Meanings Assigned by Puerperal Women to Episiotomy
Keywords:Puerperium, Episiotomy, Vaginal Birth, Nursing.
Objective: identify the knowledge and perception of puerperal mothers after completion of routine episiotomy.
Method: this is a descriptive and qualitative study conducted with 13 puerperal mothers in a public hospital in Fortaleza/CE in the month of November 2011, using a previously elaborated interview script. Data were analyzed according to thematic analysis, giving rise to the following category: â€œKnowledge and perception of puerperal women regarding the episiotomyâ€.
Result: most women were young, at reproductive phase, outside the formal labor market and ended up going through obstetric interventions without questioning their realization, and only half of the women in the study claimed to have received information about the procedure. The information provided by healthcare professionals on episiotomy conferred greater confidence to mothers. However, only few patients received knowledge in this way.
Conclusion: knowledge about episiotomy is important for women, enabling them to express their freedom of opinion to comply or reject its realization.
Leal MC, Pereira APE, Domingues RMSM, Theme Filha MM, Dias MAB, Nakamura-Pereira M et al. Obstetric interventions during labor and childbirth in Brazilian low-risk women. Cad. SaÃºde PÃºblica [Internet], Rio de Janeiro, 2014 Aug; 30(suppl. 1):S17-47. DOI: http://dx.doi.org/10.1590/0102-311X00151513
Stedenfeldt M, Pirhonen J, Blix E, Wilsgaard T, Vonen B, Ã˜ian P. Anal incontinence, urinary incontinence and sexual problems in primiparous women â€“ a comparison between women with episiotomy only and women with episiotomy and obstetric anal sphincter injury. BMC Womens Health [Internet], 2014; 14(157):2-7. DOI: 10.1186/s12905-014-0157-y
Carroli G, Mignini L. Episiotomy for vaginal birth. The Cochrane Collaboration [Internet]. 2009; Issue 1. DOI: 10.1002/14651858.CD000081.
OrganizaÃ§Ã£o Mundial de SaÃºde (OMS). AssistÃªncia ao parto normal: um guia prÃ¡tico. BrasÃlia (DF); 1996.
Trinh AT, Khambalia A, Ampt A, Morris JM, Roberts CL. Episiotomy rate in Vietnamese-born women in Australia: support for a change in obstetric practice in Viet Nam. Bull World Health Organ [Internet], 2013 May; 91(5):350-6. DOI: 10.2471/BLT.12.114314
MinistÃ©rio da SaÃºde (BR). Secretaria de polÃticas pÃºblicas de saÃºde. Parto aborto e puerpÃ©rio: AssistÃªncia humanizada Ã mulher [Internet]. 2. ed. BrasÃlia (DF): MS; 2003. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/cd04_13.pdf
Braga GC, Clementino STP, Luz PFN, Scavuzzi A, Noronha Neto C, Amorim MMR. Risk factors for episiotomy: a case-control study. Rev Assoc Med Bras [Internet], SÃ£o Paulo, 2014 Sept/Oct; 60(5):465-72. DOI: http://dx.doi.org/10.1590/1806-9282.60.05.015
Nascimento NM, Progianti JM, Novoa RI, Oliveira TR, Vargens OMC. Tecnologias nÃ£o invasivas de cuidado no parto realizadas por enfermeiras: a percepÃ§Ã£o de mulheres. Esc Anna Nery [Internet], Rio de Janeiro, 2010; 14(3):456-61. DOI: http://dx.doi.org/10.1590/S1414-81452010000300004
Patton M.Q. Qualitative evaluation and research methods. Newbury Park, CA. Sage Publications, 1990.
Turato ER. Tratado da metodologia da pesquisa clÃnico-qualitativa: construÃ§Ã£o teÃ³rico-epistemolÃ³gica, discussÃ£o comparada e aplicaÃ§Ã£o nas Ã¡reas da saÃºde e humanas. 5. ed. PetrÃ³polis, RJ: Vozes; 2011.
Bardin L. AnÃ¡lise de conteÃºdo. 3. reimp., 1. ed. SÃ£o Paulo: EdiÃ§Ãµes 70; 2011.
MinistÃ©rio da SaÃºde (BR). Diretrizes e normas regulamentadoras de pesquisas em seres humanos. ResoluÃ§Ã£o n. 466 de 12 de dezembro de 2012 [Internet]. BrasÃlia: MinistÃ©rio da SaÃºde; 2012. Available from: http://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf
Raisanen S, Vehvilainen-Julkunen K, Gisler M, Hei - nonen S. A population-based register study to de - termine indications for episiotomy in Finland. Int J Gynaecol Obstet [Internet], 2011 Oct; 115(1):26-30. DOI: 10.1016/j.ijgo.2011.05.008
Moura, FMJSP et al. A humanizaÃ§Ã£o e a assistÃªncia de enfermagem ao parto normal. Rev Bras Enferm [Internet], BrasÃlia, 2007 July-Aug; 60(4): 452-5. DOI: http://dx.doi.org/10.1590/S0034-71672007000400018
Mathias AERA, Pitangui ACR, Vasconcelos AMA, Silva SS, Rodrigues OS, Dias TG. MensuraÃ§Ã£o da dor perineal no pÃ³s-parto vaginal imediato. Rev Dor [online], SÃ£o Paulo, 2015 OCt/Dec; 16(4):267-71. DOI: http://dx.doi.org/10.5935/1806-0013.20150054
Biscegli TS, Grio JM, Melles LC, Ribeiro SRMI, Gonsaga RAT. ViolÃªncia obstÃ©trica: Perfil assistencial de uma maternidade do interior do Estado de SÃ£o Paulo. CuidAarte, Enferm [Internet], 2015 Jan/Feb; 9(1):18-25. Available from: http://fundacaopadrealbino.org.br/facfipa/ner/pdf/Revistacuidarteenfermagem%20v.%209%20n.1%20%20jan.%20jun%202015.pdf
Oliveira DC, Mandu ENT. Women with high-risk pregnancy: experiences and perceptions of needs and care. Esc Anna Nery [Internet], 2015; 19(1):93-101. DOI: http://dx.doi.org/10.5935/1414-8145.20150013
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