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Advisor(s)
Abstract(s)
Enquadramento: A forma como a mulher percepciona as práticas obstétricas varia em
função de um amplo e diverso conjunto de factores individuais, socioculturais, e situacionais.
Conhecer o que a mulher considera importante dos cuidados de saúde, o que espera, o que
encontra e sente, permite-nos adequar a assistência proporcionada às necessidades da
mulher, melhorando o nível de satisfação e qualidade dos cuidados prestados.
Objetivos: Identificar as determinantes das expectativas e satisfação das mulheres durante
o trabalho de parto, parto e pós-parto. Determinar a influência de factores
sociodemográficos e obstétricos nas expectativas e satisfação da mulher no trabalho de
parto, parto e pós-parto. Determinar se a percepção da mulher face às práticas obstétricas
influenciam as expectativas e satisfação com o trabalho de parto, parto e pós-parto.
Métodos: Estudo não-experimental, quantitativo, transversal, descritivo e correlacional com
uma amostra não probabilística por conveniência (n=104). A recolha de dados efectuou-se
através de um questionário constituído por uma componente sociodemográfica e história
obstétrica, duas escalas: a Importância e Percepção das Práticas Obstétricas e um
Questionário de Experiência e Satisfação com o Parto. Este instrumento de colheita de
dados foi aplicado as puérperas do serviço de Obstetrícia/Ginecologia.
Resultados: A idade das mulheres oscilou entre os 19 e os 41 anos, 80,0% são casadas e
87,5% possuem uma família nuclear, são primíparas (46,4%), têm em média 38,63 semanas
de gestação. 99% vigiou a gravidez. Verificou-se que a idade (p=0,042), a escolaridade
(p=0,014), o local de vigilância da gravidez (p=0,020) influenciam as expectativas e
satisfação das mulheres. A Percepção da actuação perante a dor tem poder preditivo sobre
as expectativas da mulher, a percepção e actuação perante a dor, importância do apoio
sociofamiliar e importância da atenção ao pós-parto/alta tem poder preditivo na satisfação
das mulheres.
Conclusão: Conhecer as expectativas, a satisfação da mulher perante as práticas
obstétricas, permite aos profissionais introduzir mudanças nas suas práticas e desenvolver
estratégias na procura da excelência do cuidar. Verificou-se que quanto maior forem as
expectativas mais elevada será a satisfação da mulher face aos cuidados recebidos durante
o trabalho de parto e parto havendo necessidade de considerar as várias dimensões da
preparação para o parto e parentalidade no plano de vigilância de gravidez.
Palavras-chave: Percepção, expectativas, satisfação, práticas obstétricas.
ABSTRACT Background: The way women perceive obstetric practices varies according to a broad and diverse set of individual, socio-cultural, and situational factors. Knowing what the woman considers important regarding health care, what she expects, what she comes across with and what she feels, allows us to tailor the assistance provided to women's needs, improving the level of satisfaction and the quality of the care provided. Aims: To identify the determinants of women’s expectations and satisfaction during labour, delivery and postpartum. To determine the influence that socio-demographic and obstetric factors play in women’s expectations and satisfaction during labour, delivery and postpartum. To determine whether the perception of women towards obstetric practices influence the expectations and satisfaction with labour, delivery and postpartum. Methodology: A non-experimental, quantitative, cross-sectional, descriptive and correlacional study with a non-probability convenience sample (n=104). Data collection was carried out through a questionnaire consisting of a socio-demographic and obstetric history component measured in two scales: Importance and Perception of Obstetric Practice and a Questionnaire regarding Labour Experience and Satisfaction. This data collection instrument was applied to the puerperae of the Obstetrics/Gynaecology service. Results: The women's age ranged from 19 to 41 years old, 80,0% are married and 87,5% have a nuclear family, are primiparous (46,4%), have on average a gestational length of 38,63 weeks. 99% had a medically supervised pregnancy. It was found that age (p=0,042), the education level (p=0,014), the place where the pregnancy was medically supervised (p=0,020) influence women’s expectations and satisfaction. The perception of action before the pain has a predictive power on women’s expectations, the perception and performance before the pain, the importance of sociofamiliar support and need for attention concerning postpartum/discharge has a foretelling power in women's satisfaction. Conclusion: Knowing women’s expectations and satisfaction regarding obstetric practices allows professionals to make changes in their practices and develop strategies in order to achieve the excellence of care provision. It was found that the higher the women’s expectations are, the higher is their satisfaction regarding the care received during labour and delivery. Thus, it is crucial to consider the various dimensions of labour and parenthood preparation in the pregnancy surveillance plan. Keywords: Perceptions, expectations, satisfaction, obstetric practices.
ABSTRACT Background: The way women perceive obstetric practices varies according to a broad and diverse set of individual, socio-cultural, and situational factors. Knowing what the woman considers important regarding health care, what she expects, what she comes across with and what she feels, allows us to tailor the assistance provided to women's needs, improving the level of satisfaction and the quality of the care provided. Aims: To identify the determinants of women’s expectations and satisfaction during labour, delivery and postpartum. To determine the influence that socio-demographic and obstetric factors play in women’s expectations and satisfaction during labour, delivery and postpartum. To determine whether the perception of women towards obstetric practices influence the expectations and satisfaction with labour, delivery and postpartum. Methodology: A non-experimental, quantitative, cross-sectional, descriptive and correlacional study with a non-probability convenience sample (n=104). Data collection was carried out through a questionnaire consisting of a socio-demographic and obstetric history component measured in two scales: Importance and Perception of Obstetric Practice and a Questionnaire regarding Labour Experience and Satisfaction. This data collection instrument was applied to the puerperae of the Obstetrics/Gynaecology service. Results: The women's age ranged from 19 to 41 years old, 80,0% are married and 87,5% have a nuclear family, are primiparous (46,4%), have on average a gestational length of 38,63 weeks. 99% had a medically supervised pregnancy. It was found that age (p=0,042), the education level (p=0,014), the place where the pregnancy was medically supervised (p=0,020) influence women’s expectations and satisfaction. The perception of action before the pain has a predictive power on women’s expectations, the perception and performance before the pain, the importance of sociofamiliar support and need for attention concerning postpartum/discharge has a foretelling power in women's satisfaction. Conclusion: Knowing women’s expectations and satisfaction regarding obstetric practices allows professionals to make changes in their practices and develop strategies in order to achieve the excellence of care provision. It was found that the higher the women’s expectations are, the higher is their satisfaction regarding the care received during labour and delivery. Thus, it is crucial to consider the various dimensions of labour and parenthood preparation in the pregnancy surveillance plan. Keywords: Perceptions, expectations, satisfaction, obstetric practices.
Description
Keywords
Início do trabalho de parto Parto Primeira fase do trabalho de parto Puerpério Satisfação do doente Segunda fase do trabalho de parto Terceira fase do trabalho de parto Trabalho de parto Labor, obstetric Labor onset Labor stage, first Labor stage, second Labor stage, third Parturition Patient satisfaction Postpartum period
Citation
Publisher
Instituto Politécnico de Viseu, Escola Superior de Saúde de Viseu