Analysis of practices in childbirth and postpartum hospital care
DOI:
https://doi.org/10.15253/2175-6783.20202143671Keywords:
Nursing; Humanizing Delivery; Postpartum Period; Evidence-Based Practice; Midwifery.Abstract
Objective: to analyze practices in childbirth and postpartum hospital care. Methods: cross-sectional study, conducted with 335 mothers in a reference maternity hospital. A form was used based on the indicators of the Bologna index and guidelines for childbirth and puerperium assistance. Data were analyzed using descriptive and inferential statistics (chi-square, binomial and Clopper-Pearson tests), with p<0.05 being significant. Results: it was observed that 77.9% of the puerperal women considered professional assistance satisfactory. The presence of the doula (p=0.037) and breastfeeding in the first hour of life (p=0.032) had a significant relation with the evaluation of women. The Bologna index evaluation obtained an average of 2.6. Conclusion: there was a higher frequency of intermediate and inadequate practices in childbirth and postpartum care.
References
Mendes YMMB, Rattner D. Structure and practices in hospitals of the Apice ON Project: a baseline study. Rev Saude Publica. 2020; 54:23. doi: https://doi.org/10.11606/s1518-8787.2020054001497
Andrade FM, Castro JFL, Silva AV. Percepção das gestantes sobre as consultas médicas e de enfermagem no pré-natal de baixo risco. R Enferm Cent-O Min. 2016; 6(3):2377-388. doi: http://dx.doi.org/10.19175/recom.v6i3.1015
Ministério da Saúde (BR). Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Diretrizes nacionais de assistência ao parto normal: versão resumida [Internet]. 2017 [cited fev 13, 2020]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_nacionais_assistencia_parto_normal.pdf
Zanardo GLP, Uribe MC, Nadal AHR, Habigzang LF. Violência obstétrica no Brasil: uma revisão narrativa. Psicol Soc. 2017; 29:e155043. doi: http://dx.doi.org/10.1590/1807-0310/2017v29155043
Ribeiro JF, Nascimento SS, Brito IA, Luz VLES, Coêlho DMM, Araújo KRS. Avaliação da assistência ao parto normal em uma maternidade pública. Rev Eletr Gestão Saúde. 2016; 7(1):65-81. doi: https://periodicos.unb.br/index.php/rgs/article/view/3380
Monteiro MCM, Holanda VR, Melo GP. Análise do conceito parto humanizado de acordo com o método evolucionário de Rodgers. R Enferm Cent-O Min. 2017; 7:e1885. doi: http://seer.ufsj.edu.br/index.php/recom/article/view/1885/1808
World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience [Internet]. 2018 [cited Mar 13, 2020]. Available from: https://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/
Lopes GDC, Gonçalves AC, Gouveia HG, Armellini CJ. Attention to childbirth and delivery in a university hospital: comparison of practices developed after Network Stork. Rev Latino-Am Enfermagem. 2019; 27:e3139. doi: http://dx.doi.org/10.1590/1518-8345.2643-3139
Barbosa EM, Oliveira ASS, Galiza DDF, Barros VL, Aguiar VF, Marques MB. Socio-demographic and obstetric profile of pregnant women in a public hospital. Rev Rene. 2017; 18(2):227-33. doi: http://dx.doi.org/10.15253/2175-6783.2017000200012
Cavalcanti TRL, Holanda VR. Participação paterna no ciclo gravídico-puerperal e seus efeitos sobre a saúde da mulher. Enferm Foco. 2019; 10(1):93-98 doi: https://doi.org/10.21675/2357-707X.2019.v10.n1.1446
Mouta RJO, Silva TMA, Melo PTS, Lopes NS, Moreira VA. Plano de parto como estratégia de empoderamento feminino. Rev Baiana Enferm. 2017; 31(4):e20275. doi: http://dx.doi.org/10.18471/rbe.v31i4.2027
Suárez-Cortés M, Armero-Barranco D, Canteras-Jordana M, Martínez-Roche ME. Use and influence of Delivery and Birth Plans in the humanizing delivery process. Rev Latino-Am Enfermagem. 2015; 23(3):520-6. doi: http://dx.doi.org/10.1590/0104-1169.0067.2583
Lima SBG, Schirmer J, Dotto LMG, Santos CL. Obstetric practices adopted by a public maternity in Rio Branco-AC. Cogitare Enferm. 2018; 23(4):e53258. doi: http://dx.doi.org/10.5380/ce.v23i4.53258
Guida NFB, Pereira ALF, Lima GPV, Zveiter M, Araújo CLF, Moura MAV. Compliance of nursing care practices with technical recommendations for normal birth. Rev Rene. 2017; 18(4):543-50. doi: http://dx.doi.org/10.15253/2175-6783.2017000400017
Borja TJ, Freitas WMF, Santos LS, Nascimento BGS, Lima DRA, Silva JCMC. O Cuidado prestado por doulas em uma maternidade pública: o olhar das puérperas. R Enferm Cent-O Min. 2018; 8:e2878. doi: http://dx.doi.org/10.19175/recom.v8i0.2878
Lansky S, Souza KV, Peixoto ERM, Oliveira BF, Diniz CSG, Vieira NF, et al. Obstetric violence: influences of the senses of birth exhibition in pregnant women childbirth experience. Ciênc Saúde Coletiva. 2019; 24(8):2811-23. doi: http://dx.doi.org/10.1590/1413-81232018248.30102017
Pedroso CNLS, Lópes LC. À margem da humanização? Experiências de parto de usuárias de uma maternidade pública de Porto Alegre-RS. Physis Rev Saúde Coletiva. 2017; 27(4):1163-84. doi: http://dx.doi.org/10.1590/S0103-73312017000400016
Reis CSC, Souza D, Nogueira MFH, Proguinatti JM, Vargens OMC. Analysis of births attended by nurse midwives under the perspective of humanization of childbirth. J Res Fundam Care Online. 2016; 8(4):4972-9. doi: http://dx.doi.org/10.9789/2175-5361.2016.v8i4.4972-4979
