Adequação da sala de pré-parto e parto; intervenção no Hospital Municipal São Joaquim

Abstract

On 03/06/2008 it was createdthe RDC n0 36,which establishes standards to be followed by all institutions that have Obstetric and Neonatal Care Services. This resolution aims not only the physical structure but also the care’s humanization,resolution and control of the risks to users,among others.The current scenario of the Hospital Municipal São Joaquim (HMSJ) is contrary to what is recommended by the ministry of health, because the environment where the pregnant women of the municipality are received do not offer privacy and comfort,thus affecting humanization factors.The present intervention project was carried outon the premisesof the HMSJ, specifically in the delivery room. This institution is located in the municipality of Baião,in the state of Pará. Acting as a nurse at HMSJ the need to adapt an exclusive space for women in labor was perceived.Therefore, the project aims to achieve adequacy in the delivery room to be designed to function as a pre-delivery and delivery room. The goals to be achieved aremeet at least 90% of women in labor, of the HMSJ,in an environment conducive to humanized childbirth and to adapt a space 100% aimed at welcoming the parturientsof the HMSJ.This study is an intervention project, carried out in the following stages: meeting with the management of the hospital and coordinating the nursing team, meeting with thesecretary of health and deputy secretary of the municipality, training with the nursing team about non-pharmacological methods for pain in labor, organization of space for birth’s room and prepartum, construction of a flowchart for attending pregnant women admitted to the institution.With the adaptation of the room that previously operated the delivery room, it was possible to destine it only to the pre-delivery and delivery room. Therefore, the parturients currently have an exclusive space to stay in theperiod of labor and delivery.After the adjustments, the environment offers greater privacy for the parturient and the companion, besides favoring freedom in the accomplishment of the exercises that help in a better evolution of labor. With the training provided, the professionals had the opportunity to broaden their theoretical and practical knowledge about the subject addressed, thus facilitating the guidance to the parturients and their companions. According to a meeting with the Hospital's Management, the changes will continue with a subsequent reform in the physical structure.The professionals who attend the delivery are committed to apply the non-pharmacological methods of pain relief in all pregnant women admitted to active labor.A printout will be constructed for suggestions and opinions on the environment for parturients and the use of non-pharmacological methods of pain relief.