O Parto Horizontal e o risco de lesões músculo-esqueléticas nos Enfermeiros Obstetras

Abstract

The physical demands, the inadequate environment, the inherent stress and the underlying emotional load are some of the factors that favor the appearance of Work related musculoskeletal disorde (WRMSD). This phenomenon has been highly analyzed by the scientific community in the nursing nucleus, but obstetric nurses were not considered. Goals: The objectives are to analyze the factors that hinder the adoption of the principles of biomechanics by the obstetric nurse and to identify the level of risk, for WRMSD in activities developed during the second and third stage in horizontal deliveries. Methods: This descriptive and exploratory investigation with mixed methodology, of independent interaction and converging in the interpretation of the results, has the following question: what are the postures adopted by the obstetric nurse, in assisting the parturient during the second and third stages of labor in a horizontal position, which favor the appearance of WRMSD?. Results: A high risk of WRMSD was identified in 11 activities performed by obstetric nurses and a very high risk in 2 activities. We found that the predominant position was flexion of the head, elevated shoulders and misalignment and flexion of the trunk. Conclusion: This study allowed the ergonomic analysis of obstetric nurses in their practice, for later intervention-action