Interventions used by obstetrician nurses in the preparation programs for childbirth: integrative review
DOI:
https://doi.org/10.33233/eb.v22i5.5264Keywords:
nurse midwives, childbirth preparationAbstract
Background: The preparation of the pregnant woman for the childbirth enables the woman to experience good experiences in labor, feeling herself the protagonist of the process. This preparation should be started early in prenatal care and involve not only biological aspects, but also a welcoming approach to the woman and her family. For this reason, WHO recommends midwifes and qualified obstetricians in the participation of women's care in primary care, as well as in the direct assistance to childbirth. Objective: To review in the literature scientific evidences that address the performance of the obstetrician nurse in the interventions used in the preparation programs for childbirth. Methods: This is an integrative review type study in the electronic databases: Pubmed (Medical Publications); VHL (Virtual Health Library) and SciELO (Scientific Electronic Library Online), in Portuguese, English and Spanish. Results: Regarding the interventions used, the most important were the group-based in-class courses (73.68%) and by telephone by appointment (21%). Respiratory exercises, relaxation techniques and concentration were in 52.63% of the subjects covered. 42.10% of the researches have emerged as non-pharmacological methods for pain relief, dealing with fear and delivery at the moment. We used cognitive behavioral therapy (1), psycho-educational counseling (4) and mindfulness meditation (2). In addition to the drama-image method for poorly literate women. Conclusion: The preparation for childbirth allowed us to verify the benefits of this practice in the autonomy of women, conscious choices, greater parturient satisfaction, reduction of fear and increase of knowledge.
References
Maldonado MTP. Psicologia da gravidez, parto e puerpério. 4 ed. Petrópolis: Vozes; 1981,
Szejer M, Stewart R. Nove meses na vida da mulher: uma abordagem psicanalítica da gravidez e do nascimento. 2 ed. São Paulo: Casa do Psicólogo; 2002
Klein MMS, GuedesCR. Intervenção psicológica a gestantes: contribuições do grupo de suporte para a promoção da saúde. Psicol Cienc Prof. 2008;28(4):862-71. doi: 10.1590/S1414-98932008000400016
Benute GRG, Nomura RY, Santos AM, Zarvos MA, Lucia MCS, Francisco RPV. Preferência pela via de parto: uma comparação entre gestantes nulíparas e primíparas. Rev Bras Ginecol Obstet. 2013;35(6):281-5. doi: 10.1590/S0100-72032013000600008
Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Departamento de Gestão e Incorporação de Tecnologias em Saúde. Diretrizes nacionais de assistência ao parto normal: versão resumida [recurso eletrônico] / Ministério da Saúde, Secretaria de Ciência, Tecnologia e Insumos Estratégicos, Departamento de Gestão e Incorporação de Tecnologias em Saúde. Brasília: Ministério da Saúde, 2017. 51 p.
Brasil. Ministério da Saúde. Secretaria de Políticos de Saúde. Área Técnica de Saúde da Mulher. Parto, aborto e puerpério: assistência humanizada à mulher/ Ministério da Saúde, Secretaria de Políticas de Saúde, Área Técnica da Mulher. Brasília: Ministério da Saúde; 2001.
Pereira SB, Diaz CMG, Backes MTS, Ferreira CLL, Backes DS. Good practices of labor and birth care from the perspective of health professionals. Rev Bras Enferm. 2018;71(Suppl 3):1313-9. doi: 10.1590/0034-7167-2016-0661
World Health Organization (WHO). Trends in maternal mortality: 1990-2013. Estimates by WHO, UNICEF, UNFPA, the World Bank and the United Nations Population Division [Internet]. Geneva: WHO; 2014.
Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53. doi: 10.1111/j.1365-2648.2005.03621.x
Santos CMC, Pimenta CAM, Nobre MRC. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Rev Latino-Am Enfermagem. 2007;15(3):508-11. doi: 10.1590/S0104-11692007000300023
Hatamleh R, Abujilban S, AbuAbed ASA, Abuhammad S. The effects of a childbirth preparation course on birth outcomes among nulliparous Jordanian women. Midwifery. 2019;72:23-29. doi: 10.1016/j.midw.2019.02.002
Shimpuku Y, Madeni FE, Horiuchi S, Kubota K, Leshabari SC. Evaluation of a family-oriented antenatal group educational program in rural Tanzania: a pre-test/post-test study. Reprod Health. 2018;15(1):117. doi: 10.1186/s12978-018-0562-z
Pan WL, Gau ML, Lee TY, Jou HJ, Liu CY, Wen TK, et al., Mindfulness-based programme on the psychological health of pregnant women, Women Birth. 2019;32(1):e102-e109. doi: 10.1016/j.wombi.2018.04.018
Uçar T, Golbasi Z. Effect of an educational program based on cognitive behavioral techniques on fear of childbirth and the birth process. Journal of Psychosomatic Obstetrics & Gynecology. 2019;40:2:146-55. doi: 10.1080/0167482X.2018.1453800
Khresheh R, Almalik M, Owies A, Barclay L. Implementation of a childbirth preparation program in the maternal and child health centres in Jordan. Midwifery. 2018;61:1-7. doi: 10.1016/j.midw.2018.02.010
Barimani M, Forslund Frykedal K, Rosander M, Berlin A. Childbirth and parenting preparation in antenatal classes. Midwifery. 2018;57:1-7. doi: 10.1016/j.midw.2017.10.021
Masoumeh R, Seyed AM, Ahmad K, Afsaneh K, Ensieh F, Giti A. The impact of motivational interviewing on behavior stages of nulliparous pregnant women preparing for childbirth: a randomized clinical trial. Journal of Psychosomatic Obstetrics & Gynecology. 2018; 39(3):237-5. doi: 10.1080/0167482X.2017.1338266
Duncan L, Cohn M, ChaoM, CookJ, Riccobono J, Bardacke N. Benefits of preparing for childbirth with mindfulness training: A randomized controlled trial with active comparison. BMC Pregnancy and Childbirth. 2017;17. doi: 10.1186/s12884-017-1319-3
Akca A, Corbacioglu Esmer A, Ozyurek ES, et al. A influência do programa sistemático de preparação para o nascimento na satisfação do parto. Arquivos de Ginecologia e Obstetrícia. 2017;295(5):1127-33. doi: 10.1007/s00404-017-4345-5.
