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Araújo NM, da Costa Silveira de Camargo J, Ochiai AM, Ferreira FM, Riesco MLG. Instructional and didactic support tool for teaching-learning Post-Partum Haemorrhage care in simulated settings: Creation and validation. Nurse Educ Pract 2024; 74:103867. [PMID: 38101091 DOI: 10.1016/j.nepr.2023.103867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 11/16/2023] [Accepted: 11/26/2023] [Indexed: 12/17/2023]
Abstract
OBJECTIVE To describe the creation and validation process of an instructional, didactic and self-applied support tool for teaching-learning Post-Partum Haemorrhage care in simulated settings. BACKGROUND Students frequently face difficulties performing the actions in the proper sequence in Post-Partum Haemorrhage simulated cases. Even in a controlled environment, anxiety, nervousness and fear of making mistakes are evident, which render the simulated experience highly stressful. Having a tool with a guideline can help students perform these actions more assertively. DESIGN A methodological study to develop a didactic tool. METHODS The creation process of the didactic tool, called Instructional Disk for the Management of Post-Partum Haemorrhage, was divided into five phases: Analysis, Design, Development, Implementation and Evaluation. Nine experts specialised in Obstetrics and Midwifery validated the tool by answering a questionnaire with nine items; in turn, 32 undergraduate Midwifery program students carried out the evaluation using a questionnaire on applicability, functionality, clarity, coherence and usability of the tool in Post-Partum Haemorrhage simulated stations. The data were analysed descriptively, considering absolute agreement when the answers to all questions in the five-point Likert scale corresponded to 5 (I totally agree). The Content Validity Index was calculated for the experts' questionnaires. RESULTS In the validation stage, the experts agreed or totally agreed with all nine items, reaching a Content Validity Index = 1. In the total scores assigned by the experts, there was a variation between 80.0% and 100% absolute agreement, with a mean of 95.6%. In the students' assessment, the variation was between 87.5% and 100% absolute agreement, with a mean of 97.7%, in the eight items evaluated. The agreement level above 90% among experts and students was considered high. CONCLUSIONS The Instructional Disk for the Management of Post-Partum Haemorrhage was validated by experts with extensive experience in Obstetrics and Midwifery care and teaching, ensuring that the content included in the guidelines for the management of Post-Partum Haemorrhage adopted in Brazil is covered. The students positively evaluated this support tool for learning the care to be provided in Post-Partum Haemorrhage cases in the simulated stations.
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Affiliation(s)
- Natalucia Matos Araújo
- Faculty of Midwifery Course School of Arts, Sciences and Humanities, Street Arlindo Bettio, 1000, ZIP 03828-000, Sao Paulo, SP, Brazil.
| | | | - Angela Megumi Ochiai
- Faculty of Midwifery Course School of Arts, Sciences and Humanities, Street Arlindo Bettio, 1000, ZIP 03828-000, Sao Paulo, SP, Brazil
| | - Fernanda Marçal Ferreira
- Faculty University of Sao Paulo School of Nurse, Avenue Dr. Enéas Carvalho de Aguiar, 419 - Cerqueira César, ZIP 05403-000, Sao Paulo, SP, Brazil
| | - Maria Luiza Gonzalez Riesco
- University of Sao Paulo School of Nurse, Avenue Dr. Enéas Carvalho de Aguiar, 419 - Cerqueira César, ZIP 05403-000, Sao Paulo, SP, Brazil
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da Costa Silveira de Camargo J, Dos Santos Oliveira Gama F, Ochiai AM, Araújo NM, Pinheiro LR, Néné M, Grande MCLR. Spiritual Experiences of Portuguese Women Who had a Water Birth. J Relig Health 2023; 62:3267-3284. [PMID: 37193939 DOI: 10.1007/s10943-023-01826-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/17/2023] [Indexed: 05/18/2023]
Abstract
This study aimed to understand the significance of spirituality to Portuguese women who had a water birth. In-depth interviews, using a semi-structured questionnaire, were conducted with 24 women who experienced water birth at the hospital or home. Results were analyzed from a narrative interpretation perspective. Three spirituality-related categories emerged: (1) Beliefs and connections with the body; (2) Spirituality: integration of being a woman and transformation during birth; and (3) Spirituality as wisdom, intuition, or the sixth sense. Spirituality was perceived in women's faith and beliefs in a superior being that helped them manage the unpredictability and uncontrollability of giving birth.
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Affiliation(s)
- Joyce da Costa Silveira de Camargo
- Abel Salazar Institute of Sciences, Biomedical of the University of Porto, Porto, Portugal.
