a child and were in the second gestation and the type of delivery, of the last gestation was normal 63% versus 37% cesarean, most did not report that they did not have abortions 81% and that used the public service for consultation in prenatal care 99.7%. These data draw attention because it is a group that despite the type of normal delivery having a higher rate the number of cesareans were high. Regarding the type of delivery, it was observed that 37% of the puerperae had a cesarean delivery. Considering that 99.7% of the women used the public service for consultation in prenatal care, and that the majority of prenatal routine exams were performed by SUS and 64% showed that women did not wait of examinations by the system preferring the private network to advance the exams. The distribution of exams 99.7% took blood and urine and all did 100% sonography. Regarding the participation of the choice of delivery 56% reported having participated and 44% stated they did not participate in the choice by the type of delivery. When considering the number of times she needed to go to the maternity ward until she was admitted to the hospital, 37% said only once and 25% had to go to maternity hospital more than or equal to twice.The results showed that most of the puerperal women 66% reported a number of vaginal touches greater than or equal to three and the professionals who performed were 59%. Conclusion: When evaluating the pregnancy-puerperal cycle in the puerperal view, a great improvement in care and assistance in this period after the humanization policy in maternities is noticed, but it is necessary to improve working conditions for professionals, financial and human resources, providing education and Cheers. It is concluded that managers need to invest more in the improvement of the policy in the attention of women offering training to the employees that the reference and reference is effective and resolutive for the woman does not peregrine with her pregnancy and that employees respect the physiology of woman avoiding abuse. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-11-10 |
dc.date.accessioned.fl_str_mv |
2019-01-08T11:41:21Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
OLIVEIRA, C. L. Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada. 2018. 73 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/9208 |
identifier_str_mv |
OLIVEIRA, C. L. Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada. 2018. 73 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/9208 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-1006864312617745310 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
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