Assistência pré-natal por enfermeiras obstetras: desfechos e percepção das mulheres assistidas

Abstract

Introduction: Pregnancy and childbirth are natural physiological processes with risks of morbidity and mortality due to various causes, including complications resulting from unnecessary interventions, such as elective cesarean surgery performed without clinical indication. The insertion of Obstetrical and Midwifery Nurses in the prenatal, delivery and postpartum care settings can be a reductive factor in the rates of cesarean sections, obstetric violence and unnecessary interventions during this period. Their practice is generally less invasive, which justifies the object of study of this work to be their prenatal care of pregnant women at usual risk. Objective: To analyze the assistance of pregnant women accompanied by obstetric nurses regarding the outcome and care. Methodology: This is an observational research with a quantitative - qualitative cross-sectional approach, based on the perception of women who were attended in their prenatal care, delivery and birth by obstetric nurses. Results: It was identified that the preferred mode of delivery for most women would be the vaginal route, but in practice, the predominant route ended up being cesarean section, even with the assistance and guidance of specialized professionals. Most women reported a good experience during prenatal care and during childbirth, and were satisfied with the assistance received by obstetric nursing throughout the process. Conclusion: The study allowed us to conclude that most women were satisfied with the assistance provided by obstetric nurses and would indicate this type of assistance to people close to them. Regarding the outcome of childbirth, most had cesarean section, even with their preference for the vaginal route. There is a need for greater insertion of obstetric nursing in childbirth and birth care in public and private health services, considering the scientific evidence that this is a positive strategy in reducing unnecessary interventions.