Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research

Detalhes bibliográficos
Autor(a) principal: Gomes, Maysa Luduvice
Data de Publicação: 2023
Outros Autores: Nicida, Lucia Regina de Azevedo, Oliveira, Débora Cecília Chaves de, Rodrigues, Andreza, Torres, Jacqueline Alves, Coutinho, Amanda da Trindade Dias, Cravo, Beatriz da Silva Soares de Souza, Dantas, Juliana Guimarães, Oliveira, Thays Basílio, Brandão, Patrick, Domingues, Rosa Maria Soares Madeira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/57421
Resumo: Ethics approval and consent to participate The Healthy Birth study was approved by the Research Ethics Committee of the Sérgio Arouca National School of Public Health/Fiocruz (CAAE research protocol: 1.761.027, approved on January 16, 2017). All women received and signed the Free and Informed Consent Form prior to the interview and all precautions were taken to maintain the confdentiality of the information.
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spelling Gomes, Maysa LuduviceNicida, Lucia Regina de AzevedoOliveira, Débora Cecília Chaves deRodrigues, AndrezaTorres, Jacqueline AlvesCoutinho, Amanda da Trindade DiasCravo, Beatriz da Silva Soares de SouzaDantas, Juliana GuimarãesOliveira, Thays BasílioBrandão, PatrickDomingues, Rosa Maria Soares Madeira2023-03-17T02:28:59Z2023-03-17T02:28:59Z2023GOMES, Maysa Luduvice et al. Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research. Reprod Health, v. 12, Suppl 2, p. 1-13, Jan. 2023.1742-4755https://www.arca.fiocruz.br/handle/icict/5742110.1186/s12978-022-01540-5Ethics approval and consent to participate The Healthy Birth study was approved by the Research Ethics Committee of the Sérgio Arouca National School of Public Health/Fiocruz (CAAE research protocol: 1.761.027, approved on January 16, 2017). All women received and signed the Free and Informed Consent Form prior to the interview and all precautions were taken to maintain the confdentiality of the information.This work was supported, in part by the Bill & Melinda Gates Foundation [OPP1142172] and DECIT/MoH Brazil/CNPq [401715/2015-1]. Under the grant conditions of the Foundation, a Creative Commons Atribution 4.0 Generic License has already been assigned to the Author Accepted Manuscript version that might arise from this submission. The funders had no infuence on the identifcation, design, conduct, and reporting of the analysis.Federal University of Rio de Janeiro. Anna Nery School of Nursing. Rio de Janeiro, RJ, Brazil / Rio de Janeiro State University. Faculty of Nursing. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. National Institute of Women, Children and Adolescents Health Fernandes Figueira. Collective Health. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Public Health at Sérgio Arouca National School of Public Health. Rio de Janeiro, RJ, Brazil.Federal University of Rio de Janeiro. Anna Nery School of Nursing. Rio de Janeiro, RJ, Brazil / Oswaldo Cruz Foundation. National Institute of Women, Children and Adolescents Health Fernandes Figueira. Collective Health. Rio de Janeiro, RJ, Brazil.Institute for Healthcare Improvement. Rio de Janeiro, RJ, Brazil.Federal University of Rio de Janeiro. Anna Nery School of Nursing. Rio de Janeiro, RJ, Brazil.Federal University of Rio de Janeiro. Anna Nery School of Nursing. Rio de Janeiro, RJ, Brazil.Federal University of Rio de Janeiro. Anna Nery School of Nursing. Rio de Janeiro, RJ, Brazil.Federal University of Rio de Janeiro. Anna Nery School of Nursing. Rio de Janeiro, RJ, Brazil.Federal University of Rio de Janeiro. Anna Nery School of Nursing. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectology. Laboratory of Clinical Research in STD/AIDS. Rio de Janeiro, RJ, Brazil.Background: The Adequate Childbirth Project (PPA) is a quality improvement project that aims to enhance normal delivery and reduce cesarean sections with no clinical indication in the Brazilian supplementary health care system. This study aims to analyze the care model of the first postpartum hour in hospitals that participated in the PPA. Methods: Qualitative analysis based on the narrative of 102 women attended at two hospitals participating in the evaluative "Healthy Birth" research that analyzed the degree of implementation and the effects of the PPA. We assessed three practices within the first hour after delivery: skin-to-skin contact, breastfeeding and appropriate clamping of the umbilical cord. Data was collected through semi-structured interviews by telephone and submitted to thematic content analysis. Results: The categories that emerged from the analysis of the results were "Dimension of time and care expressed in the lived experience" and "Interferences in care in the first hour of life". In the first category, women reported that in the first hour after delivery the newborn was placed on the mother's chest, but the length of time of the newborn's stay in skin-to-skin contact was less than one hour. This experience, even in a shorter period of time, was said to be positive by the women interviewed. Two barriers were observed: interruption of skin-to-skin contact for neonatal