Obstetric care in the COVID-19 pandemic: Communication interactions between nurse midwives, woman, and doula
DOI:
https://doi.org/10.12707/RV21049Keywords:
care, woman, nurse midwives, doulas, COVID-19Abstract
Background: Obstetric care, a positive birth experience, and professional interactions were affected by the COVID-19 pandemic and had to be restructured.
Objective: To describe the communication process between doulas and obstetric nurses during the COVID-19 pandemic.
Main topics under analysis: Disturbances in the interaction of the health team have impacted aspects such as communication in health and collaboration, with deficits in the interpersonal relationships between nurses, doulas, and women. It is associated with autonomy of action and professional interactions, where conflicts and loss of quality of care were observed. Health sector reforms are urgent, including the delivery of respectful and quality care to women, families, and communities.
Conclusion: The communication process has been negatively affected by the COVID-19 pandemic, requiring the development of interaction mechanisms to facilitate care activities and strategies to improve power relations between obstetric nurses and doulas in caring for women.
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Aquino, E. M., Silveira, I. H., Pescarini, J. M., Aquino, R., Souza-Filho, J. A., Rocha, A.S., Ferreira, A., Victor, A., Teixeira, C., Machado, D. B., Paixão, E., Alves, F. J., Pilecco, F., Menezes, G., Gabrielli, L., Leite, L., Almeida, M. C., Ortelan, N., Fernandes Q. H., … Lima, R. T. (2020). Social distancing measures to controlthe COVID-19 pandemic: Potential impacts and challenges in Brazil. Ciência & Saude Coletiva, 25(Supl.1), 2423-46. https://doi.org/10.1590/1413-81232020256.1.10502020
Ashokka, B., Loh, M. H., Tan, C. H., Su, L. L., Young, B. E., Lye, D. C., Biswas, A., Illanes, E., & Choolani, M. (2020). Care of the pregnant woman with COVID-19 in l abor and d elivery: Anesthesia, emergency cesarean delivery, differential diagnosis in the acutely ill parturient, care of the newborn, and protection of the healthcare personnel. American Journal of Obstetrics and Gynecology, 233(1), 66-74. https://doi.org/10.1016/j.ajog.2020.04.005
Behruzi, R., Klam, S., Dehertog, M., Jimenez, V., & Hatem, M. (2017). Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: A case study. BMC Pregnancy and Childbirth, 17, 200. https://doi.org/10.1186/s12884-017-1381-x
Cruz, C. H. (2020). Social distancing in São Paulo State: Demonstrating the reduction in cases using time series analysis of deaths due to COVID-19. Revista Brasileira de Epidemiologia, 23, e200056. https://doi.org/10.1590/1980-5497202000566
Dantas, E. S. (2021). Saúde mental dos profissionais de saúde no Brasil no contexto da pandemia por Covid-19. Interface: Comunicação, Saúde e Educação, 25(Supl. 1), e200203. https://doi.org/10.1590/Interface.200203
Duarte, M. R., Alves, V. H., Rodrigues, D. P., Marchiori, G. R., Guerra, J. V., & Pimentel, M. M. (2020). Percepção das enfermeiras obstétricas na assistência ao parto: Resgate da autonomia e empoderamento da mulher. Revista de Pesquisa: Cuidado é Fundamental Online, 12, 903-08. https://doi.org/10.9789/2175-5361.rpcfo.v12.7927
Egloff, C., Vauloup-Fellous, C., Picone, O., Mandelbrot, L., & Roques, P. (2020). Evidence and possible mechanisms of rare maternal-fetal transmission of SARS-CoV-2. Journal of Clinical Virology, 128, 104447 https://doi.org/10.1016/j.jcv.2020.104447
Ferreira Júnior, A. R., Brandão, L. C., Teixeira, A. C., & Cardoso, A. M. (2021). Potentialities and limitations of nurses’ performance in the Normal Birth Center. Revista de Enfermagem Escola Anna Nery, 25(2), e20200080. https://doi.org/10.1590/2177-9465-EAN-2020-0080
Gallasch, C. H., Cunha, M. L., Pereira, L. A., & Silva-Junior, J. S. (2020). Prevention related to the occupational exposure of health professionals workers in the COVID-19 scenario. Revista de Enfermagem da UERJ, 28, e49596. https://doi.org/10.12957/reuerj.2020.49596
Herculano, T. B., Sampaio, J., Brilhante, M. A., & Barbosa, M. B. (2018). Doulas como gatilho de tensões entre modelos de assistência obstétrica: O olhar dos profissionais envolv dos. Saúde em Debate, 42(118), 702-13. https://doi.org/10.1590/0103-1104201811813
Miltona, J., Chaboyerb, W., Åbergc, N. D., Anderssona, A. E., & Oxelmark, L. (2020). Safety attitudes and working climate after organizational change in a major emergency department in Sweden. International Emergency Nursing, 53, 100830. https://doi.org/10.1016/j.ienj.2020.100830
Ministério da Saúde do Brasil. (2021). Painel Coronavírus-COVID 19. https://covid.saude.gov.br/
Oliveira, B. J., Lansky, S., Santos, K. V., Pena, E. D., Karmaluk, C., & Friche, A. A. (2020). Sentidos do nascer: Exposição interativa para a mudança de cultura sobre o parto e nascimento no Brasil. Interface: Comunicação, Saúde e Educação, 24, e190395. https://doi.org/10.1590/Interface.190395
Organização Panamericana da Saúde. (2020). Folha informativa – COVID-19 (doença causada pelo novo coronavirus). https://www.paho.org/pt/covid19
Pasqualotto, V. P., Riffel, M. J., & Moretto, V. L. (2020). Suggested social media practices for birth plans. Revista Brasileira de Enfermagem, 73(5), e20180847. https://doi.org/10.1590/0034-7167-2018-0847
Rafael, R. M., Neto, M., Carvalho, M. M., David, H. M., Acioli, S., & Faria, M. G. (2020). Epidemiology, public policies and Covid-19 pandemics in Brazil: what can we expect? Revista de enfermagem da UERJ, 28, e49570. https://doi.org/10.12957/reuerj.2020.49570
Silva, A. V., & Siqueira, A. A. (2020). Nascimento e cidadania: Entre a norma e a política. Saúde e Sociedade, 29(1), e190875. https://doi.org/10.1590/S0104-12902020190875
Rodrigues, M. E., Belarmino, A. C., Custódio, L. L., Gomes, I. L., & Ferreira Júnior, A. R. (2020). Communication in health work during the COVID-19 pandemic. Investigación y Educatión en Enfermería, 38(3), e09. https://doi.org/10.17533/udea.iee.v38n3e09
Tørring, B., Gittell, J. H., Laursen, M., Rasmussen, B. S., & Sørensen, E. E. (2019). Communication and relationship dynamics in surgical teams in the operating room: Na ethnographic study. Health Services Research, 19, 528. https://doi.org/10.1186/s12913-019-4362-0
Wint, K., Elias, T. I., Mendez, G., Mendez, D. D., & Gary-Webb, T. L. (2019). Experiences of community doulas working with low-income, African American Mothers. Health Equity, 3(1). https://doi.org/10.1089/heq.2018.0045