Plano de parto: do planejamento à execução
Data
2021
Autores
Figueiredo, Graziele [UNIFESP]
Orientadores
Francisco, Adriana Amorim [UNIFESP]
Tipo
Dissertação de mestrado profissional
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: avaliar a aplicabilidade de um Plano de Parto, identificar as principais escolhas relacionadas à assistência, comparar o plano proposto com o realizado e avaliar a satisfação da mulher com o que foi executado. Método: estudo transversal, realizado com 56 gestantes de risco habitual, maiores de 18 anos, idade gestacional igual ou superior a 27 semanas, gestando feto único, com até uma cesárea anterior, que participaram do grupo para elaboração do Plano de Parto e aceitaram participar do estudo após o devido esclarecimento. Utilizou-se instrumento semiestruturado que incluiu o recrutamento durante a gestação e a avaliação no período puerperal sobre as expectativas atendidas. Plano de Parto elaborado pela gestante foi digitalizado e arquivado para posterior comparação. Inicialmente os dados foram analisados descritivamente. A existência de associações entre duas variáveis categóricas foi verificada por meio do teste de Qui-Quadrado, ou alternativamente, o teste exato de Fisher. Para todos os testes estatísticos adotou-se nível de significância de 5%. Pesquisa aprovada pelo Comitê de Ética em Pesquisa. Resultados: A média de idade das mulheres que realizaram o Plano de Parto foi de 25,2 anos (DP = 3,5), 62,5% tinham ensino médio completo e 53,6% viviam em união estável. A média da idade gestacional no parto foi de 39,4 semanas (DP = 1,1), 73,2% tiveram parto vaginal; 96,4% registraram que gostariam de ter o parceiro/pai do bebê como primeira escolha para acompanhante no trabalho de parto e parto, 90,6% tiveram sua escolha atendida; 60,7% optaram pela ingestão de água no trabalho de parto e sua opção foi atendida para 50,0% delas; o banho de chuveiro foi escolhido por 85,7% para alívio da dor, mas apenas 17,9% efetivamente o tiveram; 64,3% optaram por parir em posição deitada com a cabeceira elevada, porém 44,6% pariram em posições contrárias à escolhida; 55,4% solicitaram que o acompanhante realizasse a secção do cordão umbilical ao nascimento, mas 94,6% delas tiveram o profissional como a pessoa que a realizou; 28,6% das parturientes tiveram 2 dos 6 itens do Plano de Parto atendidos, 23,2% tiveram 3 itens e 8,9% das mulheres tiveram 5 itens atendidos. Apesar disso, 55,4% das participantes mostraram-se muito satisfeitas e 23,2%, satisfeitas com o cumprimento do seu Plano de Parto. Conclusão: Apesar do atendimento parcial na maior parte dos itens, encontra-se alto nível de satisfação com relação ao cumprimento do Plano de Parto.
Aim: to evaluate the applicability of a Birth Plan; to identify the main women’s choices related to the labour and childbirth care; to compare the planned care to those received during labour and childbirth at the maternity service. Method: a cross-sectional study, with 56 pregnant women at low risk pregnancy, aged 18 years or over, with at least 27 weeks of gestational age, pregnant of a single baby, with up to one previous cesarean section, which attended to the antenatal classes for discussing the Birth Plan, who filled out the Birth Plan template and consented participate in this study after being properly informed about the its objectives. Data was collected by using a semi-structured form which included information about the participant’s recruitment in the antenatal care and the postpartum assessment about participant’s experiences on labour and childbirth. The Birth Plan was scanned and stored for further comparison. Data were initially descriptively presented. The association between categorical variables was tested by using the Chi-Square test, or alternatively, Fisher's exact test. A p-value of 5% was considered statistically significant. Research approved by the Research Ethics Committee. Results: the mean of the participants age was 25.2 years (SD=3.5); 62.5% completed high school and 53.6% lived with their partners. Mean of gestational age at the childbirth was 39.4 weeks (SD=1.1); 73.2% delivered vaginally; 96.4% registered in their birth plan they would like to have their partners as companion during their labour and childbirth, however only 90.6% had that option met; 60.7% choose drink water during labour, but for only 50.0% this option was met; 85.7% wish to have a shower for relieving labour pain, but 17.9% had that wish met; 64.3% choose giving birth in the semi recumbent position, nevertheless 44.6% gave birth in a different position; 55.4% wished having a companion cutting the umbilical cord, but for 94.6% of them the doctor/midwife cut off the umbilical cord; 28.6% had 2 out of 6 items from their Birth Plan met, 23.2% 3 items and 8.9% 5 items. Despite of these results 55.4% were highly satisfied with their birth experience while 23.2% were satisfied. Conclusion: Although the majority of the items of the Birth Plan were not met during the maternity care we found a high level of women’s satisfaction with their birth experience.
Aim: to evaluate the applicability of a Birth Plan; to identify the main women’s choices related to the labour and childbirth care; to compare the planned care to those received during labour and childbirth at the maternity service. Method: a cross-sectional study, with 56 pregnant women at low risk pregnancy, aged 18 years or over, with at least 27 weeks of gestational age, pregnant of a single baby, with up to one previous cesarean section, which attended to the antenatal classes for discussing the Birth Plan, who filled out the Birth Plan template and consented participate in this study after being properly informed about the its objectives. Data was collected by using a semi-structured form which included information about the participant’s recruitment in the antenatal care and the postpartum assessment about participant’s experiences on labour and childbirth. The Birth Plan was scanned and stored for further comparison. Data were initially descriptively presented. The association between categorical variables was tested by using the Chi-Square test, or alternatively, Fisher's exact test. A p-value of 5% was considered statistically significant. Research approved by the Research Ethics Committee. Results: the mean of the participants age was 25.2 years (SD=3.5); 62.5% completed high school and 53.6% lived with their partners. Mean of gestational age at the childbirth was 39.4 weeks (SD=1.1); 73.2% delivered vaginally; 96.4% registered in their birth plan they would like to have their partners as companion during their labour and childbirth, however only 90.6% had that option met; 60.7% choose drink water during labour, but for only 50.0% this option was met; 85.7% wish to have a shower for relieving labour pain, but 17.9% had that wish met; 64.3% choose giving birth in the semi recumbent position, nevertheless 44.6% gave birth in a different position; 55.4% wished having a companion cutting the umbilical cord, but for 94.6% of them the doctor/midwife cut off the umbilical cord; 28.6% had 2 out of 6 items from their Birth Plan met, 23.2% 3 items and 8.9% 5 items. Despite of these results 55.4% were highly satisfied with their birth experience while 23.2% were satisfied. Conclusion: Although the majority of the items of the Birth Plan were not met during the maternity care we found a high level of women’s satisfaction with their birth experience.