Impacts of the Puerperal Period
An Analysis of Obstetric History, Urinary Incontinence and Depressive Symptoms
DOI:
https://doi.org/10.70368/gecs.v2i1.12809Keywords:
Postpartum Period, Urinary Incontinence, Postpartum DepressionAbstract
The objective of this study was to implement a surgical scheduling flowchart at a university hospital, reviewing critical stages and implementing managerial improvements, with the aim of ensuring perioperative safety, focusing on effective patient care, and increasing surgical productivity. It is characterized as an experience report developed in 2017, based on action research, in which the researcher, together with a multidisciplinary team, intervened in the setting to promote improvements in the work process of a tertiary surgical unit in Fortaleza, Ceará, with the approval of the Research Ethics Committee, protocol number 2,357. 222. The current stages of elective scheduling guided the development of the research, facilitating the creation of a flowchart that influenced the review of clinical and administrative routines, the optimization of surgical productivity, the improvement of the institution’s integration within the healthcare network, and the satisfaction of patients and their families.
References
ARAÚJO, I. D. S. et al. Postpartum Depression: Epidemiological Clinical Profile of Patients Attended in a Reference Public Maternity in Salvador-BA. Revista Brasileira de Ginecologia e Obstetricia, v. 41, n. 3, p. 155–163, 2019.
Baracho, Elza. Fisioterapia aplicada à saúde da mulher. 6 ed. Rio de Janeiro: Guanabara Koogan. 2018.
BOZKURT, M.; YUMRU, A. E.; ŞAHIN, L. Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor. Taiwanese Journal of Obstetrics and Gynecology, v. 53, n. 4, p. 452–458, 2014.
BRASIL. Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Comissão Nacional de Incorporação de Tecnologias (CONITEC). Relatório de Recomendação. Protocolo Clínico e Diretrizes Terapêuticas Incontinência Urinária Não Neurogênica. 2019.
ESPARZA, ORTUÑO; ALCARAZ, C. L. Repercusión de la incontinencia urinaria en la calidad de vida en mujeres mayores de 45 años en una población de Murcia. Enfuro. V. 127, P. 20-3, 2014.
FELDE, G.; EBBESEN, M. H.; HUNSKAAR, S. Anxiety and depression associated with urinary incontinence. A 10-year follow-up study from the Norwegian HUNT study (EPINCONT). Neurourology and Urodynamics, v. 36, n. 2, p. 322–328, 2017.
FELLMETH, G. et al. Identifying postnatal depression: Comparison of a self-reported depression item with Edinburgh Postnatal Depression Scale scores at three months postpartum. Journal of Affective Disorders, v. 251, p. 8–14, 2019.
FOX, M. et al. A longitudinal study of women’s depression symptom profiles during and after the postpartum phase. Depression and Anxiety, v. 35, n. 4, p. 292–304, 2018.
FRITEL, X. et al. Association of postpartum depressive symptoms and urinary incontinence. A cohort study. European Journal of Obstetrics and Gynecology and Reproductive Biology, v. 198, p. 62–67, 2016.
HARTMANN, J. M.; MENDOZA-SASSI, R. A.; CESAR, J. A. Postpartum depression: Prevalence and associated factors. Cadernos de Saude Publica, v. 33, n. 9, 2017.
International Continence Society – ICS. Glossary. 2019. Disponível em: https://www.ics.org/glossary.
JOHANNESSEN, H. H. et al. Do pelvic floor muscle exercises reduce postpartum anal incontinence? A randomised controlled trial. BJOG: An International Journal of Obstetrics and Gynaecology, v. 124, n. 4, p. 686–694, 2017.
KAFRI, R. et al. Depressive symptoms and treatment of women with urgency urinary incontinence. International Urogynecology Journal and Pelvic Floor Dysfunction, v. 24, n. 11, p. 1953–1959, 2013.
KOKABI, R.; YAZDANPANAH, D. Effects of delivery mode and sociodemographic factors on postpartum stress urinary incontinency in primipara women: A prospective cohort study. Journal of the Chinese Medical Association, v. 80, n. 8, p. 498–502, 2017.
