
handle: 10174/22650
A alta precoce de puérperas, com partos eutócicos sem complicações, assenta nas premissas: bem-estar da mãe/recém-nascido e redução de custos na saúde. Vários países adotam a alta precoce, sendo o modelo europeu o mais próximo da realidade do nosso país. Aconselha- se a decisão concertada entre mulher e profissionais, prevalecendo as necessidades da mulher. O objetivo do projeto era criar um modelo de alta precoce pós-parto, no centro hospitalar universitário do Algarve (CHUA). Aplicaram-se questionários a 304 puérperas e 75 enfermeiros dos hospitais de Faro e Portimão, para conhecer a sua opinião e disponibilidade de utilização deste modelo. Os resultados mostraram que caso existisse internamento de 24h, com contacto telefónico e visita domiciliária, cerca de 76% das puérperas o utilizariam e 57% dos enfermeiros concordariam em trabalhar neste contexto. Consideram os enfermeiros que a função de Gestor de Caso, deveria ser atribuída a especialista em saúde materna e obstetrícia. A alta precoce necessita critérios e protocolos propostos neste trabalho. Desenvolveram-se competências especializadas, convergindo para mais conhecimento e perícia, defendendo-se a ideia de que os cuidados em saúde materna e obstétrica teriam ganhos difundindo a oferta de alta precoce, associando cuidados de saúde primários e hospitalares; ABSTRACT: Title: Early Postpartum discharge: Proposal of hospital model in the Algarve Early discharge of postpartum mothers, with uncomplicated vaginal delivery is based on two assumptions: mother/ newborn well-being and reduction of health cost. Several countries adopted early discharge, being the European model the one that could best be adapted in Portugal. It is advised that early discharge be driven by the needs and choice of the women and concerted decision between women and professionals. The current project was designed to create a postpartum early discharge model at the Centro Hospitalar Universitário do Algarve (CHUA). Questionnaires were applied to a sample of 304 women and 75 nurses from the hospitals of Faro and Portimão. It was identified that if there were an option of 24 hours discharge, with telephone contact and home visit; 76% of the women would use it, and that 57% of the nurses would work on it. The role of Case Management should be assigned to a midwife. Early discharge at 24 hours requires well defined criteria and protocols proposed in this work. Specialized competencies were developed, contributing to additional knowledge and technical capacity. It is advocated that early discharge can benefit mother and new born and that primary care and hospital care should be well interrelated for this purpose.
Período pós-parto, Postnatal care, Patient discharge, Home visit, Cuidado pós-natal, Visita domiciliar, Postpartum period, Recém-nascido, Alta do paciente, Newborn
Período pós-parto, Postnatal care, Patient discharge, Home visit, Cuidado pós-natal, Visita domiciliar, Postpartum period, Recém-nascido, Alta do paciente, Newborn
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