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03 - TENSIÓN NO PAPEL DO CUIDADOR (CAREGIVER ROLE STRAIN) DO ACOMPANHANTE NA GESTAÇÃO DE ALTO RISCO

Doi: 10.47094/978-65-284-0531-2/29-34

PALAVRAS CHAVE: Obstetrícia. Parto (Obstetrícia). Aspectos psicológicos. Enfermagem obstétrica. Gravidez. Humanização dos serviços de saúde.

KEYWORDS: 1 773 Obstetrics. Childbirth (Obstetrics). Psychological aspects. Obstetric nursing. Pregnancy. Humanization of health services.

ABSTRACT:
INTRODUCTION: THE CAREGIVER WHO ALSO NEEDS CARE
Prolonged hospitalization in high-risk pregnancy units and obstetric wards reshapes family dynamics and imposes unprecedented physical and emotional demands. In Brazil, the guarantee of a companion of one's choice during labor, delivery, and the postpartum period—ensured by Law No. 11.108/2005—represented a historic advancement for the humanization of childbirth. However, in high-risk obstetric settings, the companion ceases to be a mere spectator and assumes the role of primary bedside caregiver for weeks on end.
The nursing diagnosis known as "Caregiver Role Strain" is characterized by the physical, psychological, social, and financial exhaustion experienced by the individual providing continuous support. While the healthcare team's focus is—rightly—directed toward the clinical stabilization of the mother-baby dyad, the companion is often relegated to institutional invisibility (Smith et al., 2025).
Recent international literature is beginning to acknowledge that "the supporter needs supporting too" (Smith et al., 2025). In high-risk pregnancies, the stress perceived by the companion directly impacts the marital bond and the pregnant woman's own adjustment to hospitalization (Yavuz; Yilmaz, 2026).
This chapter proposes a theoretical-practical reflection on companion/caregiver burnout during prolonged obstetric hospitalizations, engaging with scientific evidence and the authors' firsthand experience at the Assis Chateaubriand Maternity Hospital (MEAC/EBSERH).

Autores

  • Ana Sheila Chagas Pinho

  • Edilma Daniel de Lima Sampaio

  • Francisca Lenice Pinto

  • Francisca Moraes da Silva

  • Lyara Duarte Dantas Holanda

  • Maria Clebia Peixoto Rebouças

  • Maria Elieuza Abreu Vasconcelos

  • Maria Rosiane de Freitas Sousa

  • Maria do Socorro Silva de Brito

  • Mary Grace Magalhães de Araújo

  • Raimunda Sueli Felipe Bezerra

  • Tatiana Alves Abreu Santos

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