Proceso de atención al parto en la muerte fetal tardía

  1. Paloma Martínez-Serrano
  2. Ana Mª Palmar-Santos
  3. Montserrat Solís-Muñoz
  4. Azucena Pedraz-Marcos
  5. Gema del Pliego-Pilo
  6. Mª Paz Alarcón-Diana
  7. Consuelo Álvarez-Plaza
Revista:
Metas de enfermería

ISSN: 1138-7262

Año de publicación: 2018

Volumen: 21

Número: 7

Páginas: 24-32

Tipo: Artículo

DOI: 10.35667/METASENF.2019.21.1003081278 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Metas de enfermería

Resumen

Objetivo: analizar la evidencia disponible acerca del proceso de atención al parto en la muerte fetal tardía, que permita conocer la experiencia y las necesidades de madres y padres, y la experiencia y dificultades de los profesionales que atienden estos casos. Método: revisión narrativa de estudios cualitativos publicados desde 2005 hasta agosto de 2017 en las bases de datos Pubmed, Cinahl, Embase, Scielo, Cuiden y Lilacs en el campo de la muerte fetal tardía, atendiendo a su definición en el contexto español (a partir de 28 semanas de gestación) y en el internacional (a partir de la semana 24 de gestación). Se llevó a cabo un análisis temático de los artículos seleccionados, identificándose cuatro áreas temáticas en función a la experiencia de las madres y padres, por un lado, y dos áreas temáticas según la experiencia de los profesionales. Resultados: se seleccionaron siete artículos cualitativos (cuatro análisis de contenido, dos análisis fenomenológicos y una teoría fundamentada). Los temas identificados respecto a la experiencia de madres y padres estuvieron relacionados con un diagnóstico devastador, comienzo de la despedida, construcción de la maternidad y la paternidad, e impacto de la actuación de los profesionales. Los temas identificados en relación a la experiencia de los profesionales fueron impacto personal y profesional, y manejo del caso. Conclusiones: esta revisión pone de manifiesto tanto lo traumático de la experiencia de las madres y padres que sufren una pérdida fetal tardía como la afectación personal de los profesionales que les atienden, que presentan dificultades para afrontar adecuadamente el caso, y demandan formación específica para ayudar de forma eficiente en el proceso de duelo.

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