Abstract
ABSTRACTObjective:to evaluate the impact of the implementation of evidence-based practices on normal delivery care. Method:quasi-experimental, before-and-after intervention study conducted in a public maternity hospital, Amapá. Forty-two professionals and 280 puerperal women were interviewed and data from 555 medical records were analyzed. The study was developed in three phases: baseline audit (phase 1), educational intervention (phase 2) and post-intervention audit (phase 3). Results:after the intervention, there was an increase of 5.3 percentage points (p.p.) in the normal delivery rate. Interviews with the women revealed a significant increase of the presence of companions during labor (10.0 p.p.) and of adoption of the upright or squatting position (31.4 p.p.); significant reduction of amniotomy (16.8 p.p.), lithotomy position (24.3 p.p.), and intravenous oxytocin (17.1 p.p.). From the professionals’ perspective, there was a statistical reduction in the prescription/administration of oxytocin (29.6 p.p.). In the analysis of medical records, a significant reduction in the rate of amniotomy (29.5 p.p.) and lithotomy position (1.5 p.p.) was observed; the rate of adoption of the upright or squatting position presented a statistical increase of 2.2 p.p. Conclusions:there was a positive impact of the educational intervention on the improvement of parturition assistance, but the implementation process was not completely successful in the adoption of scientific evidence in normal delivery care in this institution.
Highlights
IntroductionThe predominant model of childbirth care in Brazil is characterized by the abusive or inappropriate use of interventions (routine amniotomy, lithotomy and intravenous infusion of oxytocin) and restriction of the parturients’ rights (restriction of the presence of companions) in all stages of labor
The predominant model of childbirth care in Brazil is characterized by the abusive or inappropriate use of interventions and restriction of the parturients’ rights in all stages of labor
The World Health Organization (WHO) proposed in 1996 some changes in labor and delivery care, including the need to rescue the idea of childbirth as a natural event, with a stimulus for the work of obstetric nurses, the use of practices based on the best scientific evidence and access to appropriate technologies for childbirth care[3]
Summary
The predominant model of childbirth care in Brazil is characterized by the abusive or inappropriate use of interventions (routine amniotomy, lithotomy and intravenous infusion of oxytocin) and restriction of the parturients’ rights (restriction of the presence of companions) in all stages of labor These problems can be prevented or reduced by adopting the best scientific evidence available in obstetric care[1]. The World Health Organization (WHO) proposed in 1996 some changes in labor and delivery care, including the need to rescue the idea of childbirth as a natural event, with a stimulus for the work of obstetric nurses, the use of practices based on the best scientific evidence and access to appropriate technologies for childbirth care[3]. The importance of health policies and practices to be grounded on the best available evidence and of translating knowledge into action, promoting the effectiveness and safety of interventions, stands out[4,5,6]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
