Cover Image

Nursing care in high-risk pregnancies: an integrative review

Antonia Regynara Moreira Rodrigues, Dafne Paiva Rodrigues, Aleide Barbosa Viana, Letícia da Silva Cabral, Maria Adelaide Moura da Silveira

Abstract


Aim: to analyze the scientific production regarding the nursing care provided to high-risk pregnant mothers. Method: this is an integrative review, performed between September and October 2015 via PubMed, CINAHL, Web of Science, SCOPUS, SciE LO, ME D LI NE , LI LA C S and B D E NF  databases, using the key terms “Nursing C are A ND  Pregnancy”, and “H igh-Risk”, which resulted in 23 articles. The analysis of data was processed  through  IRAMUTEQ®  software.  Results:  there  were  six  classes,  which represented  interfaces  of  nursing  care  to  high-risk  pregnant  mothers  and  that  are related   to:   motivations,   specialized   care,   education,   nursing   strategies,   multi-professional assistance,  and context of care. Conclusion: the care of high-risk pregnant mothers  was  evident  through  a  quality  pre-natal  and  home  care, from  the  plan  of individualized  care  organized  by  the  nurse  and  by  the  multi-professional  team,  under family support and via use of light technologies.

Keywords


High-risk pregnancy; Nursing Assistancy; Nursing Care; Nursing; Pregnancy

References


Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Gestação de alto risco: manual técnico. 5. ed. Brasília: Ministério da Saúde;2012.

Ricci SE. Enfermagem materno-neonatal e saúde da mulher. Rio de Janeiro: Guanabara Koogan;2015.

Ministério da Saúde (Brasil). Programa de humanização no pré-natal e nascimento: informações para gestores e técnicos. [periódico da internet]. 2002 [citado 2015 nov 15]; Brasília: Ministério da Saúde; Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/parto.pdf

Giovanni M. Rede Cegonha: da concepção à implantação. [periódico na internet]. 2013 [citado 2015 nov 15]; Brasília; Disponível em: http://repositorio.enap.gov.br/bitstream/handle/1/410/Miriam%20-%20V.%20Definitiva.pdf?sequence=1.

Villar J, Farnot U, Barros F, Victora C, Langer A, Belizan JM. A randomized trial of psychosocial support during high-risk pregnancies. Newengland Journal of Medicine [periodic in the internet]. Oct 1992 [cited 2015 out 04]; 327(18):1266-71. Available from: http://link.periodicos.capes.gov.br.ez76.periodicos.capes.gov.br/sfxlcl41?url_ver=Z39.882004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.atitle. doi: 1056/NEJM199210293271803 [included in the review]

Luciano MP, Silva EF, Cecchetto FH. Orientations of nursing in the high risk gestation: the pregnant perceptions. J. Nurs UFPE on line [periodic on the internet]. Jul 2011 [cited 2015 Nov 15]; 5(5):1261-6. Available from: www.revista.ufpe.br/revistaenfermagem/index.php/revista/.../3094

Conselho Federal de Enfermagem. Resolução nº 0477/2015. Dispõe sobre a atuação de Enfermeiros na assistência às gestantes, parturientes e puérperas. [homepage da internet] 2015 [citado 2015 nov 15]; Disponível em: http://www.cofen.gov.br/resolucao-cofen-no-04772015_30967.html.

Organização das Nações Unidas. Objetivos de desenvolvimento do milênio. [homepage na internet]. 2000 [citado 2015 Nov 15]; Disponível em: http://www.objetivosdomilenio.org.br/gestantes/

Ministério da Saúde (Brasil). Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Departamento de Ciência e Tecnologia. Agenda nacional de prioridades de pesquisa em Saúde. 2.ed. Brasília: Ministério da Saúde; 2008.

Mendes KDS, Silveira RCdCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm [periódico na Internet]. out-dez 2008 [citado 2015 nov 30];17(4):758-64. Disponível em: http://www.scielo.br/pdf/tce/v17n4/18.pdf

Camargo BV, Justo AM. Tutorial para uso do software de análise textual IRAMUTEQ. Florianópolis: Universidade Federal de Santa Catarina. [Internet]. 2013 [citado 2015 nov 30]; Disponível em: http://www.iramuteq.org/documentation/fichiers/tutoriel-en-portugais

Klerman LV, Ramey SL, Goldenberg RL, Sherry Marbury, Hou J, Cliver SP. A Randomized Trial of Augmented Prenatal Care for Multiple-Risk, Medicaid- Eligible African American Women. American Journal of Public Health [periodic in the internet]. Jan 2001 [cited 2015 out 13]; 91(1):105-111. Available from: nk.periodicos.capes.gov.br.ez76.periodicos.capes.gov.br/sfxlcl41?url_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.atitle. [included in the review]

