Compliance of nursing care practices with technical recommendations for normal birth


  • Natasha Faria Barros Guida
  • Adriana Lenho de Figueiredo Pereira
  • Gabrielle Parrilha Vieira Lima
  • Marcele Zveiter
  • Carla Luzia França Araújo
  • Maria Aparecida Vasconcelos Moura



Obstetric Nursing, Nursing Care, Humanizing Delivery.


Objective: to describe the compliance of obstetric nursing care practices with the technical recommendations for normal birth. Methods: cross-sectional study of records of normal birth care delivered by nurse-midwifes from two public maternity hospitals. The compliance assessment was based on the World Health Organization recommendations. The two-tailed Z-test was applied. Results: Appropriate compliance was found for all practices assessed at maternity hospital A. At maternity hospital B, the timely clamping of the umbilical cord obtained partial compliance (70.9%). Prescriptions were found for a null diet, 85.7% and 59.8%; oxytocin during labor, 38.7% and 48.4%; and peri-parturient tocodynamometry, 30.5% and 47.2%, at maternity hospitals A and B, respectively. Conclusion: the presence of the companion; use of the partogram; non-pharmacological care; intermittent auscultation of fetal heart beat; non-supinal maternal position during child birth; and postpartum application of intramuscular oxytocin obtain appropriate compliance, although inappropriate conducts were observed, such as prescriptions for a null diet, oxytocin and intrapartum tocodynamometry.




How to Cite

Guida, N. F. B., Pereira, A. L. de F., Lima, G. P. V., Zveiter, M., Araújo, C. L. F., & Moura, M. A. V. (2017). Compliance of nursing care practices with technical recommendations for normal birth. Rev Rene, 18(4), 543–550.



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