Percepção das mulheres sobre a experiência do primeiro parto: implicações para o cuidado de enfermagem / Percepción de las mujeres en la experiencia del primer parto: implicaciones para enfermería / Women's perception of their first labor experience: implications for nursing

RESUMO Objetivou-se estudar a percepção das mulheres sobre o primeiro parto no contexto obstétrico de uma materni dade do Recife. Método: Trata-se de uma pesquisa descritiva e qualitativa. Foram entrevistadas 10 primíparas internadas no Alojamento Conjunto de um Hospital Universitário de Pernambuco, durante três meses. A coleta de dados foi realizada por um roteiro de entrevista semiestruturado. Os dados foram submetidos à análise de conteúdo, modalidade temática, e interpretados segundo a Teoria do Cuidado Transpessoal de Jean Watson. Resultados: As mulheres relataram a criação do vínculo com a equipe de saúde e a satisfação do primeiro contato com o filho. Possuíam déficit de conhecimento sobre sua situação de saúde e não se sentiam confortáveis para participar das decisões no cuidado. Conclusão: Há persistência do intervencionismo conservador nas memórias das primíparas, revelando ainda a necessidade de discussões acerca do tema, que permita a construção de modelos de cuidado em Enfermagem favoráveis a humanização e a autonomia.

ABSTRACT Objective: To study the perception of primiparous women in the obstetric context of a maternity hospital in Recife. Method: This is a descriptive and qualitative research. Ten primiparous women admitted at a University Hospital of Pernambuco were interviewed for three months. The instrument of data collection was a semi-structured interview. After full transcription, the speeches were subjected to content analysis, thematic modal ity, and later interpreted according to Jean Watson's Theory of Transpersonal Care. Results: Women reported having created a bond with the health team and feeling satisfaction from the first contact with their child. They had lack of knowledge about their health condition and could not participate in decisions made about their health. Conclusion: There is persistence of conservative interventionism in the memories of their first delivery, thus revealing the need for further discussion about the subject and the construction of nursing care models in favor of humanization and autonomy.

RESUMEN Objetivo: Estudiar la percepción de las mujeres en el primer parto en el contexto obstétrico de una maternidad de Recife. Material y método: Se trata de un estudio descriptivo y cualitativo. Fueran entrevistadas 10 primíparas ingresadas en el alojamiento conjunto de un Hospital Universitario de Pernambuco, durante tres meses. La recolección de datos se realizó mediante una guía de entrevista semiestructurada. Los datos se sometieron a análisis de contenido, modalidad temática, y se interpretan de acuerdo con la Teoría del Cuidado Transperso nal de Jean Watson. Resultados: Las mujeres informaron de la creación del vínculo con el equipo de salud y la satisfacción del primer contacto con el niño. Ellas tenían poco conocimiento sobre su situación de salud y no pudieron participar en las decisiones. Conclusión: Hay persistencia de intervencionismo conservador en los recuerdos del primer parto, lo que revela la necesidad de discusión sobre el tema, que permite la construcción de modelos de atención de Enfermería en favor de la humanización y la autonomía.

Validation of Minimum Data of Archetyped Telehealth Clinical Report for Monitoring Prenatal Care.

Studies on the validation of minimum data sets from international information standards have drawn the attention of the academic community to the identification of necessary requirements for the development of Electronic Health Records (EHRs). The primary motivation of such studies is the development of systems using archetypes. The aim of this study was to validate the minimum data set that should be used when constructing an archetyped EHR for prenatal care applications in telehealth. In order to achieve this, a data validation tool was built and used by nine expert obstetricians. The statistical analysis employed was the percentage of agreement and the content validity index. The study was conducted in three steps: 1) Literature review, 2)Instrument development, and 3) Validation of the minimum data set. Of the 179 evaluated pieces of data, 157 of them were validated to be included in the archetyped record of the first prenatal consultation, while 56 of them were allocated for the subsequent consultation record. The benefit of this research is the standardization (data validation for an archetyped system) of prenatal care, with the perspective of employing, both nationally and internationally, an archtyped telehealth system.