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Texto & Contexto. ISSN:0104-0707 2017 v26n1 r26103p

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Resultados maternos dos partos domiciliares planejados assistidos por enfermeiras da equipe hanami no sul do Brasil, 2002-2012

Joyce Green Koettker,¹ Odaléa Maria Brüggemann,² Roxana Knobel^3
1Doutora em Enfermagem. Docente do Programa de Pós-Graduação em Enfermagem da Universidade Federal de Santa Catarina (PEN/UFSC). Bolsista CAPES. Florianópolis, Santa Catarina, Brasil. E-mail: joycegreenk@yahoo.com.br²Doutora em Tocoginecologia, Docente do Departamento de Enfermagem e do PEN/UFSC. Pesquisadora CNPq. Florianópolis, Santa Catarina, Brasil. E-mail: odalea.bruggemann@ufsc.br³Doutora em Tocoginecologia. Docente do Departamento de Ginecologia e Obstetrícia da Faculdade de Medicina da UFSC. Florianópolis, Santa Catarina, Brasil. E-mail: knobel@uol.com.br

Recebido: 06 de julho de 2015
Aprovado: 29 de junho de 2016

Cómo citar este documento

Koettker, Joyce Green; Brüggemann, Odaléa Maria; Knobel, Roxana. Resultados maternos dos partos domiciliares planejados assistidos por enfermeiras da equipe hanami no sul do Brasil, 2002-2012. Texto Contexto Enferm, ene-mar 2017, 26(1). Disponible en <https://www.index-f.com/textocontexto/2017/26103p.php> Consultado el

Resumo

Objetivo: descrever os resultados maternos da assistência ao parto domiciliar planejado pela Equipe Hanami, de 2002/2012. Método: estudo transversal. Foram incluídos os partos ocorridos no domicílio e no hospital (212), no referido período. Foi realizada análise descritiva com IC a 95%, no SAS/9.1.3. Resultados: a taxa de amniotomia foi 9,9% (IC 95% 5,9-13,9), de episiotomia 0,5% (IC95% 0,5-1,5), o líquido amniótico permaneceu claro em 95,2% (IC95% 92,4-98), não houve alteração dos batimentos cardíacos fetais em 94,3% (IC95% 92-96,6). As lacerações vaginais foram exclusivamente de primeiro grau (64,7%; IC95% 57,8-71,6) e de segundo grau (7,0%; IC95% 3,4-10,8), sendo que praticamente a metade não necessitou de sutura (46,8%; IC95% 41,1-52,6). A taxa de transferência foi de 7,4%, sendo todas durante o trabalho de parto (IC95% 3,8-11,0). A taxa de cesárea da amostra foi 9,9%. Conclusão: as mulheres assistidas no domicílio são submetidas a poucas intervenções. As intercorrências e transferências obstétricas são baixas.
Descritores: Parto domiciliar/ Parto normal/ Parto humanizado/ Nascimento a termo/ Enfermagem obstétrica.

Resumen
Resultados maternos de la asistencia al parto domiciliário planeado atendidos por enfermeras del equipo hanami en sul del Brasil, 2002-2012

Objetivo: describe resultados maternos de asistencia al parto domiciliario planeado por el Equipo Hanami, 2002/2012. Método: estudio transversal. Fueron inclusos partos en domicilio y en hospital (212). El análisis descriptivo fue realizado en SAS/9.1.3., con IC 95%. Resultados: la tasa de amniotomía fue 9,9% (IC 95% 5,9-13,9), de episiotomía 0,5% (IC95% 0,5-1,5), el líquido amniótico permaneció claro en 95,2% (IC 95% 92,4 a 98), no hubo alteración en la frecuencia cardíaca fetal en 94,3% (IC 95% 92-96,6). Laceraciones vaginales fueron de primer grado (64,7%; IC 95%: 57,8 a 71,6) y de segundo (7,0%; IC 95% 3.4 a 10.8), y casi la mitad no necesitó sutura (46,8%; IC 95%: 41,1- 52,6). La tasa de transferencia fue de 7,4% (IC 95%: 3,8 a 11,0). La tasa de cesáreas en la muestra fue de 9,9%. Conclusión: las mujeres que reciben asistencia en el domicilio son sometidas a pocas intervenciones, complicaciones obstétricas y las transferencias son bajas.
Descriptores: Parto domiciliário/ Parto normal/ Parto humanizado/ Nacimiento a término/ Enfermería obstétrica.

Abstract
Maternal results from planned home births assisted by nurses from the hanami team in the south of Brazil, 2002-2012

Objective: described the maternal results of the care with planned home births provided by the Hanami Team in 2002-2012. Method: this transversal study It includes home and hospital births (212). Descriptive analysis was undertaken, with CI 95%, using the SAS/9.1.3 software. Results: the rate of amniotomy was 9.9% (CI 95% 5.9-13.9), of episiotomy was 0.5% (CI 95% 0.5-1.5), the amniotic fluid remained clear in 95.2% (CI 95% 92.4-98), there was no change in fetal heartbeat in 94.3% (CI 95% 92-96.6). The vaginal tears perineal trauma were exclusively of first degree (64.7%; CI 95% 57.8-71.6) and second degree (7.0%; CI 95% 3.4-10.8), it being the case that almost half did not need suturing (46.8%; CI 95% 41.1-52.6). The rate of transfer to hospital was 7.4%, all these cases occurring during labor (CI 95% 3.8 - 11.0). The rate of cesareans in the sample was 9.9%. Conclusions: the women assisted at home undergo few interventions. Rates of complications and transfers to hospital for obstetric reasons were low.
Descriptors: Home childbirth/ Natural childbirth/ Humanizing delivery/ Term birth/ Obstetrical nursing.

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