Nursing care in high-risk pregnancies: an integrative review
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Keywords

High-risk pregnancy
Nursing Assistancy
Nursing Care
Nursing
Pregnancy Gravidez de Alto Risco
Assistência de Enfermagem
Cuidados de Enfermagem
Enfermagem
Gravidez Embarazo de Alto Riesgo
Asistencia de Enfermería
Cuidados del Enfermería
Enfermería
Embarazo

PlumX Metrics

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

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