Repercussões da pandemia da COVID-19 na assistência à parturiente: olhar da enfermagem
DOI:
https://doi.org/10.4025/ciencuidsaude.v22i0.64692Palavras-chave:
Coronavírus, Cuidados de enfermagem, Enfermagem obstétrica, Pandemias, PartoResumo
Objetivo: identificar as repercussões da pandemia da COVID-19 na assistência à parturiente pelo olhar da enfermagem. Método: pesquisa qualitativa com profissionais de enfermagem atuantes em centro obstétrico de um hospital-escola do Paraná, realizada por meio de entrevistas semiestruturadas, por WhatsApp, entre maio e julho de 2020, com análise de conteúdo temática. Resultados: evidenciaram-se mudanças no fluxo de atendimento obstétrico, com ambiente exclusivo para gestantes com suspeita de infecção viral, e influência na via de parto. Houve retrocessos na assistência obstétrica, dificuldades no acesso a informações sobre o parto e nascimento devido à suspensão dos grupos de gestantes. A ausência do acompanhante no período parturitivo comprometeu o estado emocional das parturientes e elevou os sentimentos de ansiedade, tristeza e insegurança das mulheres. Para suporte emocional à s parturientes, foram utilizadas estratégias para a aproximação da família, como o uso de chamadas por vídeo do celular. Os profissionais de enfermagem realizaram um cuidado sensível e empático, embora com aumento da demanda de trabalho e cercados de medo da contaminação viral. Considerações finais: Adequações institucionais foram realizadas, novas demandas de assistência precisaram ser atendidas pelos profissionais de enfermagem, concomitante ao retrocesso de outras, aumentando os desafios para planejar e realizar a assistência à parturiente.
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Referências
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2. World Health Organization. WHO. Who Coronavirus Disease (COVID-19) Dashboard. [Acesso 10 jan 2023]. Disponível em: https://covid19.who.int
3. Takemoto ML, Menezes MDO, Andreucci CB, Pereira NM. Amorim MM, Katz L, et al. The tragedy of COVID-19 in Brazil: 124 maternal deaths and counting. Int. J. Gynecol. Obstet. 2020; 151(1):154-156. DOI: https://doi.org/10.1002/ijgo.13300
4. Boelig RC, Manuck T, Oliver EA, Di Mascio D, Saccone G, Bellussi F, et al. Labor and delivery guidance for COVID-19. Am. J. Obstet. Gynecol. 2020; 2(2):100-110 DOI: https://doi.org/10.1016/j.ajogmf.2020.100110
5. Mascarenhas VHA, Caroci-Becker A, Venâncio KCMP, Baraldi NG, Durkin AC, Riesco MLG. Care recommendations for parturiente and post partum women and newborns during the COVID-19 pandemic: a scoping review. Rev. Latinoam. Enferm. 2020; 28:e3359 DOI: http://dx.doi.org/10.1590/1518-8345.4596.3359
6. Preis H, Mahaffey B, Heiselman C, Lobel M. Pandemic-related pregnancy stress and anxiety among women pregnant during the coronavirus disease 2019 pandemic. Am. J. Obstet. Gynecol. 2020; 2(3):e100155. DOI: https://doi.org/10.1016/j.ajogmf.2020.100155
7. Dulfe PAM, Alves VH, Pereira AV, Vieira BDG, Rodrigues DP, Marchiori GRS. Nurse-midwives reconfiguring care in the scope of labor and births in COVID-19 times. Rev. Bras. Enferm. 2021; 74(Suppl 1):e20200863. DOI: http://dx.doi.org/10.1590/0034-7167-2020-0863\
