Autora: Manuela Néné


Livro| Néné, Manuela (1997), Ajudar na Sala de Partos: competências reais no momento da interação. Lisboa, Portugal: Lidel – Edições Técnicas.


Resumo: Durante o trabalho de parto (incluindo o período de dilatação, o parto e o pós-parto) a parturiente busca nos profissionais de saúde, e em especial nos profissionais de enfermagem, a ajuda que pensa necessitar para que o processo termine da melhor maneira possível.
Ajudar na Sala de Partos pretende salientar a importância do desenvolvimento das competências relacionais e caracterizar a relação enfermeiro/utente durante o trabalho de parto. É um estudo exploratório, baseado na relação de ajuda como factor inerente à relação interpessoal. Partindo destes pressupostos, fomos: Observar os comportamentos da enfermeira/o junto da parturiente, durante o trabalho de parto; Identificar as representações da parturiente face aos cuidados prestados. Quando reflectimos sobre a qualidade dos cuidados de enfermagem, quer na formação inicial ou especializada, quer no exercício da profissão, na área da Saúde Materna e Obstetrícia, é importante relembrar a dimensão humana que a nossa profissão exige. Este livro, revela-nos as competências reais no momento da interacção e como elas são sentidas e manifestadas pelas utentes.


Consultar: https://www.wook.pt/livro/ajudar-na-sala-de-partos-manuela-veladas/75292

Autora: Manuela Néné


Artigo| Néné, Manuela. “Envolvimento Paterno e o Planeamento da Gravidez”. Salutis Scientia 2 (2010): 1-10.


Resumo: O Envolvimento Paterno, de acordo com vários autores, está correlacionado com o facto de a gravidez ter sido planeada, desejada e aceite. Contudo situações de gravidez não planeada, nem desejada, tendo em conta as condicionantes que envolvem a gestação, podem tornar-se aceites e desejadas. Definimos como objectivo geral compreender a relação entre o planeamento da gravidez e a qualidade do envolvimento paterno durante a gravidez. Tendo por base o tema conduzimos um estudo não experimental, de carácter exploratório, no qual se fornece informação relativa aos pais – expectantes (N=60), cujas companheiras, se encontrem no primeiro, segundo ou terceiro trimestre de gravidez. Para avaliar o envolvimento emocional pré-natal nos homens expectantes, foi utilizada a forma paterna da Antenatal Emocional Attachment Scale (Condon, 1993), adaptada para a população portuguesa por Gomez & Leal (2007). Através da aplicação de um questionário sócio-demográfico, avaliámos o efeito do envolvimento paterno no planeamento da gravidez (planeada vs não planeada/desejada vs não desejada) e a sua relação com a idade, habilitações literárias, idade gestacional, estatuto da paternidade (primípara vs multípara) e risco associado à gravidez. Neste estudo, os resultados indicam-nos que não existe correlação entre o envolvimento paterno e a idade, nem com o estatuto da paternidade. O planeamento da gravidez e a gravidez desejada apenas se correlacionam com o Envolvimento Paterno, no segundo trimestre de gestação. Existe ainda, um aumento gradual entre a idade gestacional e o Envolvimento Paterno ao longo dos três trimestres de gestação, embora seja mais notório do primeiro para o segundo trimestre de gravidez.


Autora: Manuela Néné


Artigo| Néné, Manuela; Paula Sarreira. “Nursing care needs in the postpartum period of adolescent mothers: systematic review”. Journal of Nursing – UFPE 8 11 (2014): 3953- 3961.


Resumo: Objective: to assess the evidence on scientific knowledge related to breastfeeding adolescents and the need for nursing care. Method: systematic review seeking the answer to the question: What are the priority learning needs for postpartum nursing care provided to adolescent mothers? A search was conducted on articles available in Portuguese and English, published between 2007 and 2013 and indexed in LILACS, MEDLINE, PubMed, and SciELO databases. Results: the sample consisted of ten articles addressing different needs of adult mothers, related to the new skills and the information necessary to manage postpartum issues regarding self-care and newborn care. Conclusions: the needs were not systematically identified, constituting a multicausal phenomenon arising from a multiplicity of factors from different dimensions that interact with each other, making it difficult to associate only one dimension.


Consultar: https://www.semanticscholar.org/paper/NURSING-CARE-NEEDS-IN-THE- POSTPARTUM-PERIOD-OF-EM-Oliveira- Cordeiro/535a62270727a37c081a0e37f5b02e05d8845d31

Autora: Manuela Néné


Artigo| Sofia Rodrigues; Néné, Manuela. “The place of episiotomy in history: A sore review”. Journal of Nursing Education and Practice 9 4 (2019): 122-128.


