Analysis of childbirth care practices in a public maternity hospital

Authors

DOI:

https://doi.org/10.15253/2175-6783.20192041650

Keywords:

Natural Childbirth; Humanizing Delivery; Obstetric Nursing.

Abstract

Objective: to analyze childbirth and birth care practices in a public maternity hospital. Methods: a cross-sectional descriptive study made in a tertiary maternity hospital with 264 puerperal women. Collection proceeded by means of a form based on good childbirth care practices. Results: prevalence of good childbirth care practices. It was observed that 233 (88.3%) received information, 256 (97.0%) had freedom of position, fetal monitoring occurred in 260 (98.5%), 198 (75.0%) used non-pharmacological pain relief methods, 263 (99.6%) were entitled to a companion, skin-to-skin contact in 258 (98.1%). Conclusion: practices such as early amniotomy and repeated touches were found that should be used with caution. In addition, the use of the Kristeller maneuver was verified, although in a low percentage, which should be eliminated from delivery care.

References

Ministério da Saúde (BR). Caderno Humaniza SUS. Humanização do parto e do nascimento [Internet]. 2014 [citado 2019 out 13]. Disponível em: http://portaldeboaspraticas.iff.fiocruz.br/biblioteca/humanizacao-do-parto-e-do-nascimento/

Ministério da Saúde (BR). Diretriz Nacional de Assistência ao Parto Normal - Conitec [Internet]. 2016 [citado 2019 out 13]. Disponível em: http://conitec.gov.br/images/Consultas/2016/Relatorio_Diretriz-PartoNormal_CP.pdf

World Health Organization. World Health Organization recommendations: intrapartum care for a positive childbirth experience [Internet] 2018 [cited Oct 13, 2019]. Available from: https://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/

Pereira SS, Oliveira ICMS, Santos JBS, Carvalho MCMP. Natural childbirth: the work of nurses in the face of humanized care. Tempus Actas Saúde Coletiva. 2016; 10(3):199-213. doi: http://dx.doi.org/10.18569/tempus.v10i3.1727

Sousa AMM, Souza KV, Rezende EM, Martins DC, Lansky S. Practices in childbirth care in maternity with inclusion of obstetric nurses in Belo Horizonte, Minas Gerais. Esc Anna Nery. 2016; 20(2):324-31. doi: http://dx.doi.org/10.5935/1414-8145.20160044

Côrtes CT, Santos CS, Caroci AS, Oliveira SG, Oliveira SMJV, Riesco ML. Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study. Rev Esc Enferm USP. 2015; 49(5):716-25. doi: http://dx.doi.org/10.1590/S0080-623420150000500002

Silva ALS, Nascimento ER, Coelho EAC. Nurses practices to promote dignity, participation and empowerment of women in natural childbirth. Esc Anna Nery. 2015; 19(3):424-31. doi: http://dx.doi.org/10.5935/1414-8145.20150056

Apolinário D, Rabelo M, Wolff LDG, Souza SRRK, Leal GCG. Practices in delivery and birth care from mothers’ perspective. Rev Rene. 2016; 7(1):20-8. doi: https://dx.doi.org/10.15253/2175-6783.2016000100004

Ministério da Saúde (BR). Lei n 11.108, de 7 de abril de 2005. Altera a Lei nº 8.080, de 19 de setembro de 1990, para garantir as parturientes o direito à presença de acompanhante durante o trabalho de parto, parto e pós-parto imediato, no âmbito do Sistema Único de Saúde - SUS [Internet]. 2005 [citado 2019 fev. 22]. Disponivel em: http://www.planalto.gov.br/ccivil_03/_ato2004-2006/2005/lei/l11108.htm

Rocha FAA, Fontenele FMC, Carvalho IR, Rodrigues IDCV, Sousa RA, Ferreira Júnior AR. Care during labor and birth: mothers’ perception. Rev Rene. 2015; 16(6):782-9. doi: https://dx.doi.org/10.15253/2175-6783.2015000600003

Dias EG, Ferreira ARM, Martins AMC, Jesus MM, Alves JCS. Eficiência de métodos não farmacológi- cos para alívio da dor no trabalho de parto normal. Enferm Foco. 2018; 9(2):35-39. doi: https://doi.org/10.21675/2357-707X.2018.v9.n2.1398

Andrade PON, Silva JQP, Diniz CMM, Caminha MFC. Factors associated with obstetric abuse in vaginal birth care at a high-complexity maternity unit in Recife. Rev Bras Saúde Matern Infant. 2016; 16(1):29-37. doi: https://doi.org/dx.doi.org/10.1590/1806-93042016000100004

Hidalgo-Lopezosa P, Hidalgo-Maestre M, Rodrí- guez-Borrego MA. Birth plan compliance and its relation to maternal and neonatal outcomes. Rev Latino-Am Enfermagem. 2017; 25:e2953. doi:https://doi.org/dx.doi.org/10.1590/1518-8345.2007.2953

Ministério da Saúde (BR). Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Diretrizes nacionais de assistência ao parto normal: versão resumida [Internet]. 2017 [citado 2019 set 20]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_nacionais_assistencia_parto_normal.pdf

Nunes RD, Mapelli AV, Nazário NO, Traebert E, Seemann M, Traebert J. Avaliação dos fatores determinantes à realização da episiotomia no parto vaginal. Enferm Foco. 2019; 10(1):71-5. doi: https://doi.org/10.21675/2357-707X.2019.v10.n1.1399

Committee on Obstetric Practice, King TL, Wharton KR, Ecker JL, Wax JR. Committee opinion no. 687: approaches to limit intervention during labor and birth. Obstet Gynecol. 2017; 129(2):e20-8. doi: http://dx.doi.org/10.1097/AOG.0000000000001905

Leal MC, Pereira APE, Domingues RMSM, Theme Filha MM, Dias MAB, Pereira, MN, et al. Obstetric interventions during labor and childbirth in Brazilian low-risk women. Cad Saúde Pública. 2014; 30(Suppl1):17-32. doi: http://dx.doi.org/10.1590/0102-311X00151513

Published

2019-11-05

How to Cite

Barros, M. A. R., Sousa , L. S. de ., Américo, C. F. ., Esteche, C. M. G. da C. E. ., Damasceno, A. K. de C. ., & Vasconcelos, F. X. (2019). Analysis of childbirth care practices in a public maternity hospital. Rev Rene, 20, e41650. https://doi.org/10.15253/2175-6783.20192041650

Issue

Section

Research Article

Most read articles by the same author(s)

1 2 3 > >>