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Changes in assistance and care in the pregnancy-puerperal cycle in times of coronavirus

Authors

Gabrielle Adeliano Enfermeira na Clínica da família Romulo Carlos Teixeira https://orcid.org/0000-0002-1166-5994
Jozeane Seabra Universidade Federal do Estado do Rio de Janeiro https://orcid.org/0000-0002-4819-0646
Priscila Barbosa Universidade Federal do Estado do Rio de Janeiro https://orcid.org/0000-0002-6988-2799
Sandy Valim Universidade Federal Fluminense https://orcid.org/0000-0003-2772-583X
Taís Vernaglia Universidade Federal do Estado do Rio de Janeiro https://orcid.org/0000-0003-3391-7301
Cristiane Rocha Universidade Federal do Estado do Rio de Janeiro https://orcid.org/0000-0002-5658-0353

DOI:

https://doi.org/10.9789/2175-5361.rpcfo.v15.11754

Keywords:

Parturition, COVID-19, Pregnancy, Nursing, Postpartum period

Abstract

Objective: to know the specific procedures and care provided to pregnant women, puerperal women and newborns in times of a pandemic and to analyze changes in prenatal care, labor, delivery and the postpartum period during the coronavirus pandemic. Methods: this is a qualitative, descriptive and exploratory study involving 26 women. The interviews were conducted via the Google Forms platform, with closed and open questions. Results: Two categories emerged from the study: 1) Influence of social isolation on the emergence of mental disorders; 2) Adaptations with loss of sexual and reproductive, social and labor rights. Conclusion: mental health and sexual and reproductive, social and labor rights were shown to be more vulnerable in women who experienced pregnancy and postpartum in the coronavirus pandemic.

DESCRIPTORS: Parturition; Postpartum Period; Covid-19; Pregnancy; Nursing.

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Author Biographies

Gabrielle Adeliano, Enfermeira na Clínica da família Romulo Carlos Teixeira

Nurse at the Family Clinic Romulo Carlos Teixeira - CAP 5.1 in Rio de Janeiro. During her nursing undergraduate studies at the Federal University of the State of Rio de Janeiro (UNIRIO), she acted as Scientific Initiation Scholar "Nursing care in the perinatal areas and women in the life cycle", under the coordination of Prof. Dr. Cristiane Rodrigues da Rocha. And was vice president in the Liga Acadêmica de Enfermagem em Saúde da Mulher e do Neonato - UNIRIO and was scholarship student of the Prefeitura do Rio de Janeiro.

Jozeane Seabra, Universidade Federal do Estado do Rio de Janeiro

Nurse graduated from the Alfredo Pinto School of Nursing (EEAP) of the Federal University of Rio de Janeiro (UNIRIO). Master student of the Graduate Program in Nursing (PPGENF) of UNIRIO. I am currently a Fellow of the Social Demand Program (DS) of the Coordination for the Improvement of Higher Education Personnel (CAPES). I am part of the Center for Research, Teaching and Experimentation in Nursing in Women's and Children's Health, working mainly on the following topics: women's health, breastfeeding, prenatal care, and health promotion.

Priscila Barbosa , Universidade Federal do Estado do Rio de Janeiro

Master's student in Nursing at the Federal University of the State of Rio de Janeiro and specialist in Human Milk Bank at the National Institute of Women's, Children's and Adolescent Health Fernandes Figueira (2020), I have a degree in Nursing and Obstetrics from the Federal University of Rio de Janeiro (2016). I work mainly on the following topics: telemedicine, women's health, breastfeeding and child health

Sandy Valim , Universidade Federal Fluminense

Nurse by the Alfredo Pinto School of Nursing (EEAP) of the Federal University of the State of Rio de Janeiro (UNIRIO). Resident in Collective Health Nursing at the Universidade Federal Fluminense and researcher in the areas of mental health and women's health. Doula and Perinatal Educator by the Transformadoulas Institute. Post-graduate student in Public Health with emphasis on ESF, at the Faculdade Venda Nova do Imigrante (FAVENI).

Taís Vernaglia, Universidade Federal do Estado do Rio de Janeiro

PhD in Mental Health from the Graduate Program in Psychiatry and Mental Health of the Federal University of Rio de Janeiro (2019). Vice-Director of the Alfredo Pinto School of Nursing of the Federal University of the State of Rio de Janeiro (UNIRIO). Member of the Núcleo Docente Estruturante (NDE) of UNIRIO. Coordinator of University Research and Extension Projects. Professor of the Academic League on the Phenomenon of Drugs (LAFEND). Professor of the Graduate Program in Nursing and the Graduate Program in Health and Technology in Hospital Space (PPGSTEH/UNIRIO) and the Graduate Program - Master in Nursing (PPGENF/UNIRIO). Professor of the Post-Graduation Course in Specialization Level, in the Form of Training in Service for Nurses, in the Residency Model. Collaborator of the Post-Graduation Course (Lato Sensu) Specialization in Assistance to Alcohol and Drug Users (IPUB/UFRJ). She has experience in the areas of Nursing, Mental Health and Psychiatry, working mainly on issues related to assistance to people affected by mental disorders and problems with alcohol and other drugs. Research directed to issues related to the resilience of health professionals, treatment of users of alcohol and other drugs, substance abuse among college students and in the elderly population, and care management in mental health.

