Abstract
Abstract Objective: to compare the use of non-invasive midwifery care technologies (TNICEO) with the use of traditional care model practices, having as parameters the presence of meconium in the amniotic fluid and its repercussion on the newborn’s vitality. Method: a cross-sectional study with secondary data of 10,219 parturients who delivered by midwives between September 2004 and October 2016. Logistic regression was used to assess Apgar> 8 Odds Ratio in exposure to noninvasive midwifery care technologies when compared to traditional care. Results: there were higher percentages of light amniotic fluid and neonates with good vitality in parturients who used only TNICEO compared with those exposed only to traditional care. Conclusion: nurse midwives’ provision of TNICEO and its use by women are efficient strategies to reduce unfavorable neonatal outcomes. Implications of practice: investments in the performance of these experts is important, as their know-how to make them not medicalized through TNICEO confirms a process of humanized, safe and quality care that meets official recommendations and contributes to the change in the care model.
Highlights
Elimination of meconium in amniotic fluid is a relatively common finding during parity in women classified as having a habitual obstetric risk
In obstetric practice, according to the traditional care (TC) model, it is observed that the presence of meconium in the amniotic fluid drives the adoption of interventional conducts or is a consequence of procedures based on outdated scientific evidence
For the purposes of this research, we considered the following information recorded in this form: interventions and/or care to which parturients were exposed during labor and childbirth; presence of meconium amniotic fluid identified and clinically assessed by the nurse midwife during parity; Apgar determined by pediatrician or neonatologist
Summary
Elimination of meconium in amniotic fluid is a relatively common finding during parity in women classified as having a habitual obstetric risk. In obstetric practice, according to the traditional care (TC) model, it is observed that the presence of meconium in the amniotic fluid drives the adoption of interventional conducts or is a consequence of procedures based on outdated scientific evidence This type of care does not always represent safety or is a protective factor for maternal and perinatal health, adding more risks than benefits to women, fetuses and newborns.[1,10,11,12] This close correlation is revealed, for example, in the association between the routine use of oxytocin and the higher incidence of meconium elimination by the fetus, as well as caesarean sections.[3,4,5]
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