- Care for newborns in public maternity hospitals assisted by the Rede Mãe Paranaense program: maternal experience
Abstract
Objective: to understand the maternal experience regarding the assistance to the newborn in public maternity hospitals. Method: qualitative, phenomenological study, based on the theoretical-methodological framework of Alfred Schütz. Data were collected with a sample of 30 mothers of newborns, through semi-structured interviews, from February to July 2018. The interviews were conducted at the mothers’ homes. Result: Mothers experienced moments of joy, but also of suffering in relation to the birth and care of their children in the first hours of life, and due to this experience, expectations regarding assistance for some were beyond expectations and for others caused frustration as can be observed in the two categories that emerged from their reports: The first concerning the lived experience, that is, the “reasons why” Experiencing the first hours of life of the child in the maternity services (Delivery Room: approaches and distance from contact; Joint accommodation: (re) learning the care of the baby; Support breastfeeding; Lack of communication, Guidelines for discharge and Gratitude for the assistance received), the second category brings the expectations, the “reasons for”: What you expect from the assistance in the first hours after the birth of the child (Quality assistance and Accompaniment in childbirth: desires and challenges). Final considerations: the experience of birth was taken with moments of interaction and contact with the newborn, but also of little contact due to procedures and intercurrences. The mothers experienced moments of learning and also verbalized the absence of the professional, generating desires and expectations to improve the quality of care.
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References
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Política Nacional de Atenção Integral à Saúde da Criança: orientações para implementação. Brasília: Ministério da Saúde [on-line]. 2018. [citado em 01 mai 2021]. Disponível em: https://central3.to.gov.br/arquivo/494643/
Paraná. Secretaria do Estado da Saúde. Manual para a Gestão de Caso na Rede Mãe Paranaense [on-line] 2017. [citado em 01 mai 2021]. Disponível em: https://www.saude.pr.gov.br/sites/default/arquivos_restritos/files/documento/2020-04/manualgestaodecasopreliminar.pdf
Who. About the Sustainable Development Goals [on-line]. 2015 [cited 2021 out 10]. Disponível em: http://abm.org.br/ods/wp-content/uploads/2017/10/Relatorio-sobre-os-Objetivos-do-Milenio-2015.pdf
Santos MC dos, Gomes GC, Hirsch CD, Norenberg PK de O, Oliveira AMN de, Nobre CMG: Experiences of mothers with the newborn in Neonatal Intensive Care Unit. Cienc Cuid Saúde. 2019;17(4):e27984. DOI: https://doi.org/10.4025/cienccuidsaude.v17i4.45164
Rogerio MC, Silva L da, Canário MA dos SSS, Ferrari RAP. Orientações para puérperas sobre cuidados neonatais no alojamento conjunto em maternidades de risco habitual. Enferm. Foco. 2020; 11(1): 69-74.
DOI: https://doi.org/10.21675/2357-707X.2020.v11.n1.2533
Machado LB, Andres SC, Moreshi C. A atuação do enfermeiro no Alojamento Conjunto na promoção do aleitamento materno. Research, Society and Development. 2021; 10(1): e57410112266. DOI: http://dx.doi.org/10.33448/rsd-v10i1.12266
Silva TC, Bisognin P, Prates LA, Bortoli CFC, Oliveira G, Ressel, LB. Labor and birth care pratices na integrative review. RECOM. 2017;7:e 1294. DOI: https://doi.org/10.19175/recom.v7i0.1294
Furlan BG, Araujo JP, Lago MTG, Pinto KRT, Ferrari RAP, Zani, AV. Assistência ao recém-nascido e orientação à puérpera em alojamento conjunto. Investigação, Sociedade e Desenvolvimento. 2021;10(16): E547101624065, 2021. DOI: https://doi.org/10.33448/rsd-v10i16.24065
Schütz A. Sobre fenomenologia e relações sociais. Petrópolis-RJ: Vozes: 2012. 357p.
Caldeira S, Parecy SM, Maraschin MS, Ross C, Machineski GG, Ribeiro AS. Life experience of elderly smoker women: the view of alfred schültz social phenomenology. Reme, rev. min. enferm. 2016; 20:e953. DOI: http://www.dx.doi.org/10.5935/1415-2762.20160022
Paraná. Secretária da Saúde. Divisão de Atenção a Saúde da Mulher. Linha Guia - Atenção Materno Infantil: Gestação/Secretaria de Estado de Saúde do Paraná. 8ªed. Curitiba: SESA [on-line]; 2022 [citado em 25 abr 2023]; 80p. Serie Linha de Cuidado Materno Infantil do Paraná, v. 1. Disponível em: https://www.saude.pr.gov.br/sites/default/arquivos_restritos/files/documento/2022-03/linha_guia_mi-_gestacao_8a_ed_em_28.03.22.pdf.