Cristiane Rocha, Universidade Federal do Estado do Rio de Janeiro

Bachelor in Nursing (1999), Master in Nursing (2001), Specialist in Obstetric Nursing,(2005) and PhD in Nursing (2009) from the Anna Nery School of Nursing of UFRJ. Specialist in Modern Education by PUC (2019). Associate Professor at the Alfredo Pinto School of Nursing of the Federal University of the State of Rio de Janeiro. Current Director (Management 2020-2024). Collaborates in the Undergraduate Course, in the discipline Curricular Internship in Women's Health Care and in the discipline Nursing in Women's Health Care. Works in the Stricto Sensu Graduate Program, Graduate Program in Nursing - PPGENF Master's Degree, in the discipline Research Methodology and in orientation and in the Graduate Program in Health and Technology in the Hospital Space - PPGSTEH Master's Degree, in orientation. Member of the Center for Research, Teaching and Experimentation in Nursing in Women's and Children's Health (since 2006). Research registered at UNIRIO: Care; Competencies of nursing professionals in women's health (since 2009).

References

Conselho Regional de Enfermagem de Santa Catarina (Brasil). Humanização do parto e nascimento busca devolver à mulher o seu protagonismo. Santa Catarina: COREN; 2016. Disponível em: http://www.corensc.gov.br/2016/01/13/humanizacao-do-parto/.

Vilela A, Tenório D, Silva R, Silva J, Albuquerque N. Percepção dos enfermeiros obstetras diante do parto humanizado. Rev. enferm. UFPE on line. [Internet]. 2019 [acesso em 9 maio 2020]; 13(0). Disponível em: https://doi.org/10.5205/1981-8963.2019.241480.

Ministério da Saúde (BR). Secretaria de Ciência, Tecnologia, Inovação e Insumos Estratégicos em Saúde. Diretrizes para diagnóstico e tratamento da covid – 19 [Internet]. 3 Versão. Brasília: Ministério da Saúde; 2020 [acesso em 9 maio 2020]. Disponível em: https://portalarquivos.saude.gov.br/images/pdf/2020/April/18/Diretrizes-Covid19.pdf.

Stofel NS, Christinelli D, Silva RCS, Salim NR, Beleza ACS, Bussadori JCC. Atenção perinatal na pandemia da COVID-19: análise de diretrizes e protocolos nacionaisRev. Bras. Saúde Mater. Infant. [Internet]. 2021 [acesso em 12 maio 2021]; 21(Suppl 1): 89-98. Disponível em: https://doi.org/10.1590/1806-9304202100s100005.

Ministério da Saúde (BR). Secretaria de Atenção Primária à Saúde. Nota Informativa Nº 13/2020. Manual de Recomendações para a Assistência à Gestante e Puérpera frente à Pandemia de Covid-19: 2020 [Internet]. 1. ed. Brasília: Ministério da Saúde [acesso em 15 dez 2020]. Disponível em: https://portaldeboaspraticas.iff.fiocruz.br/wp-content/uploads/2020/09/Manual-de-Recomenda-es-para-Gestante-1.pdf.

Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.

Almeida MO, Portugal TM, Assis TJCF. Pregnant women and COVID-19: isolation as a physical and psychic impact factor. Rev. Bras. Saúde Mater. Infant. [Internet]. 2020 [cited 2021 may 09]; 20(2): 599-602. Available from: https://doi.org/10.1590/1806-93042020000200015.

Paixão GPN, Campos LM, Carneiro JB, Fraga CDS. A solidão materna diante das novas orientações em tempos de SARS-COV-2: um recorte brasileiro. Rev Gaúcha Enferm. [Internet]. 2021 [acesso em 04 jul 2021]; 42:e20200165. Disponível em: https://doi.org/10.1590/1983-1447.2021.20200165

Estrela FM, Silva KKA, Cruz MA, Gomes NP. Gestantes no contexto da pandemia da Covid-19: reflexões e desafios. Physis (Rio J.). [Internet]. 2020 [acesso em 18 maio 2021]; 30(2) e300215. Disponível em: https://doi.org/10.1590/S0103-73312020300215.

Souza HCC, Matos MMR, Costa RA, Lima MAC, Cardoso AS, Mauro M. COVID-19 e gestação: manifestações clínicas, alterações laboratoriais e desfechos maternos, uma revisão sistemática de literatura. Braz. J. Hea. Rev. [Internet]. 2020 [acesso em 10 nov 2020]; 3(6): 15901-15918. Disponível em: http://dx.doi.org/10.34119/bjhrv3n6-023.

