Biomechanical safety in the clinical practice of nurses specializing in maternal health and obstetrics

• Autor(a) principal: Baixinho, Cristina Lavareda
• Data de Publicação: 2017
• Outros Autores: Presado, Helena, Marques, Fátima Mendes, Cardoso, Mário
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira em Promoção da Saúde
• Texto Completo: https://ojs.unifor.br/RBPS/article/view/6386
• topic: Nurse Midwives; Prevention e Control; Cumulative Trauma Disorders.; Enfermeiros Obstetras; Prevenção e Controle; Transtornos Traumáticos Cumulativos.

Objective: Understand the preventive measures of the work-related musculoskeletal disorders integrated by nurses specialists in maternal health and obstetrics, in the clinic well practice as well as the difficulties to adopt or keep them. Methods: In this exploratory study and descriptive quality approach, focused on the questionnaire composed by open questions that were subjected to the content analysis technique. It was selected a sample by convenience: the nurses with professional experience that worked on the delivery rooms of hospitals with perinatal differentiated care. Results: Fourteen nurse specialists in maternal health and obstetrics, majorly from the feminine gender, with an age average of 37.2 and 21.3 years of professional experience participated on this questionnaire. Study participants value as preventive measures of the WMSDs physical environment control (organization of space and materials handling and equipment), parturient preparation (assessment of collaboration capabilities, clarify the procedure to anticipate movements and predict the behavior of women), practices and behaviours during the second stage (using the principles of biomechanics, static posture versus dynamic posture, safety of the mother and well-being of the newborn) and practices and behaviours during the after birth period (activity/rest; postpartum stress and individual behavior). Conclusion: The work-related musculoskeletal disorders (WMSDs) prevalence in nurse specialists in maternal health and obstetrics is high, with an economic impact in the treatment and decreased productivity. It is observed a higher concern about the parturient/newborn comfort in detriment of professional safety. The posture varies with the type of labor, the difficulties to maintain the biomechanical principles are influenced by the physical spaces and equipments.