O enfermeiro obstétra no parto domiciliar planejado

• Ano de defesa: 2012
• Autor(a) principal: Mattos, Diego Vieira de
• Orientador(a): Vandenberghe, Luc Marcel Adhemar
• Banca de defesa: Pegoraro, Renata Fabiana , Martins, Cleusa Alves
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de Goiás
• Programa de Pós-Graduação: Programa de Pós-Graduação STRICTO SENSU em Ciências Ambientais e Saúde
• Departamento: Ciências da Saúde
• País: BR
• Palavras-chave em Português: Parto domiciliar; Humanização do parto e nascimento; Enfermagem obstétrica
• Palavras-chave em Inglês: Home delivery; Humanization of delivery; Obstetric nursing
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE
• Link de acesso: https://tede2.pucgoias.edu.br/handle/tede/2898

The picture of childbirth assistance in Brazil has been changing in recent years. Planned home delivery represents the recovery of a historical model of giving birth that is compatible with social evolutions and the needs of modern women. Today, obstetric care takes values into account that go beyond scientific and technical considerations. Less invasive and interventionist, practices are sustained. The home environment is recognized as an adequate place for giving birth. Planned home delivery occurs as intentionally programmed by the mother, together with the health care professionals who are responsible for from prenatal care onward, avoiding risk-factors. This arrangement allows better control of the environment by mother, family and professionals. Since 1998, the Health Ministry established politics and strategies aiming to train nurses to provide care for vaginal delivery. Since then, the progress of this movement among nurses meets with political issues that challenge this practice. General Objective: To understand the experience of the obstetric nurse in the care for planned home delivery in its social and professional context. Specific Objectives: To describe the challenges and obstacles in nursing assistance to planned home delivery. To reflect over the social and professional context experienced by the obstetric nurse in assistance to planned home delivery. Method: This is a qualitative, explorative, descriptive 16 study using a Grounded Theory analysis. Data were collected through semistructured interviews with 22 obstetric nurses in the five geographic regions of Brazil. Results: Two thematic categories emerged: Personal motivations and values in the construction of the quality of delivered care; Challenges and obstacles to practice (Cultural prejudice; Attitudes in the health professions; and Lack of Logistical Support). Final Considerations: In Brazil, urban home delivery is gaining space. But even with health politics that support this procedure, planned home delivery needs specific resolutions that can give it its place in the public health system and be accepted by health insurance companies, but also changes in attitudes in the profession at large and in the cultural stereotypes carried by mass-media. On the other hand it are the personal values and experiences of the professional that sustain the construction of the quality of care and subsidize the strategies to cope with and overcome the challenges and obstacles.