Banca de QUALIFICAÇÃO: TAYNA MARTINS DE MEDEIROS

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : TAYNA MARTINS DE MEDEIROS
DATE: 20/01/2025
TIME: 10:04
LOCAL: Plataforma Google Meet: Link da videochamada: https://meet.google.com/ior-ohgm-ztf
TITLE:

Partograms and Parturient Records: What Do the Records Say?

KEY WORDS:

Maternal and Child Health; Labor; Humanized Childbirth; Records.

PAGES: 62
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: In the context of labor and birth, it is essential that professionals perform a careful assessment and record the parturition process in detail. The partogram is recommended by the World Health Organization and the Ministry of Health as a crucial tool that promotes qualified care, fosters good practices, and aims to reduce maternal and fetal morbidity and mortality. Thus, for it to effectively fulfill its purpose, it is essential that it be completed appropriately, correctly, and completely, in addition to requiring a coherent interpretation of the record. In this way, it helps to avoid unnecessary routine procedures, negligence, obstetric violence, and other circumstances that may compromise maternal and child health care. Objective: To analyze the completeness of parturients' medical records and partograms. Methodology: This study is part of a broader research project that investigates parturients' food and fluid intake and the influence of these variables on labor performance and obstetric and neonatal outcomes. This research focuses specifically on the analysis of medical records and partograms of pregnant women who participated in the study between July 2023 and February 2024. Thus, this is a documentary, cross-sectional study with a quantitative approach carried out with medical records of women in labor at a Maternity Hospital and University Hospital in the interior of the state of Rio Grande do Norte. The data were organized in spreadsheets in Microsoft Office Excel (2016) and analyzed with the Statistical Package for the Social Sciences (IBM SPSS®) software, version 20.0. A significance level of 5% and a 95% confidence interval were adopted. Qualitative variables were analyzed by absolute and relative frequencies, while quantitative variables were described by measures of central tendency and dispersion, with normality verified by the Kolmogorov-Smirnov test (p < 0.05). The association between variables was assessed by the chi-square test, with the symmetrical measures Phi and Cramer's V. To estimate the accuracy of the parameters, the bootstrap technique was used. Data completeness was assessed using the Romero & Cunha (2006) scores, classifying it as excellent, good, fair, poor or very poor. Preliminary Results: The results of the study demonstrated a significant relationship between maternal position during the expulsive period and the severity of perineal lacerations, as evidenced in the tables analyzed. The semi-sitting position was associated with a higher frequency of first- and second-degree lacerations, while the lithotomy position presented a high incidence of third-degree lacerations. In addition, the analysis of clinical records revealed worrying gaps in documentation, which may negatively impact childbirth care. These findings highlight the importance of informed obstetric practices and complete records to improve maternal and neonatal outcomes. Considerations: The findings highlight the importance of complete and accurate records, adequate training of health professionals and continuous review of protocols. These aspects are essential to improve the quality of care, reduce maternal mortality and ensure a safe and woman-centered birthing environment.

 

COMMITTEE MEMBERS:
Presidente - 1242804 - ADRIANA GOMES MAGALHAES
Externa ao Programa - 3995493 - MARCELLY SANTOS COSSI - UFRNExterna à Instituição - JESSICA DANTAS DE SA TINOCO