Rondelli G, Jardim D, Hamad G, Luna E, Marinho W, Mendes L, et al. Assistência às gestantes e recém-nascidos no contexto da infecção covid-19: uma revisão sistemática. DRIUFT. [Internet]. 2020 [acesso em 06 maio 2021]; 7(Especial-3):48-4. Disponível em: https://doi.org/10.20873/uftsuple2020-8943.

Lima MM, Leal CA, Costa R, Zampieri MFM, Roque ATF, Custódio ZA. Gestação em tempos de pandemia: percepção de mulheres. Revista Recien. [Internet]. 2021 [acesso em 29 mar 2021]; 11(33):107-116. Disponível em: http://dx.doi.org/10.24276/rrecien2021.11.33.107-116.

Trapani Júnior A, Vanhoni LR, Silveira SK, Marcolin AC. Childbirth, Puerperium and Abortion Care Protocol during the COVID-19 Pandemic. Rev. bras. ginecol. obstet. [Internet]. 2020 [cited 2021 may 06]; 42(6):349-355. Available from: http://dx.doi.org/10.1055/s-0040-1713587.

Mascarenhas VHA, Caroci-Becker A, Venâncio KCMP, Baraldi NG, Durkin AC, Riesco MLG. COVID-19 and the production of knowledge regarding recommendations during pregnancy: a scoping review. Rev. Latino-Am. Enfermagem [Internet]. 2020 [cited 2020 aug. 03]; 28:e3348. Available from: https://doi.org/10.1590/1518-8345.4523.3348.

Melo GC, Araujo KCGM. COVID-19 infection in pregnant women, preterm delivery, birth weight, and vertical transmission: a systematic review and meta-analysis. Cad. Saúde Pública [Internet]. 2020 [cited 2020 aug. 03]; 36(7) e00087320. Available from: https://doi.org/10.1590/0102-311x00087320.

Paz MMS, Almeida MO, Cabral NO, Assis TJCF, Mendes CKTT. Barreiras impostas na relação entre puérperas e recém-nascidos no cenário da pandemia do COVID-19. Rev. Bras. Saúde Mater. Infant. [Internet]. 2021 [acesso em 23 abr. 2021]; 21(Suppl 1): 229-232. Disponível em: https://doi.org/10.1590/1806-9304202100s100012.

Oliveira SC, Ferreira JG, Silva PMPS, Ferreira JM, Seabra RA, Fernando VCN. A participação do homem/pai no acompanhamento da assistência pré- natal. Cogit. Enferm. [Internet]2009 [acesso em 23 abr. 2021];14(1):73-78. Recuperado de: https://www.redalyc.org/articulo.oa?id=483648974010.

Bhering NBV, Arndt CG, Gonçalves Filho DAP, Vita DTP, Chagas FRC, Gazzoni GAS, et al. Premature birth induced by covid-19: a literature review. Brazilian Journal Of Health Review. [Internet]. 2021 [cited 2021 apr. 23];4(2) 4401-4415. Available from: http://dx.doi.org/10.34119/bjhrv4n2-034.

Wagner A, Soares AS, Ribeiro EAW, Friestino JKO, Lovatto MVP, Faria RM, et al. Vulnerabilidades para gestantes e puérperas durante a pandemia da COVID-19 no estado de Santa Catarina, Brasil. Hygeia. [Internet]. 2020 [acesso em 7 maio 2021]; 00:398 -406. Disponível em: http://dx.doi.org/10.14393/Hygeia0054630.

Souza KV, Schneck S, Pena ED, Duarte ED, Alves VH. Direitos humanos das mulheres no parto frente à pandemia de COVID-19: o que fazer da enfermagem obstétrica. Cogitare Enferm. [Internet]. 2020 [acesso em 23 abr. 2021]; 25: e73148. Disponível em: http://dx.doi.org/10.5380/ce.v25i0.73148.

Cardoso PC, Sousa TM, Rocha DS, Menezes LRD, Santos LC. A saúde materno-infantil no contexto da pandemia de COVID-19: evidências, recomendações e desafios. Rev. Bras. Saúde Mater. Infant. [Internet]. 2021 [acesso em 12 maio 2021]; 21(Suppl 1): 213-220. Disponível em: https://doi.org/10.1590/1806-9304202100S100011.

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Published

2023-02-22 — Updated on 2023-02-27

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How to Cite

Oliveira GAP de, Seabra da Silva J, Barbosa dos Santos P, Valim de Souza S, Veronica Cardoso Vernaglia T, Rodrigues da Rocha C. Changes in assistance and care in the pregnancy-puerperal cycle in times of coronavirus. Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) [Internet]. 2023Feb.27 [cited 2024Dec.22];15:e-11754. Available from: https://seer.unirio.br/cuidadofundamental/article/view/11754

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Issue

Vol. 15 (2023)

Section

Original article

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