Masoumi SZ, Kazemi F, Oshvandi K, Jalali M, Esmaeili-Vardanjani A, Rafiei H. Effect of training preparation for childbirth on fear of normal vaginal delivery and choosing the type of delivery among pregnant women in Hamadan, Iran: A randomized controlled trial. J Fam Reprod Health 2016;10(3):115-21.
Rasouli M, AtashSokhan G, Keramat A, Khosravi A, Fooladi E, Mousavi SA. The impact of motivational interviewing on participation in childbirth preparation classes and having a natural delivery: a randomized trial. BJOG. 2017;124(4):631-9. doi: 10.1111/1471-0528.14397
Fenwick J, Toohill J, Gamble, J. et al. Effects of a midwife psycho-education intervention to reduce childbirth fear on women’s birth outcomes and postpartum psychological wellbeing. BMC Pregnancy Childbirth 2015;15:284. doi: 10.1186/s12884-015-0721-y
Fenwick J, Toohill J, Creedy DK, Smith J, Gamble J. Sources, responses and moderators of childbirth fear in Australian women: a qualitative investigation. Midwifery. 2015;31(1):239-46. doi: 10.1016/j.midw.2014.09.003
Butler MM. Exploring the strategies that midwives in British Columbia use to promote normal birth. BMC Pregnancy Childbirth. 2017;17(1):168. doi: 10.1186/s12884-017-1323-7
Levett KM, Smith CA, Bensoussan A, Dahlen HG. The complementary therapies for labour and birth study making sense of labour and birth - Experiences of women, partners and midwives of a complementary medicine antenatal education course. Midwifery. 2016;40:124-131. doi: 10.1016/j.midw.2016.06.011
Karabulut Ö, Coşkuner Potur D, Doğan Merih Y, Cebeci Mutlu S, Demirci N. Does antenatal education reduce fear of childbirth? Int Nurs Rev. 2016;63(1):60-7. doi: 10.1111/inr.12223
Toohill J, Fenwick J, Gamble J, Creedy DK, Buist A, Turkstra E, Ryding EL. A randomized controlled trial of a psycho-education intervention by midwives in reducing childbirth fear in pregnant women. Birth (Berkeley, Calif.) 2014;41(4):384–94. doi: 10.1111/birt.12136
McDonald SD, Sword W, Eryuzlu LE, Biringer AB. A qualitative descriptive study of the group prenatal care experience: perceptions of women with low-risk pregnancies and their midwives. BMC Pregnancy Childbirth. 2014;14:334. doi: 10.1186/1471-2393-14-334
Fenwick J, Gamble J, Creedy DK, Turkstra E, Sneddon A. Study protocol for reducing childbirth fear: a midwife-led psycho-education intervention. BMC Pregnancy Childbirth 2013;13(190). doi: 10.1186/1471-2393-13-190
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Atenção ao pré-natal de baixo risco / Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. – Brasília: Ministério da Saúde, 2012. 318 p.: il. – (Série A. Normas e Manuais Técnicos) (Cadernos de Atenção Básica, n° 32)
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Atenção Básica / Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Brasília: Ministério da Saúde, 2012. 110 p.: il. – (Série E. Legislação em Saúde)
Vandenberghe L, Sousa ACA. Mindfulness nas terapias cognitivas e comportamentais. Rev. Bras Ter Cogn. 2006;2(1):35-44. Disponível em: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1808-56872006000100004&lng=pt&nrm=iso
Aguiar CS. Baralho do modelo cognitivo para adultos: psicoeducação dos pensamentos, sentimentos e comportamentos. Novo Hamburgo: Snopsys; 2018.
Lönnberg G, Nissen E, Niemi M. What is learned from mindfulness-based childbirth and parenting education? - Participants' experiences. BMC Pregnancy Childbirth. 2018;18(1):466. doi: 10.1186/s12884-018-2098-1
Kızılırmak A, Başer M. The effect of education given to primigravida women on fear of childbirth. Appl Nurs Res. 2016;29:19-24. doi: 10.1016/j.apnr.2015.04.002
Gonçalves MF, Teixeira EMB, Silva MAS, Corsi NM, Ferrari RAP, Pelloso SM, et al. Prenatal care: preparation for childbirth in primary healthcare in the south of Brazil. Rev. Gaúcha Enferm. 2017;38(3):e0063. doi: 10.1590/1983-1447.2017.03.2016-0063
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