IDENTIFICATION AND REVELATION OF GESTACIONAL LOSS: EXPERIENCE REPORT
Rafaela Christine Silva Souza¹*, Beatriz Lúcio Miranda da Silva², Carlla Maria Cabral da Silva³, Maria Ana Sebastião de Oliveira4, Náira Maria Olivense do Carmo5, Nirliane Ribeiro Barbosa6
Introduction: The Interdisciplinary Actions Project in Maternal Health-InfantiI consists of a strategy focused on maternal and child health care, as an extension project of the Federal University of Alagoas, Arapiraca Campus, focusing on interdisciplinarity covering the courses: Nursing, Psychology and Social Assistance. From the experiences in the project, a situation of gestational loss caught the attention of the members of the project. According to the Ministry of Health, fetal death is characterized as the death of the product of pregnancy before expulsion or complete extraction of the maternal body. Indicates death the fact that, after separation, the fetus has no sign of life. Objectives: To report the experience of a woman who suffered gestational loss accompanied by project members during action in a maternity ward. Methodology: Descriptive study of the type of experience report based on the experience of nursing and psychology students from the Federal University of Alagoas. The experience in question took place in May 2018, in a maternity ward in the city of Arapiraca-Alagoas. Results: During the actions of the project we had contact for two consecutive days with a full-term pregnant woman, primiparous, accompanied by the husband and mother. She reported pain in the lumbar region and in the lower womb. On the first day she was in the latency phase of labor and was advised by the on-call nurse to wander to help in uterine dynamics. The next day, the parturient was in active labor, was accompanied by her mother and the psychology student, until then everything went smoothly. On this occasion the nurse asked us to hide the fetal heartbeat, however, we could not detect them and inform them, that initially managed to perceive fetal bradycardia and then no longer identified them. With this, the parturient was referred to the operating room urgently, but the newborn died. The psychology student witnessed the moment when the news was given by the doctor, insensitive and harshly, to the child’s father and grandmother, who left the room angry. Conclusions: In view of the experience lived, the unpreparedness of health professionals in communicating the news of fetal loss was evidenced; this results in insensitive attitudes possibly as a way to protect yourself from your personal and professional limitations. Thus, it is necessary that professionals are well resolved with their issues in the face of death, so that in their professional performance they can provide qualified assistance with effective support for the woman who suffered fetal loss. Transmitting a death news requires the professional empathy requiring prior preparation and must be held in a place with privacy, so that the woman and family can express their feelings.
Keywords: Pregnancy, Fetus, Mourning, Nursing, Psychology
How to cite this article:
Rafaela Christine Silva Souza, Beatriz Lúcio Miranda da Silva, Carlla Maria Cabral da Silva, Maria Ana Sebastião de Oliveira, Náira Maria Olivense do Carmo, Nirliane Ribeiro Barbosa.IDENTIFICATION AND REVELATION OF GESTACIONAL LOSS: EXPERIENCE REPORT.International Research Journal of Obstetrics and Gynecology, 2019, 2:17