A enfermagem obstétrica na prevenção de óbitos por atonia uterina: uma discussão sobre as condutas da enfermagem

Abstract

Postpartum haemorrhage is one of the main causes of postpartum maternal morbidity and mortality, with uterine atony being its main cause. Its characteristic clinical manifestation consists of vaginal bleeding, which at its onset may be discreet and may evolve to hypovolemic shock. The study had the following guiding question: How can maternal mortality be prevented by obstetric nursing in cases of uterine atony? Thus, the objective of the study was to discuss nursing interventions against the prevention of maternal death due to uterine atony. The methodology consisted of a review of the literature, carried out from 23 scientific articles, published between 2014 and 2016, from the reading, were elaborated of three categories: Uterine Atony Detection, Therapeutic Conduct in the prevention of death by uterina atony and Obstetric Nursing in the face of Uterina Atony care. The study evidenced that the nursing professional should make the continuous assessment both at delivery and in the puerperium to identify early possible changes that may represent hemorrhage. Thus, it is concluded that the production of academic papers and publications are essential because the scarcity of bibliographies, especially with research on the subject, makes it difficult to deepen and argue the need for health professionals to facilitate interventions in PPH cases, the correct identification of the therapy to be performed. KEY WORD: Postpartum haemorrhage; Maternal Mortality; Nursing care