Abstract
to evaluate the association of Obstetric Nursing in the best practices of delivery and birth care in maternity hospitals. a cross-sectional study, with 666 women selected for delivery. Parturition obstetric practices performed by professionals were categorized into: clearly useful practices that should be encouraged, practices that are clearly harmful or ineffective and that should be eliminated and practices used inappropriately at the time of parturition. clearly useful practices were used in greater proportions in the hospitals that had Obstetric Nursing working, while clearly harmful practices and those used inappropriately were practiced in smaller proportions in hospitals that had Obstetric Nursing, both with statistical difference. institutions with Obstetric Nursing adopt better practices of delivery and birth care, based on scientific evidence, when compared to those that do not act.
Highlights
Delivery and birth forms the life cycle of many women, and for many years it has been a personal and private event shared with other women, their relatives and midwives
The results provide important epidemiological information, emphasizing that in institutions with Obstetric Nursing, even when not active in LA and delivery care, there are better perspectives when compared to institutions where it does not act
It is observed that the introduction of Obstetric Nursing in hospitals increases the use of clearly useful practices, reducing the use of practices that are clearly harmful and inappropriately used when compared to institutions where Obstetric Nursing does not act
Summary
Delivery and birth forms the life cycle of many women, and for many years it has been a personal and private event shared with other women, their relatives and midwives. The technocratic model implied the institutionalization of delivery and birth in hospitals, consolidating a set of standardized obstetric practices, with the primacy of technology over human relations[3].Such interventionist practices have made the obstetric context often a setting of violence and, when performed without scientific criteria or indication, may increase the risk of post-delivery complications[4]. These culminated in a situation called “Perinatal Paradox”, which describes the maintenance of high rates of maternal and perinatal morbidity and mortality, related to poor quality of care and use of obsolete and iatrogenic practices[5]
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