care and the transfer to the recovery room, both separating baby from mother without observing the duration of the "golden hour". It was identified that a process of improvement of the quality of care for childbirth is underway, with a gradual incorporation of recommended practices for care in newborn's first hour of life. Conclusions: Women reported access to the three care practices at two hospitals participating in the PPA quality improvement project. All practices were valued by women as a positive experience and should be promoted. Information during antenatal care to increase women´s autonomy, review of hospital practices to reduce barriers, and support from health care providers during the first hour after birth are needed to improve the implementation of these practices and access to their health benefits.engGeneva Foundation for Medical Education. Research International Association for Maternal and Neonatal HealthCare at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth researchinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBirthHealth evaluationHospitalsPrivateWomeninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALve_Gomes_Maysa_etal_INI_2023.pdfve_Gomes_Maysa_etal_INI_2023.pdfapplication/pdf2881055https://www.arca.fiocruz.br/bitstream/icict/57421/2/ve_Gomes_Maysa_etal_INI_2023.pdff72d76020f5b6c60549e129ad073d12fMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/57421/1/license.txt5a560609d32a3863062d77ff32785d58MD51icict/574212023-04-11 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dc.title.en_US.fl_str_mv Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research
title Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research
spellingShingle Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research
Gomes, Maysa Luduvice
Birth
Health evaluation
Hospitals
Private
Women
title_short Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research
title_full Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research
title_fullStr Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research
title_full_unstemmed Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research
title_sort Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research
author Gomes, Maysa Luduvice
author_facet Gomes, Maysa Luduvice
Nicida, Lucia Regina de Azevedo
Oliveira, Débora Cecília Chaves de
Rodrigues, Andreza
Torres, Jacqueline Alves
Coutinho, Amanda da Trindade Dias
Cravo, Beatriz da Silva Soares de Souza
Dantas, Juliana Guimarães
Oliveira, Thays Basílio
Brandão, Patrick
Domingues, Rosa Maria Soares Madeira
author_role author
author2 Nicida, Lucia Regina de Azevedo
Oliveira, Débora Cecília Chaves de
Rodrigues, Andreza
Torres, Jacqueline Alves
Coutinho, Amanda da Trindade Dias
Cravo, Beatriz da Silva Soares de Souza
Dantas, Juliana Guimarães
Oliveira, Thays Basílio
Brandão, Patrick
Domingues, Rosa Maria Soares Madeira
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gomes, Maysa Luduvice
Nicida, Lucia Regina de Azevedo
Oliveira, Débora Cecília Chaves de
Rodrigues, Andreza
Torres, Jacqueline Alves
Coutinho, Amanda da Trindade Dias
Cravo, Beatriz da Silva Soares de Souza
Dantas, Juliana Guimarães
Oliveira, Thays Basílio
Brandão, Patrick
Domingues, Rosa Maria Soares Madeira
dc.subject.en.en_US.fl_str_mv Birth
Health evaluation
Hospitals
Private
Women
topic Birth
Health evaluation
Hospitals
Private
Women
description Ethics approval and consent to participate The Healthy Birth study was approved by the Research Ethics Committee of the Sérgio Arouca National School of Public Health/Fiocruz (CAAE research protocol: 1.761.027, approved on January 16, 2017). All women received and signed the Free and Informed Consent Form prior to the interview and all precautions were taken to maintain the confdentiality of the information.
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-03-17T02:28:59Z
dc.date.available.fl_str_mv 2023-03-17T02:28:59Z
dc.date.issued.fl_str_mv 2023
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv GOMES, Maysa Luduvice et al. Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research. Reprod Health, v. 12, Suppl 2, p. 1-13, Jan. 2023.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/57421
dc.identifier.issn.en_US.fl_str_mv 1742-4755
dc.identifier.doi.none.fl_str_mv 10.1186/s12978-022-01540-5
identifier_str_mv GOMES, Maysa Luduvice et al. Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research. Reprod Health, v. 12, Suppl 2, p. 1-13, Jan. 2023.
1742-4755
10.1186/s12978-022-01540-5
url https://www.arca.fiocruz.br/handle/icict/57421
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Geneva Foundation for Medical Education. Research International Association for Maternal and Neonatal Health
publisher.none.fl_str_mv Geneva Foundation for Medical Education. Research International Association for Maternal and Neonatal Health
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/57421/2/ve_Gomes_Maysa_etal_INI_2023.pdf
https://www.arca.fiocruz.br/bitstream/icict/57421/1/license.txt
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv repositorio.arca@fiocruz.br
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