Banca de DEFESA: ILANA BRUNA DE LIMA FEITOZA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ILANA BRUNA DE LIMA FEITOZA
DATE: 26/09/2025
TIME: 14:00
LOCAL: Remoto
TITLE:

INTERFACE BETWEEN THE RECOMMENDATIONS OF THE ALYNE NETWORK AND THE WORLD HEALTH ORGANIZATION AND THE LOCAL REALITY OF MATERNAL CARE DURING LABOR: MATERNAL FATIGUE AND DETERMINANTS OF CARE IN THE PREGNANCY–POSTPARTUM CYCLE

KEY WORDS:

Pregnancy. Labor. Fatigue.

PAGES: 65
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Maternal fatigue is characterized as a condition that demands comprehensive care strategies, encompassing the physical, psychological, and social dimensions of the pregnant woman. This study aims to analyze maternal fatigue during labor in light of the recommendations of the Alyne Network and the World Health Organization, considering clinical, sociodemographic aspects and obstetric interventions, with a focus on the determinants of care throughout the pregnancy–postpartum cycle. This is an observational study with a quantitative approach, conducted with women in labor in the interior region of the state of Rio Grande do Norte, Brazil, including a sample of 83 participants. Data were collected on sociodemographic, obstetric, and anthropometric characteristics; prenatal and childbirth care; maternal assessment of fatigue during labor; and newborn-related variables. Inclusion criteria were: low-risk pregnant women aged 18 years or older, with no history of neurological disorders or psychiatric conditions. Exclusion criteria included: high-risk pregnancies, clinical instability during data collection, and voluntary withdrawal from the study at any stage.Descriptive analysis was performed using non-parametric tests due to the non-normal distribution of variables. Subsequently, Spearman’s correlation test and chi-square association test were applied to examine relationships between maternal fatigue and sociodemographic and obstetric variables, using SPSS software, version 25.The study was submitted to and approved by the Research Ethics Committee (CEP) of the Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, under CAAE: 69296623.2.0000.5568.The median age of participants was 26 years, the median gestational age was 39 weeks and 5 days, and the median number of prenatal consultations was 10. It was found that 95.2% of participants reported low fatigue during labor, while 4.8% reported high fatigue. A positive correlation was identified between the total maternal fatigue score and obstetric variables such as number of pregnancies (p = 0.001), number of previous births (p = 0.001), and history of abortion (p = 0.010). Significant correlations were also observed between fatigue scores in the latent and active phases of labor (p = 0.034) and with pain intensity measured by the Visual Analogue Scale (VAS) (p = 0.001). No significant correlation was found with the Bologna score.The chi-square test revealed no statistically significant association between levels of fatigue (high and low) and sociodemographic, obstetric, or care-related variables (p > 0.05).Maternal fatigue during labor was shown to be associated with specific obstetric factors, with a positive correlation between total fatigue scores and number of pregnancies, previous births, and history of abortion. These findings suggest that women with greater obstetric experience may present higher levels of physical and emotional exhaustion during labor. Therefore, it is recommended that health professionals consider the obstetric profile of the parturient as a central element in the development of humanized care strategies, respecting each woman's individual circumstances and promoting interventions that minimize physical and emotional strain throughout the pregnancy–postpartum cycle.

COMMITTEE MEMBERS:
Presidente - 1242804 - ADRIANA GOMES MAGALHAES
Interno - 3474916 - JOSE JAILSON DE ALMEIDA JUNIOR
Externo à Instituição - LEONILDO SANTOS DO NASCIMENTO JUNIOR - UFPB