Experiences of obstetric nurses in assisting women in water birth in Portugal
DOI:
https://doi.org/10.33448/rsd-v11i16.30410Keywords:
Nurse Midwives; Humanizing Delivery; Natural Childbirth; Life Change Events; Midwifery.Abstract
Introduction: Water birth is progressively expanding in several countries around the world with availability to low obstetric risk women. Objective: To understand the experience of Nurses Specialists in Maternal Health and Obstetrics about their clinical practice, in the assistance to the woman who planned and experienced the execution of the water birth, in order to contribute to the clinical practice of the professionals who are involved both in the preparation for childbirth, as well as in labor and water birth. Method: Qualitative study where 12 Nurses Specialists in Maternal and Obstetric Health were interviewed about their experiences in assisting births in water in Portugal, through the non-probabilistic sampling technique - Snowball. Data collection took place in October 2015, through individual interviews. Results: The participants' narratives were grouped into three categories: 1 - Water Birth Assistance as an Exciting Experience; 2 - Preparation for water birth: greater autonomy for women and nurses as spectators and 3 - Water birth and the smooth transition of the newborn. Conclusion: This study indicated that through the experience of Obstetric Nurses it was possible to look at water birth as a natural process of parturition and birth, also as an event that does not need intervention in most cases, the preparation of both the woman and the partner was key to an exhilarating experience and a smooth newborn transition.
References
A Model Practice Template for Hydrotherapy in Labor and Birth. (2017). Journal of midwifery & women's health, 62(1), 120–126. https://doi.org/10.1111/jmwh.12587.
Agudelo, S. I., Gamboa, O. A., Acuña, E., Aguirre, L., Bastidas, S., Guijarro, J., & Buitrago, L. (2021). Randomized clinical trial of the effect of the onset time of skin-to-skin contact at birth, immediate compared to early, on the duration of breastfeeding in full term newborns. International Breastfeeding Journal, 16(1), 1-10. https://doi.org/10.1186/s13006-021-00379-z
Badinter, E. (1985). Um amor conquistado: o mito do amor materno (W. Dutra, Trad.). Rio de Janeiro: Nova Fronteira.
Bardin, L. (2016). Análise de conteúdo. São Paulo, SP: Edições 70.
Buyuk, G. N., Kahyaoglu, S., Turgut, E., Yumusak, O. H., & Kose, C. (2019). Immersion in water during active labor ecreases postpartum hematocrit fall following vaginal delivery. Gynecol Obstet Reprod Med, 2019; 25(1): 18-21. Acesso em: 02/07/2020. Disponível em:
Camargo, J. C., Varela, V., Ferreira, F. M., Pougy, L., Ochiai, A. M., Santos, M. E., & Grande, M. C. L. (2018). The Waterbirth Project: São Bernardo Hospital experience. Women and Birth, 31(5), e325-e333. https://doi.org/10.1016/j.wombi.2017.12.008.
Carvalho, M. L. M. D. (2003). Participação dos pais no nascimento em maternidade pública: dificuldades institucionais e motivações dos casais. Cadernos de Saúde Pública, 19, S389-S398. https://doi.org/10.1590/S0102-311X2003000800020
Davis-Floyd, R. The technocratic, humanistic, and holistic paradigms of childbirth. In International Journal of Gynecology & Obstetrics. International Conference on Humanization of Childbirth. Fortaleza, Brazil, 2-4 November 2000, pp. 5-23.
Davis-Floyd, R. (1994). Birth as an American rite of passage. California: University of California, 1994__The Technocratic body: American childbirth as cultural expression. Soc. Sic. Med., v. 8, p. 1125-40.
de Matos, M. G., Magalhães, A. S., & Monteiro, M. C. (2022). Childbirth care models in Brazil: repercussions on fathers and mothers. Research, Society and Development, 11(5), e18911526823-e18911526823.
Gualda D. M. R., Campos E. C., Praça N. S., Salim N. R., & Soares G. C. F. (2017). Nascimento: Perspectivas Antropológicas. In: De Jordan à Davis-Floyd, pg.63-74. 1 ed. – São Paulo: Ícone.
Harper, B. (2005). Gentle Birth Choices (Revised Edition ©2005 Barbara Harper ed.): Inner Traditions Bear and Company.
International Confederation of Midwife [ICM]. (2017). Strenghtening midwifery globally. Core document. International definition of the Midwife. https://www.internationalmidwives.org/assets/files/definitions-files/2018/06/eng-definition_of_the_midwife-2017.pdf
International Confederation of Midwives [ICM]. (2019). Essential Competencies for Midwifery Practice [online]. https://www.internationalmidwives.org/assets/files/general-files/2019/02/icm-competencies_english_final_jan-2019-update_final-web_v1.0.pdf [accessed 05 May 2022].
Klein, C., Meyer, D. E., & Borges, Z. N. (2013). Políticas de inclusão social no Brasil contemporâneo e educação da maternidade. Cadernos de Pesquisa, 43(150), 906-923. https://doi.org/10.1590/S0100-15742013000300009.
