Talleres educativos sobre la vinculación con el feto durante el embarazo: un ensayo clínico

Costa, Priscila; Andrade, Paula Rosenberg de; Tomaz, Bruna Arends Roschel; Cordeiro, Samara Macedo; Jansen, Danielle Castro; Veríssimo, Maria de La Ó Ramallo

Priscila Costa

Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Enfermagem, Departamento de Enfermagem Pediátrica. São Paulo, São Paulo, Brasil.

https://orcid.org/0000-0002-2494-0510

Paula Rosenberg de Andrade

Centro Assistencial Cruz de Malta. São Paulo, São Paulo, Brasil.

https://orcid.org/0000-0002-6521-9746

Bruna Arends Roschel Tomaz

Universidade Federal de São Paulo (UNIFESP), Hospital São Paulo. São Paulo, São Paulo, Brasil.

https://orcid.org/0000-0002-0447-441X

Samara Macedo Cordeiro

Faculdade Ciências Médicas da Santa Casa de São Paulo (FCMSCSP). São Paulo, São Paulo, Brasil.

https://orcid.org/0000-0002-4972-3790

Danielle Castro Jansen

Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Enfermagem, Departamento de Enfermagem de Saúde da Mulher. São Paulo, São Paulo, Brasil.

https://orcid.org/0000-0001-6647-0804

Maria de La Ó Ramallo Veríssimo

Universidade de São Paulo (USP), Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica. São Paulo, São Paulo, Brasil.

https://orcid.org/0000-0002-5474-0245

Corresponding author:
Priscila Costa E-mail: priscila.costa@unifesp.br

Associate editor:

Jéssica Machado Teles

Editor-in-chief:

Maria da Graça Oliveira Crossetti

Authorship contribution:

Priscila Costa: conceituação, curadoria de dados, análise formal, aquisição de financiamento, investigação, metodologia, administração de projeto, recursos, escrita (rascunho, original, revisão e edição). Paula Rosenberg de Andrade: conceituação, análise formal, investigação, escrita (revisão e edição). Bruna Arends Roschel Tomaz: conceituação, análise formal, investigação, escrita (revisão e edição). Samara Macedo Cordeiro: conceituação, análise formal, investigação, escrita (revisão e edição). Danielle Castro Janzen: conceituação, análise formal, investigação, escrita (revisão e edição). Maria de La Ó Ramallo Veríssimo: conceituação, análise formal, investigação, escrita (revisão e edição).

Meeting

"Ice break" group activity 10-15 min

Sharing group activity 20-30 min

Integration group activity 20-30 min

Wrap up 15 min

1st meeting: The importance of interaction for the development of the child from the gestation from.

Memory game: learning the names of the participants.

Trigger: exhibiting the video "Physical and Emotional Changes in the Pregnant Woman: What to Do?"(1311. Fundo das Nações Unidas para Infância (BR). Família Brasileira Fortalecida: Álbum 1 - Pré-natal, parto e pós-parto. Brasília; 2013 [cited 2018 Sep 12]. Available from: https://www.unicef.org/brazil/sites/unicef.org.brazil/files/2019-03/br_kit_fbf_album1_2013.pdf .
https://www.unicef.org/brazil/sites/unic... ).

Conversation round: What part of the video called the most attention to each participant? Why?

Constructing a tree with sentences elaborated by the participants and representative images of the bond between the couple and their child (talking, reading a book, singing, and touching the belly).

Relaxation exercise through deep inhalation and exhalation.

2nd meeting: The development of the five senses during pregnancy

Shoulder massage activity: each of us does as well as they can.

Trigger: exhibiting the video: The Senses of the Baby During Pregnancy"(1411. Fundo das Nações Unidas para Infância (BR). Família Brasileira Fortalecida: Álbum 1 - Pré-natal, parto e pós-parto. Brasília; 2013 [cited 2018 Sep 12]. Available from: https://www.unicef.org/brazil/sites/unicef.org.brazil/files/2019-03/br_kit_fbf_album1_2013.pdf .
https://www.unicef.org/brazil/sites/unic... )

Conversation round: What part of the video called the most attention to each participant? Why?

Activity with images of the fetus in different moments of pregnancy, the development of the five senses (touch, taste, hearing, smell, and vision) and ways to interact, such as talking, singing, and touching the belly.