- Research and Study Group in Clinical Simulation and Obstetric Practices (GPESPO), School of Arts, Sciences and Humanities of University of Sao Paulo, Rua Arlindo Béttio, 1000 - Jardim Keralux, São Paulo, SP, 03828-000, Brazil.
| | - Flávia Dos Santos Oliveira Gama
- Management of Historical and Cultural Heritage, Federal University of Minas Gerais, Belo Horizonte, Brazil
- School of Arts, Sciences and Humanities at the University of Sao Paulo, Rua Arlindo Béttio, 1000, Jardim Keralux, São Paulo, SP, 03828-000, Brazil
| | - Angela Megumi Ochiai
- Research and Study Group in Clinical Simulation and Obstetric Practices (GPESPO), School of Arts, Sciences and Humanities of University of Sao Paulo, Rua Arlindo Béttio, 1000 - Jardim Keralux, São Paulo, SP, 03828-000, Brazil
- Midwifery Program of the School of Arts, Sciences and Humanities of the University of Sao Paulo, Rua Arlindo Béttio, 1000 - Jardim Keralux, São Paulo, SP, 03828-000, Brazil
| | - Natalucia Matos Araújo
- Research and Study Group in Clinical Simulation and Obstetric Practices (GPESPO), School of Arts, Sciences and Humanities of University of Sao Paulo, Rua Arlindo Béttio, 1000 - Jardim Keralux, São Paulo, SP, 03828-000, Brazil
- Midwifery Program of the School of Arts, Sciences and Humanities of the University of Sao Paulo, Rua Arlindo Béttio, 1000 - Jardim Keralux, São Paulo, SP, 03828-000, Brazil
| | - Leonor Ramos Pinheiro
- Faculty of Public Health, University of Sao Paulo, Midwife at Casa Angela - Humanized Childbirth Center, Sao Paulo, SP, Brazil
| | - Manuela Néné
- School of Health of Portuguese Red Cross, Lisbon, Portugal
- CINTESIS - NursID - Innovation and Development in Nursing, Porto, Portugal
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Caroci-Becker A, Brunelli WS, de Oliveira Pimentel Lima M, Ochiai AM, Oliveira SG, Riesco ML. Use of surgical glue versus suture to repair perineal tears: a randomised controlled trial. BMC Pregnancy Childbirth 2023; 23:246. [PMID: 37046212 PMCID: PMC10091848 DOI: 10.1186/s12884-023-05565-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 03/31/2023] [Indexed: 04/14/2023] Open
Abstract
BACKGROUND Surgical glue has been used in several body tissues, including perineal repair, and can benefit women. OBJECTIVES To evaluate the effectiveness of n-butyl-2-cyanoacrylate surgical glue compared to the polyglactin 910 suture in repairing first- and second-degree perineal tears and episiotomy in vaginal births. DESIGN A parallel randomised controlled open trial. SETTING Birth centre in Itapecerica da Serra, São Paulo, Brazil. PARTICIPANTS AND METHODS The participants were 140 postpartum women allocated into four groups: two experimental groups repaired with surgical glue (n = 35 women with a first-degree tear; n = 35 women with a second-degree tear or episiotomy); two control groups sutured with thread (n = 35 women with a first-degree tear; n = 35 women with a second-degree tear or episiotomy). The outcomes were perineal pain and the healing process. Data collection was conducted in six stages: (1) up to 2 h after perineal repair; (2) from 12 to 24 h postpartum; (3) from 36 to 48 h; (4) from 10 to 20 days; (5) from 50 to 70 days; and (6) from 6 to 8 months. ANOVA, Student's t, Monte Carlo, x-square and Wald tests were used for the statistical analysis. RESULTS One hundred forty women participated in the first three stages, 110 in stage 4, 122 in stage 5, and 54 in stage 6. The women treated with surgical glue had less perineal pain (p ≤ 0.001). There was no difference in the healing process, but the CG obtained a better result in the coaptation item (p ≤ 0.001). CONCLUSIONS Perineal repair with surgical glue has low pain intensity and results in a healing process similar to suture threads. TRIAL REGISTRATION Brazilian Registry of Clinical Trials (UTN code: U1111-1184-2507; RBR-2q5wy8o); date of registration 01/25/2018; www.ensaiosclinicos.gov.br/rg/RBR-2q5wy8/.
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Affiliation(s)
- Adriana Caroci-Becker
- School of Nursing, University of São Paulo, São Paulo, Brazil.