Moore ML, Meis PJ, Ernest JM, Wells HB, Zaccaro DJ, Terrell T. A Randomized Trial of Nurse Intervention to Reduce Preterm and Low Birth Weight Births. Obstetrics & Gynecology [periodic in the internet]. May 1998 [cited 2015 out 06]; 91(5):656-61. Available from: http://link.periodicos.capes.gov.br.ez76.periodicos.capes.gov.br/sfxlcl41?url_ver=Z39.882004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.atitle. [included in the review]

The Collaborative Home Uterine Monitoring Study Group. A multicenter randomized controlled trial of home monitoring: Active Versus sham device. Am J Obstet Gynecol [periodic in the internet]. 1995 [cited 2015 out 05]; 173(4):1120-7. Available from: http://link.periodicos.capes.gov.br.ez76.periodicos.capes.gov.br/sfxlcl41?url_ver=Z39.882004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.atitle. [included in the review]

Godecker AL, Harrison PA, Sidebottom AC. Nurse versus Community Health Worker Identification of Psychosocial Risks in Pregnancy through a Structured Interview. Journal of Health Care for the Poor and Underserved [periodic in the internet]. Nov 2013 [cited 2015 out 04]; 24(4):1574–85. Available from: http://apps-webofknowledge.ez76.periodicos.capes.gov.br/full_record.do?product=WOS&search_mode=GeneralSearch&qid=16&SID=4ALpjNVBPSw6qTwTy3w&page=1&doc=1. doi: 10.1353/hpu.2013.0164 [included in the review]

J. Mejdoubi et al. Effects of nurse home visitation on cigarette smoking, pregnancy outcomes and breastfeeding: A randomized controlled trial. Midwifery [periodic in the internet]. 2014 [cited 2015 out 02]; 30:688-95. Available from: http://link.periodicos.capes.gov.br.ez76.periodicos.capes.gov.br/sfxlcl41?url_ver=Z39.882004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.atitle. [included in the review]

Twohy KM, Reif L. What do Public Health Nurses Really Do During Prenatal Home Appointments? Public Health Nursing [periodic in the internet]. 1997 [cited 2015 nov 28]; 14(6):324-31. Available from: http://onlinelibrary-wiley-com.ez76.periodicos.capes.gov.br/doi/10.1111/j.1525-1446.1997.tb00300.x/epdf. [included in the review]

Gouveia HG, Lopes MHBM. Diagnósticos de enfermagem e problemas colaborativos mais comuns na gestação de risco. Rev Latino-am Enfermagem [periódico na internet]. Mar-abr 2004 [citado em 2015 set 29]; 12(2):175-82. Disponível em: http://www.scielo.br/pdf/rlae/v12n2/v12n2a05.pdf. [incluído na revisão]

Aguiar MIF, Freire PBG, Cruz IMP, Linard AG, Chaves ES, Rolim ILTP. Sistematização da assistência de enfermagem a paciente com síndrome hipertensiva específica da gestação. Rev. RENE [periódico na internet]. Out-dez 2010 [citado em 2015 out 13]; 11(04):66-75. Disponível em: http://www.revistarene.ufc.br/revista/index.php/revista/article/view/423/pdf. [incluído na revisão]

Brooten D, Youngblut JM, Brown L, Finkler SA, Neff DF, Madigan E. A randomized trial of nurse specialist home care for women with high-risk pregnancies: outcomes and costs. Am J Manag Care [periodic in the internet]. 2001 [cited 215 out 13]; 7(8):793–803. Available from: http://www.ncbi.nlm.nih.gov.ez76.periodicos.capes.gov.br/pmc/articles/PMC3544939/. [included in the review]

Little M, Saul GD, Testa K, Gaziano C. Improving pregnancy outcome and reducing avoidable clinical resource utilization through telephonic perinatal care coordination. Lippincott’s Case Management [periodic in the internet]. 2002 [cited 2015 out 12]; 7(3):103-12. Available from: http://web.b-ebscohost-com.ez76.periodicos.capes.gov.br/ehost/detail/detail?vid=10&sid=d254eb9e-d415-4d6e-9a7c-159a35acbe87%40sessionmgr115&hid=125&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#AN=106944629&db=c8h. [included in the review]

Muender MM, Moore ML, Chen GJ, Sevick MA. Cost-Benefit of a Nursing Telephone Intervention to Reduce Preterm and Low-Birthweight Births in an African American Clinic Population. Preventive Medicine [periodic in the internet]. 2000 [cited 2015 out 12]; 30. Available from: http://www-sciencedirect-com.ez76.periodicos.capes.gov.br/science/article/pii/S0091743500906376. [included in the review]

Brooten D, Brooks L, Madigan EA, Youngblut JM. Home Care of High Risk Pregnant Women by Advanced Practice Nurses: Nurse Time Consumed. Home Healthc Nurse [periodic in the internet]. Dec 1998 [cited 2015 set 29]; 16(12):823–830. Available from: http://www.ncbi.nlm.nih.gov.ez76.periodicos.capes.gov.br/pmc/articles/PMC3544937/. [included in the review]

