Contributions of Obstetric Nursing to safe care for parturientes and newborns in the contexto of the pandemic COVID-19
DOI:
https://doi.org/10.33448/rsd-v9i8.5362Keywords:
Obstetric Nursing; Pandemics; Coronavirus infections; Nursing care; Women’s health.Abstract
Objectives: To discuss the current state of publications on obstetric care for asymptomatic women for COVID-19 and to point out the contributions of obstetric nursing to the safe care of parturients and newborns in the context of the pandemic. Method: Systematic review based on Cochrane, Embase, BVS; MEDLINE, PubMed, CINAHL and Scopus, to raise publications that answered the question: What are the recommended care measures for assisting asymptomatic women for COVID-19 during childbirth and the puerperium? Results: 36 studies were surveyed, but only 2 met the eligibility criteria. It was found that the publications focus on assistance to pregnant women, parturients and postpartum women symptomatic and / or positive for COVID-19. However, the reality of Brazilian health services imposes challenges for safe obstetric care due to the lack of PPE, the absence of mass testing and the architecture specificities for the maternity hospitals. These challenges may imply an increased risk of spreading the virus in these places and exposure to healthy pregnant women and health professionals. In this context, in line with the actions to combat COVID-19, we point out guidelines for respectful care for women's rights and insurance for parturients, newborns, mothers, companions and health professionals within the scope of obstetric care services. Conclusion: The set of care proposed for the differents levels of health care has the potential to contribute to obstetric nursing care in the current Brazilian epidemiological scenario, without losing sight of the importance of humanization, quality and safety.
References
Brasil (2020a). Ministério da Saúde. Secretaria de Atenção Especializada à Saúde. Departamento de Atenção Hospitalar, Domiciliar e de Urgência. Protocolo de manejo clínico da Covid-19 na Atenção Especializada. 1ª ed. rev. Brasília, DF. Acesso em 19 de abril de 2020 em https://portalarquivos.saude.gov.br/images/pdf/2020/April/14/Protocolo-de-Manejo-Cl--nico-para-o-Covid-19.pdf.
Brasil. (2020b). Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Nota técnica COSMU/CGCIVI/DAPES/SAPS/MS nº 12/2020: Infecção COVID-19 e os riscos às mulheres no ciclo gravídico-puerperal. Brasília, DF. Acesso em 19 de abril de 2020 em https://portaldeboaspraticas.iff.fiocruz.br/wp-content/uploads/2020/04/SEI_MS-0014496630-Nota-T%C3%A9cnica-4_18.04.2020.pdf
Brasil. (2020c). Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Nota Técnica COCAM/CGCIVI/DAPES/SAPS/MS nº 10/2020: Atenção à Saúde do Recém-nascido no contexto da Infecção pelo novo Coronavírus (SARS-CoV-2). Brasília, DF. Acesso em 19 abril de 2020 em: http://189.28.128.100/dab/docs/portaldab/documentos/notatecnica1020 20COCAMCGCIVIDAPESSAPSMS_003.pdf
Brasil. (2018). Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Orientações para elaboração de projetos arquitetônicos Rede Cegonha: ambientes de atenção ao parto e nascimento. Brasília, DF. Acesso em 21 de abril de 2020 em http://bvsms.saude.gov.br/bvs/publicacoes/orientacoes_projetos_arquitetonicos_ rede_cegonha.pdf.
Breslin, N., Baptiste, C., Gyamfi-Bannerman, C., Miller, R., Martinez, R., Bernstein, K.,Ring, L., Landau, ,R., Purisch, S,, Friedman, A.M., Fuchs, K., Sutton, D., Andrikopoulou, M., Ruplet, D., Sheen, J.J., Aubey, J., Zork, N., Moroz, L., Mourad, M., Wapner, R., Simpson, L.L., D’alton, M.E., & Goffman, D. (2020). COVID-19 infection among asymptomatic and symptomatic pregnant women: Two weeks of confirmed presentations to an affiliated pair of New York City hospitals. Am J Obstet Gynecol MFM. 100118 . Acesso em 15 de abril de 2020 em https://doi.org/10.1016/j.ajogmf.2020.100118.
