Avaliação e acompanhamento da assistência à gestante no ciclo gravídico puerperal numa maternidade humanizada

Abstract

Introduction: Maternal mortality became an indicator of social development, the Millennium Development Goals were a global initiative promoted by the United Nations and signed in 2000 by the governments of more than 180 countries, with targets between the years 2000 to 2015 which aimed at social development and the eradication of poverty. , to improve care for women, it is necessary to plan and evaluate existing actions, mainly during the puerperal pregnancy period. Considering the identification of risk factors related to maternal and neonatal mortality, since this situation is an important indicator that reflects socioeconomic and reproductive conditions, and especially those related to prenatal care, delivery and newborns. Objectives: To evaluate the puerperal pregnancy cycle by measuring the impact of this care within the context of humanization. Methods: This is a cross-sectional, observational, descriptive and quantitative study developed at the Dona Iris Hospital and Maternity Hospital (HMDI), located in the city of Goiânia, which performs 100% of the visits by SUS.23.0. Results and discussion: It was observed that almost 35% of the puerperae already had a child and were in the second gestation and the type of delivery, of the last gestation was normal 63% versus 37% cesarean, most did not report that they did not have abortions 81% and that used the public service for consultation in prenatal care 99.7%. These data draw attention because it is a group that despite the type of normal delivery having a higher rate the number of cesareans were high. Regarding the type of delivery, it was observed that 37% of the puerperae had a cesarean delivery. Considering that 99.7% of the women used the public service for consultation in prenatal care, and that the majority of prenatal routine exams were performed by SUS and 64% showed that women did not wait of examinations by the system preferring the private network to advance the exams. The distribution of exams 99.7% took blood and urine and all did 100% sonography. Regarding the participation of the choice of delivery 56% reported having participated and 44% stated they did not participate in the choice by the type of delivery. When considering the number of times she needed to go to the maternity ward until she was admitted to the hospital, 37% said only once and 25% had to go to maternity hospital more than or equal to twice.The results showed that most of the puerperal women 66% reported a number of vaginal touches greater than or equal to three and the professionals who performed were 59%. Conclusion: When evaluating the pregnancy-puerperal cycle in the puerperal view, a great improvement in care and assistance in this period after the humanization policy in maternities is noticed, but it is necessary to improve working conditions for professionals, financial and human resources, providing education and Cheers. It is concluded that managers need to invest more in the improvement of the policy in the attention of women offering training to the employees that the reference and reference is effective and resolutive for the woman does not peregrine with her pregnancy and that employees respect the physiology of woman avoiding abuse.