Banca de DEFESA: POLYANA LORENA SANTOS DA SILVA

PROTOCOL FOR EMERGENCY CARE ROOM IMPLEMENTATION IN THE OBSTETRICS SECTOR

Stabilization Room. Protocol. Obstetrics. Emergency.

Multidisciplinary work is essential for the assistance to emergency situations to be successfully remedied, especially in the context related to obstetric urgency and emergency, which needs specific scientific, practical and technical knowledge, so that quick and concrete decisions can be taken, transmitting security to the entire team and especially reducing the risks that threaten the patient's life. With this in mind, the study aims to develop a protocol for setting up a room for emergency care in the obstetrics sector, based on an integrative literature review. Methodologically, this study is an integrative literature review, based on protocols and documents that regulate obstetric care. The search took place in the Virtual Health Library (VHL), using the following databases: Latin American and Caribbean Literature on Health Sciences (LILACS), Scientific Electronic Library On Line (SCIELO), Medical Literature Analysis and Retrieval System Online (MEDLINE) and through “grey” literature, through academic Google. To select the studies, the following descriptors were crossed: Protocol, Obstetrics and Emergency. Inclusion criteria were: reports on the creation of protocols, protocols aimed at hospitals at usual risk, full article, free access and permeating the topic discussed, in addition to monographs, theses and dissertations. During the search for academic works and crossing of those described, it was possible to identify a total of 85 studies, through databases and directed search. After careful reading, 4 studies were selected, named E1, E2, E3 and E4, (1 in the databases and 3 through directed search) to compose this integrative review. The results indicated 1 scientific article, 1 dissertation, 1 Ministry of Health Guide and 1 Protocol. Among the years in which the surveys were carried out, it is noted that 3 were published in the last 5 years and 1 more than 10 years ago. The collected data were presented, analyzed and discussed through the construction of summary tables and the following analysis categories: Maternal Mortality due to obstetric complications and Permanent and continuing education as a strategy to reduce maternal morbidity and mortality. From the study, it was possible to evidence a difficulty and scarcity of material on the subject in question, as well as the importance of standardized care, based on evidence and based on theoretical support, in order to reduce risks, complications, and rates of maternal mortality and consequently provide more qualified, effective and safe obstetric care. Thus, it is concluded that the understanding of multidisciplinary protocols is simple and at the same time complex, as it requires responsibility, attention, care, commitment and a lot of seriousness. Since, the different areas of knowledge are interrelated and vary according to personal goals and expectations, arising from individual, collective and professional perceptions, and if there is no seriousness, professionalism and dexterity can cause serious health risks.