8. Minayo MC. O desafio do conhecimento: pesquisa qualitativa em saúde. 14ª ed. São Paulo: Editora Hucitec; 2014.
9. Sabatino J, Moscatelli S, Rustamova Y, Kotlar I, Avesani M, Brida M, et al. Women's perspective on the COVID-19 pandemic: Walking into a post-peakphase. Int. J.Cardiol. 2020; 323:29-33. DOI: https://doi.org/10.1016/j.ijcard.2020.08.025
10. Abdollahpour S, Khadivzadeh T. Improving the quality of care in pregnancy and child birth with coronavirus (COVID-19): a systematic review. J. Matern. Fetal Neonatal Med. 2020; 35(8):1601-1609. DOI: https://doi.org/10.1080/14767058.2020.1759540
11. Dashraath P, Jeslyn WJL, Karen LMX, Min LL, Sarah L, Biswas A, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am. J. Obstet. Gynecol. 2020; 222(6):521-531. DOI: https://doi.org/10.1016/j.ajog.2020.03.021
12. Liu W, Wang Q, Zhang Q, Chen L, Chen J, Zhang B, et al. Coronavirus disease 2019 (COVID-19) during pregnancy: a case series. Preprints. 2020; e2020020373. Disponível em: https://www.preprints.org/manuscript/202002.0373/v1
13. Chen Y, Li Z, Zhang YY, Zhao WH, Yu ZY. Maternal health care management during the outbreak of coronavirus disease 2019. J. Med. Virol. 2020; 92(7):731-739. DOI: https://doi.org/10.1002/jmv.25787
14. Fryer K, Delgado A, Foti T, Reid CN, Marshall J. Implementation of obstetric telehealth during COVID-19 and beyond. Matern. Child. Health J. 2020; 24(9):1104-1110. DOI: https://doi.org/10.1007/s10995-020-02967-7
15. Alves FLC, Castro EM, Souza FKR, Lira MCPS, Rodrigues FLS, Pereira LP. Group of high-risk pregnant women as a health education strategy. Rev. Gaúch. Enferm. 2019; 40:e20180023. DOI: https://doi.org/10.1590/1983-1447.2019.20180023
16. Vieira BDC, Backes MTS, Costa LD, Fernandes VMB, Dias HHZR, Backes DS. Applying best practices to pregnant women in the obstetric center. Rev. Bras. Enferm. 2019; 72(3):191-196. Disponível em: https://www.scielo.br/pdf/reben/v72s3/pt_0034-7167-reben-72-s3-0191.pdf
17. Gomes IEM, Padoin SMM, Langendorf TF, Paula CC, Gomes CA, Ribeiro AC. Benefits of the presence of a companion during the process of labor and delivery: integrative review. Rev. Enferm. UFSM. 2019; 9(61):1-18. DOI: https://doi.org/10.5902/2179769234170
18. Vivanti AJ, Deruelle P, Picone O, Guillaume S, Roze JC, Mulin B, et al. Follow-up for pregnant women during the COVID-19 pandemic: French national authority for health recommendations. J. Gynecol. Obstet. Hum. Reprod. 2020; 49(7):101804. DOI: https://doi.org/10.1016/j.jogoh.2020.101804
19. Patuzzi GC, Schuster RV, Ritter SK, Neutzling AL, da Luz CB, Canassa CDCT. Flow sof care in na obstetric center in the face of the COVID-19 pandemic: experience report. Ciênc. Cuid. Saúde. 2021; 20:e56189. DOI: https://doi.org/10.4025/ciencuidsaude.v20i0.56189
20. Coxon K, Turienzo CF, Kweekel L, Goodarzi B, Brigante L, Simon A, et al. The impact of the Coronavirus (COVID-19) pandemic on maternity care in Europe. Midwifery. 2020; 88:102779. DOI: 10.1016/j.midw.2020.102779
21. Küçüktürkmen B, Baskaya Y, Özdemir K. A qualitative study of Turkish midwives’ experience of providing care to pregnant women infected with COVID-19. Midwifery. 2022; 105:103206. DOI: https://doi.org/10.1016/j.midw.2021.103206
22. Paixão GPN, Campos LM, Carneiro JB, Fraga CDS. Maternal solitude before the new guidelines in SARS-COV-2 times: a Brazilian cutting. Rev. Gaúch. Enferm. 2021; 42 (esp):e20200165. DOI: https://doi.org/10.1590/1983-1447.2021.20200165
23. López M, Gonce A, Meler E, Plaza A, Hernández S, Martinez-Portilla RJ, et al. Coronavirus disease 2019 in pregnancy: a clinical management protocol and considerations for practice. Fetal Diagn. Ther. 2020; 47(7):519-528. DOI: https://doi.org/10.1159/000508487.
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2023-05-02
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Repercussões da pandemia da COVID-19 na assistência à parturiente: olhar da enfermagem. (2023). Ciência, Cuidado E Saúde, 22. https://doi.org/10.4025/ciencuidsaude.v22i0.64692
