Care for postpartum woman in a hospital context: Contributions from a focus group
DOI:
https://doi.org/10.62741/ahrj.v2i3.52Keywords:
Postpartum period, obstetrician nurse, clinical pathways, nursing records, hospitalAbstract
Introduction: The puerperal period is a demanding phase, associated with intense biological, psychological and social transformations for women, requiring new adaptations to return to their pre-pregnancy condition.
Objectives: To define guidelines for the standardization of nursing care for the puerperal woman and to develop a clinical pathway to support clinical decision-making and documentation by the nurse midwife in postpartum care.
Methodology: Qualitative, exploratory and descriptive study using focus groups as a data collection technique, with an intentional sample of fifteen nurse midwives. The data was collected and organized, subjected to content analysis and grouped into categories.
Results: One category emerged from the analysis of the data: "Promotion of women's wellbeing”, with the subcategories: "care practices in women's self-care", "women's health surveillance practices and preparation for hospital leave" and "breastfeeding". The data collected was agreed upon by 87% of the nurse midwives.
Conclusion: The nurse midwives have a fundamental role to play in implementing interventions that are appropriate to women's care needs, while also maximizing health outcomes. The use of a flowchart allows information to be systematized and facilitates the care process and the standardization of nursing records.
References
Benyamini Y, Delicate A, Ayers S, et al. Key dimensions of women's and their partners' experiences of childbirth: A systematic review of reviews of qualitative studies. PLoS One. 2024;19(3):e0299151. doi:10.1371/journal.pone.0299151 DOI: https://doi.org/10.1371/journal.pone.0299151
Lopez-Gonzalez DM, Kopparapu AK. Postpartum care of the new mother. StatPearls Publishing; 2022. Accessed July 2, 2025. https://www.ncbi.nlm.nih.gov/books/NBK565875/
Direção-Geral da Saúde. Plano Nacional de Saúde 2021-2030: Saúde Sustentável: de Tod@s para Tod@s. DGS; 2023. Accessed July 2, 2025. https://www.google.com/search?client=safari&rls=en&q=Direção-Geral+da+Saúde.+Plano+Nacional+de+Saúde+2021-2030%3A+Saúde+Sustentável%3A+de+Tod%40s+para+Tod%40s.+DGS%3B+2023.+Accessed+July+2%2C+2025.&ie=UTF-8&oe=UTF-8
World Health Organization. Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva: Sumário executivo. OMS; 2022. Accessed July 2, 2025. https://iris.who.int/bitstream/handle/10665/354560/9789240048515-por.pdf
Instituto Nacional de Estatística. DESTAQUE - Mortalidade, natalidade e nupcialidade. INE. Accessed July 2, 2025. https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.ine.pt/ngt_server/attachfileu.jsp%3Flook_parentBoui%3D713029748%26att_display%3Dn%26att_download%3Dy&ved=2ahUKEwiPsrX9xJ6OAxWhcKQEHTe0AzIQFnoECBcQAQ&usg=AOvVaw05jvzylvxwQbJDsJWEk_go
Cardoso ACP, Carvalho Ú, Albergaria E, Figueiredo A. Guia orientador de boas práticas: Gravidez e adaptação à gravidez (de baixo risco). Ordem dos Enfermeiros; 2023. Accessed July 2, 2025. https://www.ordemenfermeiros.pt/media/33843/gobpgravidezadaptacaogravidez_okn.pdf
Ordem dos Enfermeiros. Regulamento dos padrões de qualidade dos cuidados especializados em saúde materna e obstétrica. Ordem dos Enfermeiros; 2018. Accessed July 2, 2025. https://www.ordemenfermeiros.pt/media/23179/ponto-3_padrões-qualidade-dos-cuidados-eesmo.pdf
European Pathway Association. About care pathways; 2025. Accessed July 2, 2025. https://e-p-a.org/care-pathwys/
Nené M, Sequeira C. Investigação em Enfermagem. Lidel; 2022.
International Council of Nurses. ICNP browser, 2025. Accessed July 2, 2025. https://www.icn.ch/icnp-browser
Ordem dos Enfermeiros. Livro de Bolso: Enfermeiros Especialistas em Saúde Materna e Obstetrícia/Parteiras. Ordem dos Enfermeiros; 2015. Accessed July 2, 2025. https://www.ordemenfermeiros.pt/media/8891/livrobolso_eesmo.pdf
Bardin L. Análise de conteúdo. Edições 70; 2016.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357. doi:10.1093/intqhc/mzm042 DOI: https://doi.org/10.1093/intqhc/mzm042
Amaral CF, Pousa O, Sequeira A. Procedimentos de Enfermagem em Saúde Materna e Obstétrica. Almedina; 2020.
