Good practices of labor and birth care from the perspective of health professionals.

Simone Barbosa Pereira,Dirce Stein Backes,Carla Lizandra De Lima Ferreira,Claudia Maria Gabert Diaz,Marli Terezinha Stein Backes

doi:10.1590/0034-7167-2016-0661

Simone Barbosa Pereira, Dirce Stein Backes + Show 3 more

Open Access

https://doi.org/10.1590/0034-7167-2016-0661

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Abstract

Determine the understanding of health professionals of an obstetric hospital regarding the good practices of labor and birth care recommended by the World Health Organization. Research-initiative, with data collection between April and July 2016 using the focal group technique, with 27 health professionals of an obstetric hospital of Rio Grande do Sul with 21 hospitalization beds. Three thematic categories were achieved: good obstetric practices and their meanings; from the biological character to singular and multidimensional care; from the punctual and fragmented conception to the labor and birth care network. Good practices, in addition to enabling rethinking the obstetric model and contributing to organize the maternal and child health care network in order to ensure access, humane care, and problem-solving capacity, also foster female protagonism.

Highlights

OBJECTIVEEvidence shows that hypermedicalization is one of the major problems of maternal health in Brazil
In order to improve the quality of the conduct of labor, delivery, and birth, the World Health Organization (WHO) developed a document with the classification of the good practices of labor and birth care, covering the practices to be developed, the practices that should be discouraged, and those that require better scientific contribution for the development of labor and birth care[5]
Study setting This study presents the results of the first step of the research-initiative, whose objective was to determine the understanding of health professionals of an obstetric hospital regarding the good practices of labor and birth care

Summary

Introduction

OBJECTIVEEvidence shows that hypermedicalization is one of the major problems of maternal health in Brazil. The World Health Organization (WHO) estimated that approximately 289,000 women in the world lost their lives during pregnancy, childbirth, and puerperium in 2013, a global rate of 210 maternal deaths for every 100,000 live births[1]. One of the factors responsible for these changes was the release of the document Appropriate Technology for Birth by the WHO in 1985(3). Under this fostering movement, the good practices in labor and birth care gradually gained space in the theoretical-practical field of obstetrics seeking to reach the Millennium Development Goals, especially the improvement of health through the reduction of maternal and child mortality[4,5]

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