ABSTRACT
Objectives:
To implement strategies for managing perineal pain in puerperal women admitted to a public maternity hospital in São Paulo state and to evaluate their compliance with evidence-based practices.
Methods:
Implementation study using the JBI model conducted with nursing professionals and puerperal women between September and December 2019. Interviews with puerperal women and medical record data were used to audit seven evidence-based criteria. The interventions adopted included a care protocol, professional training, and folder elaboration for puerperal women.
Results:
Prior to the intervention, deficits in audited practices and obstacles to pain management were identified, which were overcome by the strategies employed. The follow-up audit demonstrated improvements in compliance with best care practices.
Conclusion:
There was an increase in the criteria compliance evaluated after the implemented strategies, contributing to improving the nursing care results in the perineal pain management based on the best scientific evidence.
Descriptors:
Inservice Training; Pain; Perineum; Postpartum Period; Evidence-Based Practice
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Criteria Caption: 1. The nursing staff received educational training on perineal care orientation; 2. Ice packs were implemented in the first 24-72 hours after birth; 3. Daily perineal pain assessment/monitoring was performed after birth; 4. Analgesia was administered for perineal pain; 5. Women received guidance on postnatal perineal care.
Criteria Caption: 1. The nursing staff received educational training on perineal care orientation; 2. Ice packs were implemented in the first 24-72 hours after birth; 3. Daily perineal pain assessment/monitoring was performed after birth; 4. Analgesia was administered for perineal pain; 5. Women received guidance on postnatal perineal care.