Lewis, L., Hauck, Y. L., Crichton, C., Barnes, C., Poletti, C., Overing, H., Keyes, L. & Thomson, B. (2018). The perceptions and experiences of women who achieved and did not achieve a waterbirth. BMC Pregnancy and Childbirt, 18 (1):23. https://doi.org/10.1186/s12884-017-1637-5.
Lopes, Z. A. (2009). Representações sociais acerca da violência de gênero: significados das experiências vividas por mulheres agredidas. Tese apresentada à Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto / USP – Dep. de Psicologia e Educação.a Ribeirão Preto, 2009.
Mercer, J. S., Erickson-Owens, D. A., Graves, B., & Haley, M. M. (2007). Evidence-Based Practices for the Fetal to Newborn Transition. Journal of Midwifery & Womens Health, 52(3), 262-272. 10.1016/j.jmwh.2007.01.005
Moscovici, S. (1978). A representação social da psicanálise. Tradução de Álvaro Cabral. Rio de Janeiro: Zahar.
Moscovici, S. (2003). Representações Sociais: Investigações em Psicologia Social. Tradução de Pedrinho A. Guareschi. Petrópolis: Vozes.
National Health Service. [NHS]. (2019). Harrogate and District. NHS Foundation Trust. Patiente Information Leaflet. Choosing a Waterbirth. Maternit Services, Version 1.0, January 2019. PICG approval date: PILOT, awainting approval. (pp.1-10). https://www.hdft.nhs.uk/content/uploads/2019/02/Birth-Choosing-a-Waterbirth.pdf
Possati, A. B., Prates, L. A., Cremonese, L., Scarton, J., Alves, C. N., & Ressel, L. B. (2017). Humanização do parto: signifcados e percepções de enfermeiras. Escola Anna Nery Revista de Enfermagem, 21(4), 1-6.10.1590/2177-9465-EAN-2016-0366
Qian, Y., Ying, X., Wang, P., Lu, Z., & Hua, Y. (2019). Early versus delayed umbilical cord clamping on maternal and neonatal outcomes. Archives of Gynecology and Obstetrics, 300(3), 531-543. https://doi.org/10.1007/s00404-019-05215-8
Ramos, D. P. (2015). A família e a maternidade como referências para pensar a política. Revista Brasileira de Ciência Política, 87-120. https://doi.org/10.1590/0103-335220151605.
RCM & RCOG. (2009). Royal College of Obstetricians and Gynaecologists(RCOG) and Royal College of Midwives (RCM). Immersion in Water.
RCM. (2012). Royal College of Midwives. Immersion in Water for Labour and Birth. Evidence Based Guidelines for Midwifery-Led Care in Labour. In T. R. C. o. Midwives (Ed.), (pp. 9): Royal College of Midwives.
Schneebeli, F. C. F., & Menandro, M. C. S. (2014). Com quem as crianças ficarão?: Representações sociais da guarda dos filhos após a separação conjugal. Psicologia & Sociedade, 26, 175-184. https://doi.org/10.1590/S0102-71822014000100019.
Tomeleri, K. R., Pieri, F. M., Violin, M. R., Serafim, D., & Marcon, S. S. (2007). " Eu vi meu filho nascer": vivência dos pais na sala de parto. Revista Gaúcha de Enfermagem, 28(4), 497.
Vahtel, K., Eilmann, K., Pühvel, J., & Kangasniemi, M. (2021). Expectant fathers’ experiences of family-centred births in Estonia: a qualitative study. Midwifery, 96, 102948. https://doi.org/10.1016/j.midw.2021.102948
Venâncio, S. I., Levy, R. B., Saldiva, S. R. D. M., Mondini, L., Alves, M. C. G. P., & Leung, S. L. (2008). Efeitos do clampeamento tardio do cordão umbilical sobre os níveis de hemoglobina e ferritina em lactentes aos três meses de vida. Cad. Saúde Pública, 24(supl 2), 323-331. https://doi.org/10.1590/S0102-311X2008001400017
Vinuto, J. (2014). A amostragem em bola de neve na pesquisa qualitativa: um debate aberto. Temáticas, 22(44), 203-220.
Weaver, M. H. (2014). Water birth in the hospital setting. Nursing for Womens Health, 18(5), 365–369. https://doi. org/10.1111/1751-486X.12144
World Health Organization [WHO recommendations]. (2018). World Health Organization. Intrapartum care for a positive childbirth experience. In L. C. B.-N.-S. IGO. (Ed.). World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf
World Health Organization [WHO]. (2020). Labour care guide: user’s manual. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO. https://www.who.int/publications/i/item/9789240017566
World Health Organization. (2022). WHO recommendations on maternal and newborn care for a positive postnatal experience. https://www.who.int/publications/i/item/9789240045989
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Copyright (c) 2022 Joyce da Costa Silveira de Camargo; Samanta Ribeiro Oliveira da Silva; Marlise de Oliveira Pimentel Lima; Maryam Michelle Jarrouge Trintinalia; Zaira de Andrade Lopes; Manuela Néné; Catarina Grande
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