Determining factors of nursing care in the parturition process

Adriana Aparecida Piler, Marilene Loewen Wall, Juliane Dias Aldrighi, Silvana Regina Rossi Kissula Souza, Tatiane Herreira Trigueiro, Larissa de Oliveira Peripolli



Objective: to analyze the scientific evidence about the factors that determine Nursing care for women in the process of parturition. Method: this is a bibliographical study, type integrative, carried out in the databases CINAHL, LILACS, MEDLINE, in publications from the year 2000 to 2018. The studies were analyzed in six phases and presented in figure form and syntheses. Results: 24 studies were selected and analyzed. The common themes were organized and classified after the analysis in the categories "Professional / parturient relation: determinant factor for the care"; "Valuation / Inclusion of the companion as a determinant factor for care"; "Environmental conditions as a resource for the caring process" and "Factors based on care techniques". Conclusion: it was evidenced that other factors, besides the assistance techniques, are determinant for the Nursing care dispensed to the women in the process of birth and birth, which leads to the need of sensitization of the professionals for the involvement of these factors in the care guided in the good practices. Descriptors: Nursing Care; Obstetric Nursing; Childbirth; Humanized Birth; Labor; Review.


Objetivo: analisar as evidências científicas acerca dos fatores que determinam os cuidados de Enfermagem à mulher em processo de parturição. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa, realizada nas bases de dados CINAHL, LILACS, MEDLINE, em publicações a partir do ano 2000 até 2018. Analisaram-se os estudos em seis fases e apresentados em forma de figura e sínteses. Resultados: selecionaram-se e analisaram-se 24 estudos. Organizaram-se e classificaram-se os temas comuns após a análise nas categorias “Relação profissional/parturiente: fator determinante para o cuidar”; “Valorização/Inclusão do acompanhante como fator determinante para o cuidado”; “Condições do ambiente como recurso para o processo de cuidar” e “Fatores pautados em técnicas assistenciais”. Conclusão: evidenciou-se que outros fatores, além das técnicas assistenciais, são determinantes para o cuidado de Enfermagem dispensado às mulheres no processo de parto e nascimento, o que leva à necessidade de sensibilização dos profissionais para o envolvimento desses fatores no cuidado pautado nas boas práticas. Descritores: Cuidados de Enfermagem; Enfermagem Obstétrica; Parto; Parto Humanizado; Trabalho de Parto; Revisão.


Objetivo: analizar las evidencias científicas acerca de los factores que determinan los cuidados de Enfermería a la mujer en proceso de parto. Método: se trata de un estudio bibliográfico, tipo revisión integrativa, realizada en las bases de datos CINAHL, LILACS, MEDLINE, en publicaciones a partir del año 2000 hasta 2018. Se analizaron los estudios en seis fases y presentados en forma de figura y síntesis. Resultados: se seleccionaron y se analizaron 24 estudios. Se organizaron y clasificaron los temas comunes después del análisis en las categorías "Relación profesional / parturienta: factor determinante para el cuidar"; "Valorización / Inclusión del acompañante como factor determinante para el cuidado"; "Condiciones del ambiente como recurso para el proceso de cuidar" y "Factores pautados en técnicas asistenciales". Conclusión: se evidenció que otros factores, además de las técnicas asistenciales, son determinantes para el cuidado de Enfermería dispensado a las mujeres en el proceso de parto y nacimiento, lo que lleva a la necesidad de sensibilización de los profesionales para la implicación de esos factores en el cuidado pautado en las buenas prácticas. Descritores: Atención de Enfermería; Enfermería Obstétrica; Parto; Parto Humanizado; Trabajo de Parto; Revisíon.


Cuidados de Enfermagem; Enfermagem Obstétrica; Parto; Parto Humanizado; Trabalho de Parto; Revisão.


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