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Original Article11-29-2021
Understanding How Health Providers Identify Women with Postpartum Hemorrhage: A Qualitative Study
- Silvana Ferreira Bento
, - Anderson Borovac-Pinheiro ,
- Erika Zambrano Tanaka ,
- Carla Silveira ,
- Rodolfo Carvalho Pacagnella
Abstract
Original ArticleUnderstanding How Health Providers Identify Women with Postpartum Hemorrhage: A Qualitative Study
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(9):648-654
- Silvana Ferreira Bento ,
- Anderson Borovac-Pinheiro ,
- Erika Zambrano Tanaka ,
- Carla Silveira ,
- Rodolfo Carvalho Pacagnella
Views227See moreAbstract
Objective
To identify how health providers recognize postpartum hemorrhage early and the difficulties involved in it.
Methods
An exploratory, descriptive study using a qualitative approach through a semi-structured interview technique. In total, 27 health professionals (nursing tech nicians, nurses, medical residents in Gynecology and Obstetrics, hired medical doctors, and medicine professors) working in a tertiary-level hospital of reference in women’s health care in the State of São Paulo, Brazil, participated in the study through an invitation. After they accepted the invitation, they signed the free and informed consent form. All interviews were recorded and transcribed, and a thematic analysis was conducted. We found three analysis categories: a) perception of the severity: “there is something wrong with the women”; b) difficulties in the early diagnosis of postpartum hemorrhage; and c) the process to improve obstetrical care.
Results
Caregivers believe teamwork and communication should be improved. Besides the visual estimation of blood loss, the nursing team is attentive to behavioral symptoms like irritability, while the medical staff follow protocols and look for objective signs, such as altered vital signs.
Conclusion
Besides the objective evaluations, the subjective perceptions of the providers are involved in the clinical judgement regarding the diagnosis of postpartum hemorrhage, and this should be included in a broader diagnosis strategy.
Views227
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Original ArticleUnderstanding How Health Providers Identify Women with Postpartum Hemorrhage: A Qualitative Study
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(9):648-654
- Silvana Ferreira Bento ,
- Anderson Borovac-Pinheiro ,
- Erika Zambrano Tanaka ,
- Carla Silveira ,
- Rodolfo Carvalho Pacagnella
Views227See moreAbstract
Objective
To identify how health providers recognize postpartum hemorrhage early and the difficulties involved in it.
Methods
An exploratory, descriptive study using a qualitative approach through a semi-structured interview technique. In total, 27 health professionals (nursing tech nicians, nurses, medical residents in Gynecology and Obstetrics, hired medical doctors, and medicine professors) working in a tertiary-level hospital of reference in women’s health care in the State of São Paulo, Brazil, participated in the study through an invitation. After they accepted the invitation, they signed the free and informed consent form. All interviews were recorded and transcribed, and a thematic analysis was conducted. We found three analysis categories: a) perception of the severity: “there is something wrong with the women”; b) difficulties in the early diagnosis of postpartum hemorrhage; and c) the process to improve obstetrical care.
Results
Caregivers believe teamwork and communication should be improved. Besides the visual estimation of blood loss, the nursing team is attentive to behavioral symptoms like irritability, while the medical staff follow protocols and look for objective signs, such as altered vital signs.
Conclusion
Besides the objective evaluations, the subjective perceptions of the providers are involved in the clinical judgement regarding the diagnosis of postpartum hemorrhage, and this should be included in a broader diagnosis strategy.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Silvana Ferreira Bento
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Original Article05-18-2020
Quality of Life for Women with Human Papillomavirus-induced Lesions
- Natália Maria Vieira Pereira-Caldeira ,
- Fernanda Garcia Bezerra Góes ,
- Maria Cristina Mendes de Almeida-Cruz ,
- Juliano de Souza Caliari ,
- Fernanda Maria Vieira Pereira-Ávila , [ ... ],
- Elucir Gir
Abstract
Original ArticleQuality of Life for Women with Human Papillomavirus-induced Lesions
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(4):211-217
- Natália Maria Vieira Pereira-Caldeira ,
- Fernanda Garcia Bezerra Góes ,
- Maria Cristina Mendes de Almeida-Cruz ,
- Juliano de Souza Caliari ,
- Fernanda Maria Vieira Pereira-Ávila ,
- Elucir Gir
Views224See moreAbstract
Objective
To reveal the changes in the quality of life reported by women with Human papillomavirus (HPV)-induced lesions.
Methods
This is a cross-sectional, descriptive-exploratory study of a qualitative approach performed from June to August 2016. Semi-structured face-to-face interviews based on five questions on the concept of quality of life were used. The data were submitted to thematic analysis. All ethical aspects have been contemplated.
Results
A total of 20 women aged between 25 and 59 years old were interviewed. From the analysis of the data, the following thematic units emerged: physical and emotional changes, especially complaints of pruritus, discharge and pain, worry, fear, shame and sadness; changes in sexual and affective relationships with decreased libido, dyspareunia and interruption of sexual activity; changes in social relationships resulting in absenteeism at work.
Conclusion
Human papillomavirus infection impairs the quality of life of women as it significantly affects sexual, affective, physical, emotional, and everyday habits. Therefore, HPV infection can lead to exponential changes in the quality of life of women, which can be mitigated by the availability of sources of support such as family, friends and the multi-professional team, helping to improve knowledge and cope with HPV.
Views224This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Original ArticleQuality of Life for Women with Human Papillomavirus-induced Lesions
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(4):211-217
- Natália Maria Vieira Pereira-Caldeira ,
- Fernanda Garcia Bezerra Góes ,
- Maria Cristina Mendes de Almeida-Cruz ,
- Juliano de Souza Caliari ,
- Fernanda Maria Vieira Pereira-Ávila ,
- Elucir Gir
Views224See moreAbstract
Objective
To reveal the changes in the quality of life reported by women with Human papillomavirus (HPV)-induced lesions.
Methods
This is a cross-sectional, descriptive-exploratory study of a qualitative approach performed from June to August 2016. Semi-structured face-to-face interviews based on five questions on the concept of quality of life were used. The data were submitted to thematic analysis. All ethical aspects have been contemplated.
Results
A total of 20 women aged between 25 and 59 years old were interviewed. From the analysis of the data, the following thematic units emerged: physical and emotional changes, especially complaints of pruritus, discharge and pain, worry, fear, shame and sadness; changes in sexual and affective relationships with decreased libido, dyspareunia and interruption of sexual activity; changes in social relationships resulting in absenteeism at work.
Conclusion
Human papillomavirus infection impairs the quality of life of women as it significantly affects sexual, affective, physical, emotional, and everyday habits. Therefore, HPV infection can lead to exponential changes in the quality of life of women, which can be mitigated by the availability of sources of support such as family, friends and the multi-professional team, helping to improve knowledge and cope with HPV.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Natália Maria Vieira Pereira-Caldeira
qualitative research Archives - Revista Brasileira de Ginecologia e Obstetrícia
