NDLI: Período Puerperal e Atuação do Enfermeiro: uma Revisão Integrativa

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Período Puerperal e Atuação do Enfermeiro: uma Revisão Integrativa

Content Provider	Semantic Scholar
Author	Azevedo, Eduardo Brandão Mendes, Fernanda Savoi Teixeira, Maione Motta Freitas, P. S. L. Cardoso, Pollyanna Oliveira Barros
Copyright Year	2018
Abstract	Embora a maioria das alteracoes no pos-parto seja de âmbito fisiologico, as puerperas convivem com mudancas, medos, desafios, anseios e situacoes de risco que podem afetar, negativamente, a relacao mae-filho. Somam-se a estes riscos os problemas somaticos ja instalados, que indicam a necessidade de atuacao da enfermagem atraves da assistencia a puerpera. O presente estudo e uma revisao integrativa, que tem como objetivo identificar quais as complicacoes mais frequentes na puerpera, alem de verificar a atuacao do enfermeiro perante o puerperio. Foram pre-selecionados dos portais cientificos: Biblioteca Virtual de Saude (BVS) e Pubmed, 423 periodicos que contemplavam a tematica pesquisada. Entretanto, foram utilizados 22 destes, pois estavam dentro dos criterios preestabelecidos para sua inclusao. Das complicacoes puerperais mais frequentes identificadas nos periodicos analisados se destacam a dificuldade da puerpera em amamentar o recem-nascido em 59,1%, seguida de infeccoes puerperais, sendo esta com frequencia de 22,7%, seguida de alteracoes psiquicas com 13,6%. Por outro lado, incontinencia urinaria, sangramento aumentado e morte materna foram referenciados em 9% dos periodicos analisados. Conclui-se que ha inumeras complicacoes psicossomaticas na puerpera, que devem ser abordadas tambem pelo enfermeiro. Sem este profissional capacitado, atuante e observador, o inicio de um novo ciclo de vida pode estar comprometido, caso ocorram complicacoes. Por outro lado, sua ausencia pode aumentar, substancialmente, a probabilidade de agravos durante as fases do puerperio, incluindo o pos-parto imediato. Palavras-chave: Periodo Pos-Parto. Aleitamento Materno. Enfermagem. Abstract Although most postpartum changes are physiological, puerperal women coexist with changes, fears, challenges, longings, and risk situations that may negatively affect the mother-child relationship. Added to these risks are the already installed somatic problems that indicate the need for nursing care through the care of the puerperal woman. The present study is an integrative review that aims to identify the most frequent complications in the puerperium, as well as to verify the nurses' performance before and after puerperium. The scientific portals were pre-selected from the Virtual Health Library (VHL) and Pubmed 423 journals that covered the researched topic. However, 22 of these were used, as they were within the pre-established criteria for inclusion. Of the most frequent puerperal complications in the analyzed journals, the difficulties of the puerperal women in breast-feeding the newborn were observed in 59.1%, followed by puerperal infections, this being a frequency of 22.7%, followed by psychic alterations with 13.6 %. On the other hand, urinary incontinence, increased bleeding and maternal death were referenced in 9% in each of the analyzed periodicals. It is concluded that there are numerous psychosomatic complications in the puerperium that should be addressed by the nurse. Without this skilled, active and observant professional, the beginning of a new life cycle may be compromised in the event of complications. On the other hand, their absence may substantially increase the likelihood of injuries during the puerperium stages, including immediate postpartum. Keywords: Postpartum Period. Breastfeeding. Nursing.
Starting Page	157
Ending Page	165
Page Count	9
File Format	PDF HTM / HTML
DOI	10.17921/1415-6938.2018v22n3p157-165
Volume Number	22
Alternate Webpage(s)	http://revista.pgsskroton.com.br/index.php/ensaioeciencia/article/download/4712/4472
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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