Teixeira RA, Ferrari RAP, Caldeira S, Tacla MTGM, Zani AV. Pregnant-puerperal care in Network: the experience of nurses, doctors and administrators. Rev. Bras. Enferm. 2019; 72, (1): e151-158. DOI: https://doi.org/10.1590/0034-7167-2017-0558
Luzia FJM, Mendonça JA, Gomes MIP, Castro MMFS, Souza LSX, Brito DSCF. Educação em saúde como estratégia para a promoção do cuidado ao binômio Mãe-Filho em alojamento conjunto. Braz. J. of Develop. 2020; 6(7): e43361-70. DOI: https://doi.org/10.34117/bjdv6n7-087
Almeida MFB. Reanimação do recém-nascido ≥34 semanas em sala de parto: diretrizes 2022 da Sociedade Brasileira de Pediatria. Rio de Janeiro: Sociedade Brasileira de Pediatria; 2022. DOI: https://doi.org/10.25060/PRN-SBP-2022-2
Lima RO, Estevam LD, Leite FM, Almeida MV, Amorim MHC, Bringuente MEO. Nursing intervention-first bath of the NB: a randomized study on neonatal behavior. Acta Paul Enferm. 2020; 33:e-APE20190031. DOI: https://doi.org/10.37689/acta-ape/2020AO0031
Who. Recommendations: intrapartum care for a positive childbirth experience. Geneva: World Health Organization [on-line]; 2018. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf?sequence=1
Cantoni TS, Molin RSD. Benefícios do banho tardio no recém-nascido: implicações para a enfermagem. REAS. 2021; 13 (2): e6316. DOI: https://doi.org/10.25248/reas.e6316.2021
Strefling ISS, Borba CB, Demori CC, Vaz CHGJ, Santos CP. Perceptions of puerperas on nursing care in joint accommodation. Rev Fund Care Online. 2017; 9(2):333-339. DOI: https://doi.org/10.9789/2175-5361.2017.v9i2.333-339.
Furlan BG, Araujo JP, Lago MTG, Pinto KRT da F, Ferrari RAP, Zani AV. Assistência ao recém-nascido e orientação à puérpera em alojamento conjunto. RSD. 2021;10(16):e547101624065. DOI: https://doi.org/10.33448/rsd-v10i16.24065
Lopes AAS, Pereira AS, Soares TS, Sombra ICN, Casadevall MQFC, Castro TS, et al. Percepção das puérperas acerca das orientações de enfermagem quanto ao aleitamento materno. Braz. J. of Develop. 2020; 6 (7):50581-50596. DOI: https://doi.org/10.34117/bjdv6n7-636
Witiski M, Makuch DMV, Rozin L, Matia G. Communication barriers: perception of a healthcare Team. Cienc Cuid Saude. 2021;18(3) e46988. DOI: https://doi.org/10.4025/cienccuidsaude.v18i3.46988
Trindade CD, Cardoso LS, Costa VZ, Rosa LS, Pozzobon DM, Tindade LR. Equipe de Enfermagem: a comunicação na assistência à parturiente. Braz. J. Hea. Rev. 2020; 3 (1) 551-562. DOI: https://doi.org/10.34119/bjhrv3n1-043
Biasibetti C, Hoffmann LM, Rodrigues FA, Wegner W, Rocha PK. Communication for patient safety in pediatric hospitalizations. Rev Gaúcha Enferm. 2019; 40; e20180337. DOI: https://doi.org/10.1590/1983-1447.2019.20180337
Duarte F, Góes F, Rocha A, Ferraz J, Moraes J, Silva L. Preparing for discharge of low-risk newborns to home care. Rev Enferm UERJ. 2019; 27: e38523. DOI: https://doi.org/10.12957/reuerj.2019.38523
Silva R, Westphal F, Assalin A, Silva M, Goldman R. Satisfaction of pregnant women in relation to children and birth care. Rev enferm UFPE on line. 2020; 14(0): e245851. DOI: 10.5205/1981-8963.2020.245827
Cardoso D de C, Dias Barbosa M, da Hora Mendes N, Pereira da Silva A, Queiros Bonfim N, dos Santos Pereira W, et al. A importância do parto humanizado: uma revisão bibliográfica. REAS.2020; (41):e2442. DOI: https://doi.org/10.25248/reas.e2442.2020
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