Non-invasive technologies in assisting high-risk parturient women: nurse-midwives’ perceptionss

Authors

DOI:

https://doi.org/10.15253/2175-6783.20212261385

Keywords:

Obstetric Nursing; Technology; Pregnancy, High-Risk; Nursing Care.

Abstract

Objective: to know nurse-midwives’ perceptions about factors related with the use of non-invasive care technologies in the care of high-risk parturient women. Methods: qualitative study, with 10 nurse-midwives from the obstetric center of a high-risk maternity hospital in a university hospital. Data were collected by semi-structured interviews and subjected to content analysis. Results: prenatal care with a focus on female autonomy, the availability of specific materials and the sector’s infrastructure are facilitating factors. Work overload, the devaluation of nurse-midwives’ knowledge by some medical professionals and the lack of institutional support for teamwork are limiting factors. Conclusion: the factors referred to show the need to boost collaborative work in assisting high obstetric risk, encourage the use of non-invasive care technologies and improve nurses’ working conditions.

References

Shari Munch, Judith L. M. Munch S, McCoyd JLM, Curran L, Harmon C. Medically high-risk pregnancy: Women’s perceptions of their relationships with health care providers. Soc Work Health Care. 2020; 59(1):20-45. doi: https://dx.doi.org/10.1080/00981389.2019.1683786

Meaney S, Lutomski JE, O’Connor L, O’Donoghue K, Greene RA. Women’s experience of maternal morbidity: a qualitative analysis. BMC Pregnancy Childbirth. 2016; 16(1):184. doi: http://dx.doi.org/10.1186/s12884-016-0974-0

Prata JA, Ares LPM, Vargens OMC, Reis CSC, Pereira ALF, Progianti JM. Non-invasive care technologies: nurses’ contributions to the demedicalization of health care in a high-risk maternity hospital. Esc Anna Nery. 2019; 23(2):e20180259. doi: https://doi.org/10.1590/2177-9465-EAN-2018-0259

Amorim T, Araújo ACM, Guimarães EMP, Diniz SCF, Gandra HM, Candido MCRM. Perception of obstetric nurses on the care model and practice in a philanthropic maternity hospital. Rev Enferm UFSM. 2019; 9:1-17. doi: https://dx.doi.org/10.5902/2179769234868

Özberk H, Mete S, Bektaş M. Effects of relaxation-focused nursing care in women in preterm labor. Biol Res Nurs. 2020; I23(2):160-70. doi: https://doi.org/10.1177/1099800420941253

Reis TLR, Padoin SMM, Toebe TFP, Paula CC, Quadros JS. Women’s autonomy in the process of labour and childbirth: integrative literature review. Rev Gaúcha Enferm. 2017; 38(1):e64677. doi: https://dx.doi.org/10.1590/19831447.2017.01.64677

Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2016.

Andrade IS, Castro RCMB, Moreira KAP, Santos CPRS, Fernandes AFC. Effects of technology on knowledge, attitude and practice of pregnant women for childbirth. Rev Rene. 2019; 20:e41341. doi: https://doi.org/10.15253/2175-6783.20192041341

Thaeri M, Takian A, Taghizadeh Z, Jafari N, Sarafraz N. Creating a positive perception of childbirth experience: systematic review and metaanalysis of prenatal and intrapartum interventions. Reprod Health. 2018; 15(73):2-13. doi: https://doi.org/10.1186/s12978-018-0511-x

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Orientações para elaboração de projetos arquitetônicos Rede Cegonha: ambientes de atenção ao parto e nascimento. Brasília: Ministério da Saúde; 2018.

Dodou HD, Sousa AAS, Barbosa EMG, Rodrigues DP. Delivery room: working conditions and assistance humanization. Cad Saúde Coletiva. 2017; 25(3):332-8. doi: https://dx.doi.org/10.1590/1414-462X201700030082

Progianti JM, Moreira NJMP, Prata JA, Vieira MLC, Almeida TA, Vargens OMC. Job insecurity among obstetric nurses. Rev Enferm UERJ. 2018; 26:e33846. doi: https://doi.org/10.12957/reuerj.2018.33846

Biondi HS, Pinho EC, Kirchhof ALC, Rocha LP, Barlem ELD, Kerber NPC. Psychic workload in the process of work of maternity and obstetric centers nurses. Rev Gaúcha Enferm. 2018; 39:e64573. doi: https://doi.org/10.1590/1983-1447.2018.64573

Oliveira VJ, Penna CMM. Ethos and pathos in the delivery room. Rev Gaúcha Enferm. 2017; 38(2):e67761. doi: https://dx.doi.org/10.1590/1983-1447.2017.02.67761

Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Sys Rev. 2016; 4:CD004667. doi: http://dx.doi.org/10.1002/14651858.CD004667.pub5

College of Obstetricians and Gynecologists. Exe- cutive summary: collaboration in practice: implementing team-based care: report of the American college of obstetricians and gynecologists’ task force on collaborative practice. Obstet Gynecol. 2016; 127(3):612-7. doi: https://dx.doi.org/10.1097/AOG.0000000000001304

Melkamu E, Woldemariam S, Haftu A. Inter-professional collaboration of nurses and midwives with physicians and associated factors in Jimma University specialized teaching hospital, Jimma, south West Ethiopia, 2019: cross sectional study. BMC Nurs. 2020; 19:33. doi: https://doi.org/10.1186/s12912-020-00426-w

Behruzi1 R, Klam S, Dehertog M, Jimenez V, Hatem M. Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case study. BMC Pregnancy Childbirth. 2017; 17(1):200. doi: http://dx.doi.org/10.1186/s12884-017-1381-x

Saad DEA, Riesco MLG. Autonomia profissional da enfermeira obstétrica. Rev Paul Enferm [Internet]. 2018 [cited Jan 21, 2021];29(1-2-3):11-20. Available from: http://repen.com.br/revista/wp-content/uploads/2018/11/Autonomia-profissional-da-enfermeira-obst%C3%A9trica.pdf

Romijn A, Teunissen PW, Bruijne MC, Wagner C, Groot CJM. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 2018; 27:279-86. doi: http://dx.doi.org/10.1136/bmjqs-2016-006401

Published

2021-04-19

How to Cite

Ares, L. P. M., Prata, J. A., Progianti, J. M., Pereira, A. L. de F., Mouta, R. J. O., Amorim, L. B., & Gioia, L. G. (2021). Non-invasive technologies in assisting high-risk parturient women: nurse-midwives’ perceptionss. Rev Rene, 22, e61385. https://doi.org/10.15253/2175-6783.20212261385

Issue

Section

Research Article

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