Health care in the prenatal and childbirth context from puerperal women's perspective.

Bruna Rodrigues Monteiro,Ana Carla Alves De Andrade,Priscilla Pâmela Silva,Nilba Lima De Souza,Annelissa Andrade Virginio De Oliveira,Débora Feitosa De França,Erika Simone Galvão Pinto

doi:10.1590/0034-7167-2019-0222

Abstract

to investigate puerperal women who received guidance on childbirth during prenatal care and the behaviors experienced in the labor process within the context of good obstetric practices from the perspective of puerperal women. a descriptive cross-sectional quantitative study conducted with 203 puerperal women admitted to the shared rooms of a teaching hospital between May and July 2017 during the immediate postpartum period. For data collection, was used an instrument adapted from the hospital questionnaire for puerperal women that was developed by the Oswaldo Cruz Foundation. only 48.3% of puerperal women received the eight orientations regarding good obstetric practices during prenatal care, which were not experienced in the labor process, especially regarding referral and behaviors of the hospital team. Unfavorable socioeconomic conditions were significant in relation to guidelines provided during prenatal care. prenatal care was negatively evaluated and there was lack of compliance with good obstetric practices and non-recommended behaviors in the labor process in the maternity ward.

Highlights

OBJECTIVESObstetric care is provided to pregnant women during prenatal, delivery and postpartum
Regarding the expected birth route of women who had prenatal care since the beginning of pregnancy, there was a preference for normal delivery (73.4%), but this preference was reduced at the end of pregnancy (58.6%)
Overall results point to a negative evaluation of guidance on good practices for stimulating normal delivery during prenatal care, women who were continuously monitored by the same health professional, in this case the nurse, and performed more than six prenatal consultations, had a higher average percentage of information on the subject[17]

Summary

Introduction

OBJECTIVESObstetric care is provided to pregnant women during prenatal, delivery and postpartum. The lack of educational actions and guidance in prenatal consultations, especially regarding pregnant women’s rights, contributes to their lack of knowledge about the labor process, which can make them vulnerable to obstetric violence, dissatisfaction in childbirth and submission to the care model adopted by the team[4-5]. In this scenario, qualified prenatal care encompasses the understanding that the choice for normal delivery goes beyond pregnant women’s desire, includes social aspects and depends on access to prenatal guidance. This care is provided through health practices that clarify pregnant women’s doubts during consultations with their active participation in educational activities[6-7]

Objectives

Results

Discussion

Conclusion