Resumo: Background and objective: During childbirth some practices are common and widely accepted though they have no scientific basis. Despite of being implemented some centuries ago, they last in time up to the present day, as for example episiotomy. Currently it is a controlled use intervention in some countries, especially in northern Europe, and a liberal (and almost unquestionable) use intervention in other countries: It is so common that, there is not even accounting for this procedure as a quality care indicator. In the present time, there is a conflict that involves the advocated minimally invasive care versus defensive practices… Episiotomy perfectly illustrates this dichotomy. To synthesize the current knowledge about intrapartum perineal care, regarding the origin and introduction of episiotomy in the midwives practice over time, in order to comprehend the evolution of the concept and methods of perineal preservation. Methods: A literature search was conducted in the electronic databases CINAHL, Cochrane Database of Systematic Reviews, MedicLatina, PubMed, Scopus and Web of Science, using descriptors MeSH and natural language. The results were synthesized and evidenced throughout this review. Results: A total of 27 articles were identified, which fully comply with the inclusion criteria. The most representative categories of papers are literature reviews (37%) and nonempirical articles (26%). Conclusions: Although scarce, the existing literature on this subject is very meticulous. One third of the articles are from midwives/nurse-midwives authorship which reveals special interest and concern of this professional class for this subject, that admittedly belongs to its field of expertise whether theoretical or practical. Major milestones were identified in the history of episiotomy which led to significant changes in midwifery intrapartum care patterns, with supremacy of the biomedical model.


Consultar: http://www.sciedupress.com/journal/index.php/jnep/article/view/13797.

Autora: Manuela Néné


Artigo| Néné, Manuela. “The Use of Birth Plan to Support Waterbirth: A Qualitative Approach”. Journal of Gynecological Research and Obstetrics 6 2 (2020): 024-030.


Resumo: Background: The professional resistance to childbirth in water and the limitation of robust scientific evidence to support its safety constitute a context prone to the restriction of women’s freedom of choice. The elaboration of the birth plan by pregnant women who wish to experience a birth immersed in water can be an important instrument for the exercise of their choice and autonomy. This qualitative and descriptive case study aim to realize how women experienced their birth plan in two hospitals in Portugal. Results: Face-to-face and videoconferencing interviews were conducted with sixteen women witch speeches were recorded, transcribed, and submitted to content analysis, with the support of NVivo software. The mainly characteristics of the participants were: 76% had a higher level of schooling; 66% lived in a stable union with a partner; 66,7% were nulliparous; 100% were informed and prepared during prenatal sessions about waterbirth and made their birth plan with those sessions; 100% were at term gestation at the time of birth; 100% were referred for immersion in hot water during labour; after birth, all the newborns had Aqua Apgar index between 9 and 10 in the first minute and 10 in the fifth minute. The qualitative analysis allowed to identification of three thematic categories: Legitimising women’s choices; Professional resistance and the devaluation of the birth plan: triggers of violence; and, Complete birth plan success.Conclusion: The data showed that birth plan represented a legitimator of women ́s choices for experiencing waterbirth, although some of them perceived disregard and disrespect of the plan by health professionals, especially in a context of technocratic model of care. It was found that the birth plan represented a transcendence of the experience of labour and birth, enabling women to experience their choices with fullness, freedom, and specially respect.


Consultar: https://www.peertechz.com/abstracts/JGRO-6-181.

Autora: Manuela Néné


Artigo | Camargo, Joyce; Araújo, Natalucia; Catão, Lígia; Sarubbi Junior, Vicente; Silva, Lucia Cristina; Nené, Manuela; Grande, Maria Catarina (2020), “Sexuality and childbirth: a qualitative analysis of women who had a waterbirth”. Culture, Health & Sexuality (2020): 1-8.


Resumo: Waterbirth is associated with a less painful childbirth, enhanced couples’ intimacy, and positive feelings toward women’s bodies and sexuality. In a qualitative, descriptive case study involving 21 participants, we examined the sexual experiences-during childbirth and postpartum-of women who had a waterbirth in a hospital environment. Women discussed their sexuality in the intrapartum and postpartum period after having a waterbirth in public or private hospitals. Two main themes were developed from the data analysis: ‘women’s sexual pleasure during waterbirth’ and ‘sexuality after childbirth’. Experiences included transcendence during waterbirth, a feeling that it represented a unique experience, and couples’ more positive feelings about intimacy. The shared representations of women suggest that waterbirth can be a calming, joyful event for couples. During this process, they felt that it was a loving, shared event. In addition, after childbirth women experienced positive feelings toward their bodies and sexuality (including orgasm), as well as closer intimacy with their partners.


Consultar: https://pubmed.ncbi.nlm.nih.gov/32484397/