Percepção de fadiga materna e sua relação com a experiência do parto: estudo transversal
Data
2024-11-22
Autores
Estógio, Andressa da Rocha Morgado 
Orientadores
Scudeller, Tânia Terezinha
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: Todos os anos acontecem cerca de 2,64 milhões de nascimentos no cenário brasileiro, demanda que afeta em média seis milhões de pessoas. Mas experiências de parto podem causar repercussões negativas importantes no vínculo materno-fetal e, consequentemente, prejuízos para a saúde e desenvolvimento do neonato. Objetivo: Este estudo analisou a percepção da fadiga materna durante o trabalho de parto (TP) e sua relação com a experiência do parto em primíparas. Materiais e Métodos: Trata-se de um estudo clínico observacional transversal, que foi desenvolvido em duas maternidades de São Paulo, com 46 primíparas que responderam a dois questionários: Questionário de Percepção Materna de Fadiga no Trabalho de Parto (QMFP), que avalia a fadiga nos domínios físico, psicológico e emocional, e o Questionário de Experiência do Parto (CEQ-Br), que analisa a auto capacidade e a participação da mulher no parto. Os dados foram analisados utilizando o teste de normalidade Kolmogorov-Smirnov (K-S) e testes estatísticos (Pearson ou Spearman) para correlação, com um nível de significância de 5%. Resultados: A fadiga apresenta um aumento progressivo ao longo do TP (p < 0,001) e está significativamente associada a fatores como etnia e estado civil. Foram observadas diferenças estatísticas relevantes na percepção de fadiga entre mulheres solteiras e aquelas casadas/união estável (p = 0,031), assim como entre mulheres de etnia preta/pardas e branca (p = 0,036). Além disso, a fadiga tem um impacto significativo na percepção da auto capacidade (p = 0,017). Conclusão: O ganho de peso materno não influencia a percepção de fadiga nem a experiência do parto. A fadiga aumenta progressivamente ao longo do TP, sendo mais relatada por mulheres solteiras e de etnia preta em comparação com casadas/união estável e de etnia branca. Mulheres casadas/união estável têm melhores experiências no domínio da capacidade, enquanto as solteiras se destacam na participação. A maior fadiga está associada a menor auto capacidade, mas não afeta diretamente a participação. Esses achados sugerem que fatores como estado civil e etnia desempenham papel importante na percepção de fadiga e na experiência do parto, destacando a necessidade de abordagens individualizadas no cuidado materno.
Introduction: Every year, approximately 2.64 million births occur in Brazil, a demand that affects an average of six million people. Negative childbirth experiences can have important repercussions on the maternal-fetal bond and, consequently, adverse effects on the health and development of the newborn. Objective: This study aimed to analyze the perception of maternal fatigue during labor (TP) and its relationship with the childbirth experience in primiparous women. Materials and Methods: This is a cross-sectional observational clinical study conducted in two maternity hospitals in São Paulo, with 46 primiparous women who responded to two questionnaires: the Maternal Fatigue Perception Questionnaire in Labor (QMFP), which assesses fatigue in physical, psychological, and emotional domains, and the Birth Experience Questionnaire (CEQ-Br), which evaluates self-efficacy and the woman's participation in childbirth. Data were analyzed using the Kolmogorov-Smirnov (K-S) normality test and statistical tests (Pearson or Spearman) for correlation, with a significance level of 5%. Results: Fatigue progressively increases throughout labor (p < 0.001) and is significantly associated with factors such as ethnicity and marital status. Significant statistical differences in fatigue perception were observed between single women and those who were married/in a stable union (p = 0.031), as well as between Black/mixed-race and White women (p = 0.036). Additionally, fatigue has a significant impact on the perception of self-efficacy (p = 0.017). Conclusion: Maternal weight gain does not influence the perception of fatigue or the childbirth experience. Fatigue progressively increases throughout labor, being more frequently reported by single and Black women compared to those who are married/in a stable union and White women. Married/in a stable union women have better experiences in the domain of self-efficacy, while single women excel in participation. Higher fatigue is associated with lower self-efficacy but does not directly affect participation. These findings suggest that factors such as marital status and ethnicity play a key role in the perception of fatigue and the childbirth experience, highlighting the need for individualized approaches in maternal care.
Introduction: Every year, approximately 2.64 million births occur in Brazil, a demand that affects an average of six million people. Negative childbirth experiences can have important repercussions on the maternal-fetal bond and, consequently, adverse effects on the health and development of the newborn. Objective: This study aimed to analyze the perception of maternal fatigue during labor (TP) and its relationship with the childbirth experience in primiparous women. Materials and Methods: This is a cross-sectional observational clinical study conducted in two maternity hospitals in São Paulo, with 46 primiparous women who responded to two questionnaires: the Maternal Fatigue Perception Questionnaire in Labor (QMFP), which assesses fatigue in physical, psychological, and emotional domains, and the Birth Experience Questionnaire (CEQ-Br), which evaluates self-efficacy and the woman's participation in childbirth. Data were analyzed using the Kolmogorov-Smirnov (K-S) normality test and statistical tests (Pearson or Spearman) for correlation, with a significance level of 5%. Results: Fatigue progressively increases throughout labor (p < 0.001) and is significantly associated with factors such as ethnicity and marital status. Significant statistical differences in fatigue perception were observed between single women and those who were married/in a stable union (p = 0.031), as well as between Black/mixed-race and White women (p = 0.036). Additionally, fatigue has a significant impact on the perception of self-efficacy (p = 0.017). Conclusion: Maternal weight gain does not influence the perception of fatigue or the childbirth experience. Fatigue progressively increases throughout labor, being more frequently reported by single and Black women compared to those who are married/in a stable union and White women. Married/in a stable union women have better experiences in the domain of self-efficacy, while single women excel in participation. Higher fatigue is associated with lower self-efficacy but does not directly affect participation. These findings suggest that factors such as marital status and ethnicity play a key role in the perception of fatigue and the childbirth experience, highlighting the need for individualized approaches in maternal care.
Descrição
Citação
ESTÓGIO, Andressa da Rocha Morgado. Percepção de fadiga materna e sua relação com a experiência do parto: estudo transversal. 2024. 35 f. Trabalho de conclusão de curso (Graduação em Fisioterapia) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2024.