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Humanization in Fetal Medicine

2018; Instituto Materno Infantil de Pernambuco; Volume: 18; Issue: 3 Linguagem: Inglês

10.1590/1806-93042018000300001

1806-9304

Alex Sandro Rolland Souza, Stênio Galvão de Freitas,

Maternal and Perinatal Health Interventions

Humanization in Fetal MedicineHumanization is the action or the effect of humanizing, to become human or to be more human, to become benevolent, to be friendly. 1Humanization in health leads to a change in management services and health systems, modifying as so, the interaction among patients and professionals.One of its main objectives is to provide a better care service for the patients and a better working condition for the employees. 2etal Medicine is an area dedicated to promote maternal and fetal health, it is considered as a subspecialty in Gynecology and Obstetric.The Fetologist has competent abilities to promotes prevention and performs diagnostic or therapeutic procedures related to pregnancy.These procedures vary from a consultation to a genetic counseling, risk calculation for the chromosomal diseases, preeclampsia or preterm labor, even intrauterine fetal surgery. 3he main tool used in Fetal Medicine is the ultrasound, which has specific purposes in every trimester of gestation. 4As this is a medical specialty that is based on images, it can cause little proximity with the patient when it is compared to a purely clinical specialty. 5Based on this fact, one might ask: why not humanize Fetal Medicine?How could this be possible?A humanized care recognizes the patient's rights, valuing the quality of care from a technical point of view, as well as professional recognition. 6For this purpose, simple measures which have been lost with the increase of demands and overcrowded hospitals and medical offices should be rethought and put into practice daily.To perform an obstetric ultrasound examination became something mechanical with little or no physicianpatient relationship.These professionals use machines to describe the exam report, to only inform the mother that everything is normal or not.The reception in receiving the patient at the door with a simple greeting and permitting the companion to enter can make a difference.Calling the patient by her name, sitting and talking to the patient about prenatal or comorbidities that were acquired during pregnancy, discovering reasons to do an exam, to explain the purpose and to be evaluated.All of this transforms that moment of tension for the mother or family in a reliable and secure environment.Thus, in order to make the patient feel calmer and more secure regarding to the pregnancy, is showing and explaining the image on the screen by using resources, for example, the three-dimensional (3D) image, when it is available, this may be a useful and simple tool to humanize fetal medicine.During a humanized childbirth, the companion is allowed to participate, as well as to take pictures and film this special moment, registering memories to be shared by the parents with family, friends and in the future, with the child.The ultrasound is also considered a special moment in which the fetus is observed and imagined.Based on this, why is this moment not allowed to be registered?Why is the image of the face not allowed to be shown and not even the fetal's sex?Studies suggest that different types of faces on the ultrasound exam may already show intrauterine feelings.The facial expressions most frequently described in the literature are the winking of the eyes, the yawning, the sucking, the movement of the mouth, putting out the tongue, the frowning and the smiling face. 7Who would not be happy to capture and register a moment like this?To inform the correct gestational age, explain what will be referred for the follow-up until the end of the pregnancy in a simple and clear way.And besides, be careful in filling out the exam report, always mention the same and correct gestational age which it is very important for humanization.Different gestational ages filled out on each exam may increase maternal anxiety on the possibility of giving birth earlier or post-maturity.