Menezes, Rejane Maria Paiva deCassiano, Alexandra do Nascimento2022-05-192022-05-192022-02-23CASSIANO, Alexandra do Nascimento. Quando ir para maternidade: tecnologia educacional para primigestas sobre sinais de trabalho de parto e de risco obstétrico. 2022. 157f. Tese (Doutorado em Enfermagem na Atenção à Saúde) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2022.https://repositorio.ufrn.br/handle/123456789/47231The gestational period is a phase of complex and unique transformations accompanied by physical, hormonal, psychological and social changes, and there may also be a variation of ambivalent feelings ranging from doubts, apprehension, love, joy, reaffirmation of pregnancy, anxiety and worry, especially when it comes to the pregnancy of a primigravidae. It is a fact that the primiparous pregnant woman has doubts about the right time to go to the maternity hospital, often generating anguish, fear and insecurity, sensations always observed by professionals in the daily routine of health services and which are highlighted in the literature. Faced with this reality, it is believed that the use of an animated video on the signs of labor and obstetric risk in prenatal consultations can be a useful technological tool in expanding knowledge about pregnancy and childbirth in women about to be pregnant. to be a mother. The objective is to develop a care-educational technology for primiparous pregnant women about the signs of labor and obstetric risk. Methodological study, carried out through four stages, namely: 1) Construction of the animated video script on signs of labor and obstetric risk; 2) Validation of the animated video script content by expert judges; 3) Construction of the animated video on signs of labor and obstetric risk and, 4) Influence of the animated video on the knowledge of primiparous pregnant women. To analyze the data referring to the validation process, the Content Validity Index and the Kappa Coefficient were used; In the quasi-experiment data analysis phase, descriptive statistics, trend measures, data dispersion were applied, in addition to the McNemar, Chi-square and Student's t tests, with a significance level of 5%. The study was submitted to the Research Ethics Committee of the Federal University of Rio Grande do Norte in accordance with the recommendations of Resolution 466/2012, of the National Health Council and its complements, with opinion approved under No. 4,396,786 and CAAE 39211420.4.0000.5537. The validation of the technology was carried out by 21 expert judges, fifteen of them with expertise in obstetric nursing and eleven in primary health care. Most were female (71.4%) with a mean age of 35 years; of these, 42.9% were masters and had approximately 8 years of experience in the field; The total Content Validation Index of the animated video script was 0.97. All the variables analyzed had an index greater than 0.81, with a lower value of 0.85 in the judgment regarding the adequacy of the material to the sociocultural level of the pregnant women. The Kappa coefficient obtained was 0.55, which corresponded to a moderate agreement. In the quasiexperimental study stage, 90 primiparous pregnant women were interviewed, whose profile corresponded to women with an average age of 23 years; mixed race (64.45%); in a stable union (74.44%) and an average of 10 years of schooling. Most (62.22%) were housewives and 54.45% had a family income of 1 minimum wage; half of the pregnant women (50%) were in the third trimester of pregnancy and 85.56% were undergoing usual risk prenatal care. Only 12.22% of them reported having access to information about signs of labor and obstetric risk. Data analysis using the McNemar test showed a statistical difference (p<0.005) between before and after the animated video in questions 1, 2, 3, 4, 5 and 6. In relation to total performance, it was verified by Using the Student t test, there was a significant difference (p<0.001) between before and after viewing the animated video in the number of correct answers for the questions. Finally, in the evaluation of primigravidae regarding the importance of the video, the average grade attributed was 9.92. At the end of this study, it was concluded that its results confirmed the thesis that the use of a care-educational technology, such as an animated video, on the knowledge of the signs of labor and obstetric risk, had a positive influence on most participating pregnant women, indicating the importance of its applicability during the follow-up of women in prenatal consultations.Acesso AbertoEnfermagem obstétricaTecnologia educacionalEstudos de validaçãoComplicações na gravidezdoctoralThesis