IMPLEMENTAÇÃO DE EVIDÊNCIAS CIENTÍFICAS NA ASSISTÊNCIA AO PARTO NORMAL: ESTUDO LONGITUDINAL
Resumo
Descritores: Auditoria clínica, Períneo, Pesquisa translacional.
IMPLEMENTATION OF SCIENTIFIC EVIDENCES IN NORMAL CHILDBIRTH CARE: LONGITUDINAL STUDY
Objective: to evaluate the impact of an educational intervention on obstetric practices and perineal outcomes. Method: longitudinal study, according to the methodology of implementation of scientific evidence in clinical practice, performed with nurses and doctors, puerperas and medical records in a referred public maternity hospital in the state of Amapá. Result: after the educational intervention, more professionals recommended the lateral and vertical positions in the expulsive period of childbirth; More puerperas reported the practices of directed pull and maneuver of Kristeller; Less medical records indicated spontaneous laceration and higher degrees of lacerations. Conclusion: the educational intervention provided better results, but not statistically significant.
Descriptors: Clinical audit, Perineum, Translational research.
IMPLEMENTACIÓN DE LA EVIDENCIA CIENTÍFICA EN LA ATENCIÓN DE PARTO NORMAL: UN ESTUDIO LONGITUDINAL
Objetivo: Evaluar el impacto de una intervención educativa sobre las prácticas obstétricas y resultados perineales. Método: Estudio longitudinal, de acuerdo con la metodología de implementación de la evidencia científica en la práctica clínica, realizada con las enfermeras y los médicos, las madres y los registros en una referencia maternidad pública en el estado de Amapá. Resultado: Después de la intervención educativa, la mayoría de los profesionales recomiendan las posiciones laterales y verticales en la segunda etapa del parto; más madres reportaron las prácticas de extracción y maniobra dirigida Kristeller; a menos que los registros que se indican las laceraciones espontáneas y un mayor grado de laceraciones. Conclusión: La intervención educativa poca mejora de las prácticas y los resultados perineales.
Descriptores: Auditoría clínica, Perineo, Investigación traslacional.
Texto completo:
PDFReferências
Pereira ER. Translation of knowledge and translational research in healthcare. J Nurs UFPE on line. 2013;7(3):1-3.
Jordan Z, Lockwood C, Aromataris E, Munn Z. The updated JBI model for evidence-based healthcare. Adelaide: The Joanna Briggs Institute; 2016.
Carroli G, Mignini L. Episiotomy for vaginal birth. Cochrane Database of Systematic Reviews 2012, Issue 1.
Kettle C, Dowswell T, Ismail KM. Continuous and interrupted suturing techniques for repair of episiotomy or second-degree tears. Cochrane Database of Systematic Reviews 2013, Issue 11.
Côrtes CT, Santos RCS, Caroci AS, Oliveira SG, Oliveira SMJV, Riesco MLG. Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study. Rev Esc Enferm USP. 2015; 49(5):716-724.
Aasheim V, Nilsen ABV, Lukasse M, Reinar LM. Perineal techniques during the second stage of labour for reducing perineal trauma. Cochrane Database of Systematic Reviews 2011, Issue 12. Art. No.: CD006672.
Amorim MM, Franca-Neto AH, Leal NV, Melo FO, Maia SB, Alves JN: Is it possible to never perform episiotomy during vaginal delivery? Obstet Gynecol 2014, 123(Suppl 1):38S.
Carrolli G, Mignini L. Episiotomy for vaginal birth (Cochrane Review). In: The Cochrane Library, Issue 1, 2012. Oxford: Update Software.
Feigenberg T, et al. Using adhesive glue to repair first degree perineal tears: a prospective randomized controlled trial. Biomed Res Int. 2014;2014:526590.
Leal MC, Pereira AEP, Domingues RMSM, Filha MMT, Dias MAB, Nakamura-Pereira M, Bastos MH, Gama SGNB. Obstetric interventions during labour and birth in Brazilian low risk women. Cad Saúde Public. 2014; 30(4).
Melo I, Katz1 L, Coutinho I, Amorim MM. Selective episiotomy vs implementation of a non episiotomy protocol: a randomized clinical trial. Reproductive Health. 2014 11:66
Rozita R, Sussan S, Huak CY, Sharif NH. A Comparison of the ‘‘Hands-Off’’ and ‘‘Hands-On’’ Methods to Reduce Perineal Lacerations: A Randomised Clinical Trial. The Journal of Obstetrics and Gynecology of India. 2014.
Gupta JK, Hofmeyr GJ, Shehmar M. Position in the second stage of labour for women without epidural anaesthesia. Cochrane Database of Systematic Reviews 2012, Issue 16.
Brasil. Ministério da Saúde; Secretaria de Políticas de Saúde, Área Técnica de Saúde da Mulher. Diretriz nacional de assistência ao parto normal: relatório de recomendação. Brasília; 2016.
Bastos MHS. Developing and pilot-testing an educational intervention to reduce the routine performance of episiotomy in Brazil [thesis]. London: Thames Valley University; 2011.
Elharmeel SMA, Chaudhary Y, Tan S, Scheermeyer E, Hanafy A, Van Driel ML. Surgical repair of spontaneous perineal tears that occur during childbirth versus no intervention. Cochrane Database of Systematic Reviews 2011; Issue 8.
Diorgu FC, Steen MP, Keeling JJ, Mason-Whitehead E. Mothers and midwives perceptions of birthing position and perineal trauma: an exploratory study. Women Birth; 2016.
Steen M, Cummins B. How to repair an episiotomy. Nursing Standard. 2016;30(25):36-38.
Santos RCS, Souza NF. Violência institucional obstétrica no Brasil: revisão sistemática. Estação Científica (UNIFAP). 2015;5(1):57-68.
Kettle C, Dowswell T, Ismail KM. Absorbable suture materials for primary repair of episiotomy and second degree tears. Cochrane Database of Systematic Reviews 2010; Issue 6.
Abhyankar P, Cheyne H, Maxwell M, Harris F, McCourt C. A realist evaluation of a normal birth programme. Evidence Based Midwifery. 2013;11(4):112-119.
Shimoda GT, Soares AVN, Aragaki IMM, McArthur A. Preventing nipple trauma in lactating women in the University Hospital of the University of Sao Paulo: a best practice implementation project. JBI Database Syst Rev Implement Rep. 2015;13(2):212-32.
DOI: https://doi.org/10.21675/2357-707X.2017.v8.n1.880
Apontamentos
- Não há apontamentos.
Direitos autorais 2017 Enfermagem em Foco
Eletrônico ISSN: 2357-707X
Impresso ISSN: 2177-4285
Este trabalho está licenciado com uma Licença Creative Commons - Atribuição 4.0 Internacional.