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Authors
Advisor(s)
Abstract(s)
Enquadramento
O estágio de natureza profissional desenvolvido e que deu resposta a este relatório, visa o
desenvolvimento de competências para a obtenção do título de especialista e grau de mestre em
saúde materna, obstétrica e ginecológica. Na componente de investigação estudamos a manobra de
Kristeller, uma prática obstétrica questionável.
Objetivos
Este relatório teve como objetivos demonstrar a aquisição de competências do enfermeiro
especialista em saúde materna, obstétrica e ginecológica e identificar as complicações maternas
associadas ao uso da manobra de Kristeller no segundo período do trabalho de parto.
Metodologia
No que diz respeito ao Capítulo I, foi realizada uma análise reflexiva da prática sempre baseada na
mais recente evidência científica.
No âmbito do eixo de investigação foi realizado um estudo de análise quantitativa, relacionalanalítico,
em coorte transversal, numa amostra não probabilística por conveniência, segundo o
método em bola de neve com colheita de dados através de questionário online a 275 mulheres que
pariram em Portugal nos últimos 5 anos.
Foram obtidos dados sobre antecedentes obstétricos, avaliação do incómodo relacionado com as
disfunções do pavimento pélvico e o seu impacto e, a sua relação com fatores sociodemográficos da
amostra e com os dados relativos ao último parto.
Conclusão
Das competências comuns e específicas previstas foram adquiridas.
As evidências encontradas demonstram que a realização da Manobra de Kristeller é um ato de
violência obstétrica, sendo caracterizada como uma prática invasiva e com resultados potencialmente
negativos para a saúde da mulher e do bebé.
Face a esta realidade, considera-se fundamental que o EESMO, pelas competências que possui e
com base nos seus conhecimentos especializados, consciencialize os profissionais de saúde acerca
das boas práticas obstétricas.
Palavras-chave
Obstetric labor complications; Delivery obstetric; Labor Onset; Labor, obstetric; Trial of labor; Labor
stage, second; Parturition; Delivery Rooms; Kristeller.
Abstract Background The professional internship developed and that gave answer to this report, aims at the development of skills for obtaining the title of specialist and master's degree in maternal, obstetric and gynecological health. In the research component we studied the Kristeller maneuver, a questionable obstetric practice. Objectives This report aimed to demonstrate the acquisition of skills of the specialist nurse in maternal, obstetric, and gynecological health and to identify maternal complications associated with the use of the Kristeller maneuver in the second period of labor. Methodology With regard to Chapter I, a reflective analysis of my practice during clinical teaching was carried out, always based on the latest scientific evidence. In the research axis, a quantitative, relational-analytical, cross-sectional cohort study was carried out in a non-probability convenience sample, according to the snowball method with data collection through an online questionnaire to 275 women who gave birth in Portugal in the last 5 years. Data were obtained on obstetric history, assessment of discomfort related to pelvic floor dysfunctions and their impact, and their relationship with sociodemographic factors of the sample and with data on the last delivery. Conclusion The expected common and specific skills were acquired. The evidence found shows that performing the Kristeller Maneuver is an act of obstetric violence, being characterized as an invasive practice with potentially negative results for the health of the woman and the baby. Given this reality, it is considered essential that the OBGYN Nurse/midwife, through the skills that it possesses and based on its specialized knowledge, raise awareness among health professionals about good obstetric practices. Keywords Obstetric labor complications; Delivery obstetric; Labor Onset; Labor, obstetric; Trial of labor; Labor stage, second; Parturition; Delivery Rooms; Kristeller.
Abstract Background The professional internship developed and that gave answer to this report, aims at the development of skills for obtaining the title of specialist and master's degree in maternal, obstetric and gynecological health. In the research component we studied the Kristeller maneuver, a questionable obstetric practice. Objectives This report aimed to demonstrate the acquisition of skills of the specialist nurse in maternal, obstetric, and gynecological health and to identify maternal complications associated with the use of the Kristeller maneuver in the second period of labor. Methodology With regard to Chapter I, a reflective analysis of my practice during clinical teaching was carried out, always based on the latest scientific evidence. In the research axis, a quantitative, relational-analytical, cross-sectional cohort study was carried out in a non-probability convenience sample, according to the snowball method with data collection through an online questionnaire to 275 women who gave birth in Portugal in the last 5 years. Data were obtained on obstetric history, assessment of discomfort related to pelvic floor dysfunctions and their impact, and their relationship with sociodemographic factors of the sample and with data on the last delivery. Conclusion The expected common and specific skills were acquired. The evidence found shows that performing the Kristeller Maneuver is an act of obstetric violence, being characterized as an invasive practice with potentially negative results for the health of the woman and the baby. Given this reality, it is considered essential that the OBGYN Nurse/midwife, through the skills that it possesses and based on its specialized knowledge, raise awareness among health professionals about good obstetric practices. Keywords Obstetric labor complications; Delivery obstetric; Labor Onset; Labor, obstetric; Trial of labor; Labor stage, second; Parturition; Delivery Rooms; Kristeller.
Description
Keywords
Complicações do trabalho de parto Parto Segunda fase do trabalho de parto Trabalho de parto Violência Labor, obstetric Labor stage, second Obstetric labor complications Parturition Violence