Center for Disease Control and Prevention. (2020). Considerations for Inpatient Obstetric Healthcare Settings. Acesso em 30 de maio de 2020 em https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html
Chacón-Aguilar, R., Osorio-Cámara, J. M., Sanjurjo-Jimenez, I., González-González, C., López-Carnero, J., & Agapito, B. P. M. (2020). COVID-19: Síndrome febril y clínica neurológica en neonato. Anales de Pediatria. Acesso em 13 de maio de em https://doi.org/10.1016/j.anpedi.2020.04.012
Chen, Y., Liu, Q, & Guo, D. (2020). Emerging coronaviruses: Genome structure, replication, and pathogenesis. J Med Virol. 92(4):418- 23. Acesso em 15 de abril de 2020 , em https://doi.org/10.1002/jmv.25681.
Costa, D. O., Souza, F. I. S., Pedroso, G. C, & Strufaldi, M. W. L. (2018). Transtornos mentais na gravidez e condições do recém-nascido: estudo longitudinal com gestantes assistidas na atenção básica. Ciência & Saúde Coletiva, 23(3):691-700.
Gallasch, C. H., Cunha, M. L., Pereira, L. A. S., & Silva-Junior, J. S. (2020). Prevention related to the occupational exposure of health professionals workers in the COVID-19 scenario. Rev enferm UERJ 28:e49596. Acesso em 19 de abril de 2020 em http://dx.doi.org/10.12957/reuerj.2020.49596.
Liu, H., Wang, L. L.,Zhao, S. J., Kwak-Kim, J., Mor, G., & Liao, A. H. (2020). Why are pregnant women susceptible to COVID-19? An immunological viewpoint. J Reprod Immunol 139:103122. Acesso em 15 de abril de 2020. em: https://doi.org/10.1016/j.jri.2020.103122.
Matsuyama, S., Nao, N., Shirato, K., Kawase, M., Saito, S., Takayama, I et al. (2020). Enhanced isolation of SARS-CoV-2 by TMPRSS2-expressing cells. Proc Natl Acad Sci USA 117(13):7001-03. Acesso em 15 de abril de 2020 em https://doi.org/10.1073/pnas.2002589117.
Mullins, E., Evans, D., Viner, R., O'Brien, P., & Morris, E. (2020). Coronavirus in pregnancy and delivery: rapid review. Ultrasound in Obstetrics and Gynecology. 55: 586-92. Acesso em 20 de abril de 2020 em https://doi.org/10.1002/uog.22014.
Oliveira, A. C., Lucas, T. C., & Iquiapaza, R. A. (2020). What has the COVID-19 pandemia taught us about adopting preventive measures?. Texto Contexto Enferm. 29:e20200106.
Acesso em 10 de maio de 2020 em https://doi.org/10.1590/1980-265X-TCE-2020-0106
Prata, J. A., Ares, L. P. M., Vargens, O. M. C., Reis, C. S. C., Pereira, A. L. F., & Progianti, J. M. (2019). Non-invasive care technologies: nurses' contributions to the demedicalization of health care in a high-risk maternity hospital. Esc Anna Nery. 23(2):e20180259. Acesso em 15 de abril de 2020 em https://doi.org/10.1590/2177-9465-EAN-2018-0259.
Royal College of Obstetricians and Gynaecologists.(2020a). Coronavirus (COVID-19). Infection in Pregnancy. Information for healthcare professionals Acesso em 13 de maio de 2020 em https://www.rcog.org.uk/globalassets/documents/guidelines/2020-05-13-coronavirus-covid-19-infection-in-pregnancy.pdf
Royal College of Obstetricians and Gynaecologists. (2020b). Coronavirus (COVID-19) Infection in Pregnancy. Information for healthcare professionals Acesso em 17 de abril de 2020 em https://www.rcog.org.uk/globalassets/documents/guidelines/2020-04-17-coronavirus-covid-19-infection-in-pregnancy.pdf
Royal College of Obstetricians and Gynaecologists. (2020c). Coronavirus (COVID-19). Principles for the testing and triage of women seeking maternity care in hospital setting, during the COVID-19 pandemic: A supplementary framework for maternity healthcare professionals. Acesso em 30 de maio de 2020 em https://www.rcog.org.uk/globalassets/documents/guidelines/2020-05-29-principles-for-the-testing-and-triage-of-women-seeking-maternity-care-in-hospital-settings-during-the-covid-19-pandemic.pdf
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.