Abstract
Objective: to understand the practices adopted by health professionals in the care of parturient women. Methods: qualitative study conducted in a public hospital with 13 health professionals through semi-structured interviews. Narrative data were organized according to content analysis. Scientific evidence for best practices in delivery and birth care according to recommendations of the World Health Organization, were used as reference. Results: two care contexts were raised: the use of practices backed by scientific evidence and routine practices whose evidence is not favorable to use, denoting the adoption of practices derived from beliefs and knowledge of physicians on duty. Conclusion: professionals had their practices backed by scientific evidence, but they still use strategies whose effectiveness is not guaranteed. There is, therefore, a long way to humanize the care provided during childbirth.
Highlights
Assistance to labor and birth has undergone profound changes over the years, leaving the home environment to take place in the hospital setting, led by technology and surgical methods, and resulting in the removal of the family and of society from the birth process[1].A technicist model of attention focused on professionals, with surgical and drug interventions, started to prevail
In a move towards overcoming this model, the World Health Organization published a practical guide for normal birth care
The objective was to understand the practices adopted by health professionals in the care of parturient women
Summary
A technicist model of attention focused on professionals, with surgical and drug interventions, started to prevail. In such models, professionals and institutions had the control of the whole process, determining rules and rigid routines that sometimes would prevented women from exercising their protagonism during labor and birth[2]. In a move towards overcoming this model, the World Health Organization published a practical guide for normal birth care. The proposals aimed to reduce interventions in childbirth care, have the woman as protagonist of the birth itself, incorporating the companion of their choice in the childbirth process and considering the social and emotional dimension in care dynamics, guiding assistance by scientific evidence[3]
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