LEEMAN, L. et al. The Effect of Perineal Lacerations on Pelvic Floor Function and Anatomy at 6 Months Postpartum in a Prospective Cohort of Nulliparous Women. Birth, 2016.
LEROY, L. DA S.; LÚCIO, A.; LOPES, M. H. B. DE M. Risk factors for postpartum urinary incontinence. Revista da Escola de Enfermagem, v. 50, n. 2, p. 200–207, 2016.
LIM, Y. M. et al. Urinary incontinence is strongly associated with depression in middle-aged and older Korean women: Data from the Korean longitudinal study of ageing. European Journal of Obstetrics and Gynecology and Reproductive Biology, v. 220, p. 69–73, 2018.
MACHADO SCHARDOSIM, J.; HELDT, E. ESCALAS DE RASTREAMENTO PARA DEPRESSÃO PÓS-PARTO: uma revisão sistemática a Title: Postpartum depression screening scales: a systematic review. Revista Gaúcha de Enfermagem, v. 1, n. 32, p. 159–166, 2008.
MAGNANI, P. S. et al. Urinary incontinence between 12 and 24 months postpartum: a cross-sectional study nested in a Brazilian cohort from two cities with different socioeconomic characteristics. International Urogynecology Journal, v. 30, n. 6, p. 1003–1011, 2019.
MATTAR, R. et al. Domestic violence as a risk factor in the screening of for post-partum depression. Revista Brasileira de Ginecologia e Obstetrícia, v. 29, n. 9, p. 470–477, 2007.
MØRKVED, S.; BØ, K. Effect of pelvic floor muscle training during pregnancy and after childbirth on prevention and treatment of urinary incontinence: A systematic review. British Journal of Sports Medicine, v. 48, n. 4, p. 299–310, 2014.
ONGERI, L. et al. Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women. BMC Psychiatry, v. 18, n. 1, 2018.
PAVAN, K. et al. Comportamento da incontinência urinária em pacientes com esclerose múltipla e sua influência na qualidade de vida. Mediacina Reabilitação, v. 29, n. 1, p. 1–5, 2010.
PRADO, D. S. et al. The influence of mode of delivery on neonatal and maternal short and longterm outcomes. Revista de Saude Publica, v. 52, 2018.
QI, X. et al. The effect of a comprehensive care and rehabilitation program on enhancing pelvic floor muscle functions and preventing postpartum stress urinary incontinence. Medicine (United States), v. 98, n. 35, 2019.
ROCHA, J. et al. Assessment of urinary incontinence in pregnancy and postpartum: Observational study. Acta Medica Portuguesa, v. 30, n. 7–8, p. 568–572, 2017.
SABOIA, D. M. et al. The effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review. Revista brasileira de enfermagem, v. 71, p. 1460–1468, 2018.
SOAVE, I. et al. Pelvic floor muscle training for prevention and treatment of urinary incontinence during pregnancy and after childbirth and its effect on urinary system and supportive structures assessed by objective measurement techniques. Archives of Gynecology and Obstetrics, v. 299, n. 3, p. 609–623, 2019.
SWENSON, C. W. et al. Postpartum depression screening and pelvic floor symptoms among women referred to a specialty postpartum perineal clinic. American Journal of Obstetrics and Gynecology, v. 218, n. 3, p. 335.e1-335.e6, 2018.
TAMANINI, José Tadeu. et al. Publicação Mensal sobre Agravos à Saúde Pública Incontinência Urinária: Prevalência e Fatores de Risco em Mulheres Atendidas no Programa de Prevenção do Câncer Ginecológico. Boletim Epidemiológico Paulista, v. 3, n. 34, p. 1–11, 2006.
THOMAZ, R. P. et al. Influence of pelvic floor muscle fatigue on stress urinary incontinence: a systematic review. International Urogynecology Journal, v. 29, n. 2, p. 197–204, 2018.
Downloads
Published
License
Copyright (c) 2024 Natalia Velia Silva Cei , Lorenna Costa Malaquias, Deizyane dos Reis Galhardo, Denise da Silva Pinto, Erica Feio Carneiro Nunes, Cibele Nazaré Câmara Rodrigues
This work is licensed under a Creative Commons Attribution 4.0 International License.