Silva CBS, Azevedo A, Prata A. Factors that interfere in maternal perception of security at postpartum. Rev Bras Saúde Mater Infant. 2024;24. doi:10.1590/1806-9304202400000130-en DOI: https://doi.org/10.1590/1806-9304202400000130-en
Walker S, Dwyer T, Sander T. Women’s successful transition to motherhood during the early postnatal period: A qualitative systematic review of postnatal and midwifery home care literature. Midwifery. 2019;79:102552. doi:10.1016/j.midw.2019.102552 DOI: https://doi.org/10.1016/j.midw.2019.102552
Silva GJL, Dodó F, Castelo A, et al. Assistência de enfermagem à puérpera: uma revisão integrativa de literatura. Braz J Health Rev. 2024;7(2). doi:10.34119/bjhrv7n2-362 DOI: https://doi.org/10.34119/bjhrv7n2-362
Andrikopoulou M, D’Alton ME. Postpartum hemorrhage: early identification challenges. Semin Perinatol. 2018;43(1):11-17. doi:http//:10.1053/j.semperi.2018.11.003 DOI: https://doi.org/10.1053/j.semperi.2018.11.003
Saad JPC. Management of postpartum perineal wound complications. Curr Opin Obstet Gynecol. 2023;35:505-509. doi:10.1097/GCO.0000000000000906 DOI: https://doi.org/10.1097/GCO.0000000000000906
Leonard AS, Girsen AI, Trepman P, Carmichael SL, Darmawan K, Butwick AJ, Gibbs RS. Early Postpartum Hospital Encounters among patients with genitourinary and wound infections during hospitalization for Birth. Am J Perinatol. 2022. doi:https://doi.org/10.1055/a-2097-1584 DOI: https://doi.org/10.1055/a-2097-1584
Pereira TRC, Montesano FT, Ferreira PD, Minozzi AS, Beleza ACS. Existe associação entre os desconfortos no puerpério imediato e a via de parto? Um estudo observacional. ABCS Health Sci. 2017;42. doi: http://10.7322/ABCSHS.V42I2.1007 DOI: https://doi.org/10.7322/abcshs.v42i2.1007
Dutra LRDV, Araújo AMPH, Micussi MTABC. Non-pharmacological therapies for postpartum analgesia: a systematic review. Braz J Pain. 2019. doi:https://doi.org/10.5935/2595-0118.20190014 DOI: https://doi.org/10.5935/2595-0118.20190014
Miyakawa T, Kawamura H, Yamamoto R, Hashimoto K, Kobayashi H, Yue C, Hori S, Hirano T, Honda M. Risk of postoperative urinary retention with early removal of the urinary catheter after surgery with epidural analgesia: A systematic review and meta-analysis. Ann Cancer Res Ther. 2021. doi:https://doi.org/10.4993/acrt.29.178 DOI: https://doi.org/10.4993/acrt.29.178
Ma J, Martin R, Chan B, Gofeld M, Geary M, Laffey J, Abdallah F. Using Activity Trackers to Quantify Postpartum Ambulation: A Prospective Observational Study of Ambulation after Regional Anesthesia and Analgesia Interventions. Anesthesiol. 2018;128(3):598-608. doi:https://doi.org/10.1097/ALN.0000000000001979 DOI: https://doi.org/10.1097/ALN.0000000000001979
Fuchs A, Czech I, Dulska A, Drosdzol-Cop A. The impact of motherhood on sexuality. Ginekol Pol. 2021;92(1):1-6. doi:https://doi.org/10.5603/GP.a2020.0162 DOI: https://doi.org/10.5603/GP.a2020.0162
Family Planning High Impact Practices. Planejamento familiar no pós-parto imediato: Um componente-chave da assistência ao parto. Accessed July 2, 2025. https://www.fphighimpactpractices.org/wp-content/uploads/2019/09/PGI_Planejamento-Familiar-no-Pós-Parto-Imediato.pdf
Sociedade Portuguesa da Contracepção. Consenso sobre Contracepção 2020. SPDC; 2020. Accessed July 2, 2025. https://www.spdc.pt/images/SPDC_Consensos_2020_novo_21julho2021_digital_book_website.pdf
Albino LB, Rocha ZDR, Souza CS. The importance of breastfeeding in newborns and the use of bottles and cups: an integrative review. Scire Salutis. 2022;12(3). doi:http://doi.org/10.6008/CBPC2236-9600.2022.003.0020 DOI: https://doi.org/10.6008/CBPC2236-9600.2022.003.0020
Silva TAG, Leite MF. Maternal affective link: a key process for child development a literature review. Salusvita. 2020;39(1):277-295.
Zaracho GR, Neves JR, Madeiro VM, Sales APA. O ingurgitamento mamário e fissura mamilar imediato na prática de enfermagem: Relato de experiência. Perspect Exp Clín Inov Bioméd Educ Saúde (PECIBES). 2023;9(2). doi: https://doi.org/10.55028/pecibes.v9i2.20042 DOI: https://doi.org/10.55028/pecibes.v9i2.20042
Giordani RCF, Piccoli D, Bezerra I, Almeida CCB. Maternidade e amamentação: identidade, corpo e gênero. Ciênc Saúde Colet. 2018;23(8):2731–2739. doi:10.1590/1413-81232018238.14612016 DOI: https://doi.org/10.1590/1413-81232018238.14612016
Lin D, Zhang C, Shi H. Effects of clinical pathways on cesarean sections in China: length of stay and direct hospitalization costs based on meta-analysis of randomized controlled trials and controlled clinical trials. Int J Environ Res Public Health. 2021;18(11). doi:10.3390/ijerph18115918 DOI: https://doi.org/10.3390/ijerph18115918
Downloads
Published
Issue
Section
License
After the final approval, authors must send the copyright transfer agreement signed by the first author representing each additional author. This agreement must state any conflicts of interest.
Athena - Health & Research Journal https://localhost/athena is licensed under a License Creative Commons - Attribution-NonCommercial 4.0 International.