Relaxation exercise: stretching.

3rd meeting: I am going to be a father or mother, what now?

Conversation round about the expectations related to the arrival of the baby

Trigger: exhibition of the video "In Utero Development"(1511. Fundo das Nações Unidas para Infância (BR). Família Brasileira Fortalecida: Álbum 1 - Pré-natal, parto e pós-parto. Brasília; 2013 [cited 2018 Sep 12]. Available from: https://www.unicef.org/brazil/sites/unicef.org.brazil/files/2019-03/br_kit_fbf_album1_2013.pdf .
https://www.unicef.org/brazil/sites/unic... ).

The discussion was in accordance with the needs of the participants and there was a simulation of the care provided to the newborn using a doll: bath, breastfeeding, and good practices when visiting the newborn.

Goodbye hug, and evaluation of the workshop by participants.

Group		Control (n=15)		Experimental (n = 4)		P-value
Group		medianmedian	25%-75%	medianmedian	25%-75%	P-value
Age		19.0	18.0-26.0	21.0	17.5-27.0	0.763
Income		2.000	1.000 - 3.000	2.500	2.000 - 3.000	0.653
Gestational age		51.4	19.3-32.6	28.2	23.0-30.9	0.689
		n	%	n	%
Profession	employed	8	53.3%	0	0.0%	0.055
Profession	unemployed	7	46.7%	4	100.0%	0.055
Type of family	expanded	8	53.3%	3	75.0%	0.435
Type of family	nuclear	7	46.7%	1	25.0%	0.435
Support Emotional	no	1	6.7%	0	0.0%	0.596
Support Emotional	yes	14	93.3%	4	100.0%	0.596
Support from the father of the baby and relatives	no	4	28.6%	2	50.0%	0.423
Support from the father of the baby and relatives	yes	10	71.4%	2	50.0%	0.423
Family support	no	3	21.4%	1	25.0%	0.880
Family support	yes	11	78.6%	3	75.0%	0.880
Support from the father of the baby	no	1	7.1%	1	25.0%	0.316
Support from the father of the baby	yes	13	92.9%	3	75.0%	0.316
Marital Status	married	9	60.0%	2	50.0%	0.719
Marital Status	single	6	40.0%	2	50.0%	0.719
Elementary school	no	14	93.3%	2	50.0%	0.035
Elementary school	yes	1	6.7%	2	50.0%	0.035
Ensino médio	no	2	13.3%	4	100.0%	0.001
Ensino médio	yes	13	86.7%	0	0.0%	0.001
Ensino superior	no	14	93.3%	2	50.0%	0.035
Ensino superior	yes	1	6.7%	2	50.0%	0.035
Current pregnancy planned	no	9	60.0%	3	75.0%	0.581
Current pregnancy planned	yes	6	40.0%	1	25.0%	0.581

Control group	Before intervention			After intervention			P-value
Control group	Median	25%	75%	Median	25%	75%
The mother talks to the baby	3.0	5.0	5.0	4.5	5.0	5.0	0.102
The mother calls the baby using a name or nickname	1.0	5.0	5.0	5.0	5.0	5.0	0.999
The father talks to the baby	1.0	3.0	5.0	2.5	5.0	5.0	0.059
The father caresses the belly	5.0	5.0	5.0	4.8	5.0	5.0	0.655
The mother touches or pokes the baby	1.0	3.0	5.0	5.0	5.0	5.0	0.041
Score (5 to 25)	15	19	23	22	24	25	0.027
Experimental group	Median	25%	75%	Median	25%	75%	P-value
The mother talks to the baby	1.5	3.0	4.5	3.0	4.0	5.0	0.317
The mother calls the baby using a name or nickname	2.0	5.0	5.0	5.0	5.0	5.0	0.250
The father talks to the baby	1.5	3.0	4.5	1.0	3.0	3.0	1.000
The father caresses the belly	3.5	5.0	5.0	5.0	5.0	5.0	0.317
The mother touches or pokes the baby	1.5	3.0	4.5	2.0	3.0	5.0	0.655
Score (5 to 25)	10	20	23	17	20	22	1.000

[1] Corresponding author:
Priscila Costa E-mail: priscila.costa@unifesp.br

Brasil

Brasil

Talleres educativos sobre la vinculación con el feto durante el embarazo: un ensayo clínico

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