A prevenção da hemorragia pós-parto (HPP) é fundamental para reduzir a mortalidade e morbidade materna. O manejo ativo do terceiro período do parto (MATP) é reconhecido como a estratégia mais eficaz para prevenir a HPP, focando na minimização da perda sanguínea após o nascimento do bebê e antes da expulsão da placenta. Este texto destaca as práticas baseadas em evidências para a prevenção e o manejo ativo da HPP.
- Uso Universal da Ocitocina
A administração de ocitocina imediatamente após o nascimento do bebê é o componente central do MATP. A ocitocina, administrada intramuscularmente, ajuda a contrair o útero, reduzindo significativamente a perda sanguínea. A dose recomendada é de 10 UI de ocitocina, administrada logo após o nascimento do bebê, independentemente do tipo de parto (vaginal ou cesariana).
- Clampeamento Oportuno do Cordão Umbilical
Recomenda-se o clampeamento do cordão umbilical após o primeiro minuto de vida ou após cessar a pulsação do cordão, exceto em casos de necessidade de ressuscitação neonatal imediata. Esse procedimento garante que o recém-nascido receba o volume ótimo de sangue placentário, sem impactar negativamente na prevenção da HPP.
- Tração Controlada do Cordão Umbilical
A tração controlada do cordão umbilical, em conjunto com a contração uterina, auxilia na expulsão da placenta e reduz o risco de retenção placentária, uma causa comum de HPP. Este método deve ser realizado com cuidado para evitar a inversão uterina e somente por profissionais capacitados.
- Massagem Uterina Após a Dequitação
Após a expulsão da placenta, a massagem uterina pode ser empregada para ajudar a manter o tônus uterino e identificar qualquer sangramento anormal. Embora a massagem uterina contínua não seja recomendada rotineiramente, sua aplicação imediata após a dequitação e periodicamente nas primeiras horas pós-parto pode ser benéfica.
- Monitoramento e Observação
Após a implementação do MATP, é crucial o monitoramento contínuo da mãe durante o período pós-natal imediato para identificar e tratar qualquer sinal de HPP precocemente. A observação cuidadosa dos sinais vitais, do tônus uterino e da quantidade de sangramento vaginal é essencial.
O manejo ativo do terceiro período do parto é uma estratégia comprovada para prevenir a hemorragia pós-parto, a principal causa de mortalidade materna. A implementação dessas práticas baseadas em evidências em todos os nascimentos pode reduzir significativamente a incidência de HPP e melhorar os desfechos de saúde materna. A formação e capacitação contínua dos profissionais de saúde são fundamentais para garantir a adesão a essas práticas recomendadas.
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