- School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil.
| | | | | | - Angela Megumi Ochiai
- School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil
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Ochiai AM, Araújo NM, Moraes SDTA, Caroci-Becker A, Sparvoli LG, Teixeira TT, Carvalho RR. The use of non-surgical glue to repair perineal first-degree lacerations in normal birth: A non-inferiority randomised trial. Women Birth 2020; 34:e514-e519. [PMID: 33071207 DOI: 10.1016/j.wombi.2020.09.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 09/23/2020] [Accepted: 09/24/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND AND PROBLEM Surgical glue has been indicated for uncomplicated operatory wounds; however, it has a considerable cost. Non-surgical glue, a commercially available and cheaper product, has not been studied for repairing postpartum lacerations. AIM To compare non-surgical glue to traditional sutures on perineal first-degree lacerations after normal birth. METHODS In a prospective, open-label, non-inferiority, randomised controlled trial, we selected childbearing women who were admitted for normal term births and in whom skin lacerations occurred. They were assigned to laceration repair using either non-surgical glue (ethyl 2-cyanoacrylate; Glue group) or catgut sutures (Suture group). The primary endpoint was the occurrence of dehiscence >3mm. Secondary endpoints were procedure runtime, pain score, satisfaction level, and aspects of perineal repair by the REEDA score (hyperaemia, oedema, ecchymosis, exudation, and coaptation) immediately (T0), 24-48h (T1), and 7-10 days (T2) after childbirth. FINDINGS We included 126 women, 63 in each group, and found a non-inferiority dehiscence rate in the Glue Group compared to the Control group (T1=1.6% vs. 1.6%, P=0.999 and P<0.001 for non-inferiority; and T2=2.2% vs. 4.3%, P=0.557). In the Glue Group, the procedure runtime was shorter, pain score was lower, and women's satisfaction was greater. No women had any allergic reaction in the study. CONCLUSIONS Non-surgical glue was not inferior to traditional sutures to repair postpartum first-degree lacerations. In addition, non-surgical glue was associated with less pain and greater satisfaction. Brazilian Clinical Trials Registry (www.ensaiosclinicos.gov.br/rg/RBR-5Z8MKC).
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Affiliation(s)
- A M Ochiai
- University of São Paulo, School of Arts, Sciences and Humanities, São Paulo, São Paulo, Brazil.
| | - N M Araújo
- University of São Paulo, School of Arts, Sciences and Humanities, São Paulo, São Paulo, Brazil
| | - S D T A Moraes
- "Amador Aguiar" Municipal Hospital and Maternity, Osasco, São Paulo, Brazil
| | - A Caroci-Becker
- University of São Paulo, School of Arts, Sciences and Humanities, São Paulo, São Paulo, Brazil
| | - L G Sparvoli
- University of São Paulo, School of Pharmaceutical Sciences, São Paulo, São Paulo, Brazil
| | - T T Teixeira
- "Casa Angela" Freestanding Birth Centre, São Paulo, São Paulo, Brazil
| | - R R Carvalho
- "Casa Angela" Freestanding Birth Centre, São Paulo, São Paulo, Brazil
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Ochiai AM, Gonçalves FLT, Ambrizzi T, Florentino LC, Wei CY, Soares AVN, De Araujo NM, Gualda DMR. Atmospheric conditions, lunar phases, and childbirth: a multivariate analysis. Int J Biometeorol 2012; 56:661-667. [PMID: 21744100 DOI: 10.1007/s00484-011-0465-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2010] [Revised: 05/26/2011] [Accepted: 06/08/2011] [Indexed: 05/31/2023]
Abstract
Our objective was to assess extrinsic influences upon childbirth. In a cohort of 1,826 days containing 17,417 childbirths among them 13,252 spontaneous labor admissions, we studied the influence of environment upon the high incidence of labor (defined by 75th percentile or higher), analyzed by logistic regression. The predictors of high labor admission included increases in outdoor temperature (odds ratio: 1.742, P = 0.045, 95%CI: 1.011 to 3.001), and decreases in atmospheric pressure (odds ratio: 1.269, P = 0.029, 95%CI: 1.055 to 1.483). In contrast, increases in tidal range were associated with a lower probability of high admission (odds ratio: 0.762, P = 0.030, 95%CI: 0.515 to 0.999). Lunar phase was not a predictor of high labor admission (P = 0.339). Using multivariate analysis, increases in temperature and decreases in atmospheric pressure predicted high labor admission, and increases of tidal range, as a measurement of the lunar gravitational force, predicted a lower probability of high admission.
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Affiliation(s)
- Angela Megumi Ochiai
- School of Arts, Science and Humanities-Midwifery Department, University of Sao Paulo (USP), Sao Paulo City, Sao Paulo, Brazil.
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