Brooten D, Youngblut JM, Donahue D, Hamilton M, Hannan J, Neff DF. Women With High-Risk Pregnancies, Problems, and APN Interventions. J Nurs Scholarsh [periodic in the internet]. 2007 [cited 2015 set 29]; 39(4):349–57. Available from: http://www.ncbi.nlm.nih.gov.ez76.periodicos.capes.gov.br/pmc/articles/PMC3532049/. doi:10.1111/j.1547-5069.2007.00192.x. [included in the review]

Harrison MJ, Kushner KE, Benzies K, Kimak C, Jacobs P, Mitchell BF. In-home nursing care for women with high-risk pregnancies: outcomes and cost. Obstetrics & Gynecology [periodic in the internet]. June 2001 [cited 2015 set 28]; 97(6):982-7. Available from: http://www-sciencedirect-com.ez76.periodicos.capes.gov.br/science/article/pii/S0029784401013606. [included in the review]

Brooten D, Youngblut J, Blais K, Donahue D, Cruz I, Lightbourne M. APN-Physician Collaboration in Caring for Women With High- Risk Pregnancies. J Nurs Scholarsh [periodic in the internet]. 2005 [cited 2015 set 20]; 37(2):178–84. Available from: http://www.ncbi.nlm.nih.gov.ez76.periodicos.capes.gov.br/pmc/articles/PMC3544940/. [included in the review]

Mackey MC, Sobral M. Staff Evaluation of a High-Risk Pregnancy Program. Public Health Nursing [periodic in the internet]. Apr 1997 [cited 2015 out 12]; 14(2):101-110. Available from: ink.periodicos.capes.gov.br.ez76.periodicos.capes.gov.br/sfxlcl41?url_ver=Z39.88-2004&url_ctx_fmt=info:ofi/fmt:kev:mtx:ctx&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.atitle. [included in the review]

Piechnik SL, Corbett MA. Reducing low birth weight among socioeconomically high-risk adolescent pregnancies. Successful Intervention With Certified Nurse-Midwife-Managed Care and a Multidisciplinary Team. Journal of Nurse-Midwifery [periodic in the internet]. Mar-Apr 1985 [cited 2015 out 05]; 30(2):88-98. Available from: http://ac.els-cdn.com.ez76.periodicos.capes.gov.br/0091218285901156/1-s2.0-0091218285901156-main.pdf?_tid=5d31fffc-9f75-11e5-ad38-00000aab0f6c&acdnat=1449776392_d07fc19be691649d01b6a82ee037d339. [included in the review]

Dodge P, Brady M, Maguire B. Initiation of a nurse-developed interdisciplinary plan of care for opiate addiction in pregnant women and their infants. International Journal of Childbirth Education [periodic on the internet]. 2006 [cited 2015 set 28]; 21(2):21-4. Available from: http://web.b-ebscohost-com.ez76.periodicos.capes.gov.br/ehost/pdfviewer/pdfviewer?sid=d254eb9e-d415-4d6e-9a7c-159a35acbe87%40sessionmgr115&vid=3&hid=125. [included in the review]

Santos CS, Marques JF, Carvalho FHC, Fernandes AFC, Henriques ACPT, Moreira KAP. Percepções de enfermeiras sobre a assistência prestada a mulheres diante do óbito fetal. Esc Anna Nery (impr.) [periódico na internet]. Abr-jun 2012 [citado em 2015 set 12]; 16(2):277-84. Disponível em: http://www.scielo.br/pdf/ean/v16n2/10.pdf. [incluído na revisão]

Lima EMA, Paiva LF, Amorim RKdFCC. Conhecimento e atitudes dos enfermeiros diante de gestantes com sintomas da doença hipertensiva específica da gestação atendidas em unidades básicas de saúde. J Health Sci Inst [periódico na internet]. 2010 [2013 out 13]; 28(2):151-3. Disponível em: http://www.unip.br/comunicacao/publicacoes/ics/edicoes/2010/02_abr-jun/V28_n2_2010_p151-154.pdf. [incluído na revisão]

Zampieri MFM. Vivenciando o processo educativo em enfermagem com gestantes de alto risco e seus acompanhantes. R. gaúcha Enferm. [periódico na internet]. Jan 2001 [citado em 2015 out 28] 22(1):140- 66. Disponível em: http://seer.ufrgs.br/index.php/RevistaGauchadeEnfermagem/article/view/4356/2304. [incluído na revisão]

Danerek M, Marsal K, Cuttini M, Lingman G, Nilstun T, Dykes AK. Attitudes of Swedish midwives towards management of extremely preterm labourand birth. Midwifery [periodic in the internet]. 2012 [cited 2015 out 12]; 28:857- 64. Avaiable from: chttp://www-sciencedirect-com.ez76.periodicos.capes.gov.br/science/article/pii/S0266613811001720. [included in the review]




DOI: https://doi.org/10.17665/1676-4285.20165434