Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study

Detalhes bibliográficos
Autor(a) principal: Fernandes, Luísa da Matta Machado
Data de Publicação: 2021
Outros Autores: Lansky, Sônia, Passos, Hozana Reis, Bozlak, Christine T., Shaw, Benjamin A.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/51477
Resumo: Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brazil.
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spelling Fernandes, Luísa da Matta MachadoLansky, SôniaPassos, Hozana ReisBozlak, Christine T.Shaw, Benjamin A.2022-02-24T18:39:27Z2022-02-24T18:39:27Z2021FERNANDES, Luísa da Matta Machado al. Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study. PLoS One, v. 16, n. 4, p. 1-28, e0248740, 2021.1932-6203https://www.arca.fiocruz.br/handle/icict/5147710.1371/journal.pone.0248740engPublic Library of ScienceBrazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brazil.Department of Health. Belo Horizonte, MG, Brazil.Department of Health. Belo Horizonte, MG, Brazil.Department of Health Policy, Management, and Behavior. School of Public Health. University at Albany. State University of New York. Albany, NY, USA.Department of Health Policy, Management, and Behavior. School of Public Health. University at Albany. State University of New York. Albany, NY, USA.Brazil has a cesarean rate of 56% and low use of Intrapartum Evidence-based Practices (IEBP) of 3.4%, reflecting a medically centered and highly interventionist maternal health care model. The Senses of Birth (SoB) is a health education intervention created to promote normal birth, use of EBP, and reduce unnecessary c-sections. This study aimed to understand the use of intrapartum EBP by Brazilian women who participated in the SoB intervention. 555 women answered the questionnaire between 2015 and 2016. Bivariate analysis and ANOVA test were used to identify if social-demographic factors, childbirth information, and perceived knowledge were associated with the use of EBP. A qualitative analysis was performed to explore women\'s experiences. Research participants used the following EBP: birth plan (55.2%), companionship during childbirth (81.6%), midwife care (54.2%), freedom of mobility during labor (57.7%), choice of position during delivery (57.2%), and non-pharmacological pain relief methods (74.2%). Doula support was low (26.9%). Being a black woman was associated with not using a birth plan or having doula support. Women who gave birth in private hospitals were more likely not to use the EBP. Barriers to the use of EBP identified by women were an absence of individualized care, non-respect for their choices or provision of EBP by health care providers, inadequate structure and ambiance in hospitals to use EBP, and rigid protocols not centered on women\'s needs. The SoB intervention was identified as a potential facilitator. Women who used EBP described a sense of control over their bodies and perceived self-efficacy to advocate for their chosen practices. Women saw the strategies to overcome barriers as a path to become their childbirth protagonist. Health education is essential to increase the use of EBP; however, it should be implemented combined with changes in the maternal care system, promoting woman-centered and evidence-based models.CesareanHealth education interventionIntrapartum Evidence-based Practices (IEBP)Childbirthinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83082https://www.arca.fiocruz.br/bitstream/icict/51477/1/license.txt9193a7c197bc67acd023525e72a03240MD51ORIGINALBrazilian women's use of evidence-based practices.pdfBrazilian women's use of evidence-based practices.pdfapplication/pdf12715404https://www.arca.fiocruz.br/bitstream/icict/51477/2/Brazilian%20women%27s%20use%20of%20evidence-based%20practices.pdfd3d9e7de384882397173ddaa6194ef26MD52icict/514772023-05-24 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dc.title.pt_BR.fl_str_mv Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study
title Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study
spellingShingle Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study
Fernandes, Luísa da Matta Machado
Cesarean
Health education intervention
Intrapartum Evidence-based Practices (IEBP)
Childbirth
title_short Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study
title_full Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study
title_fullStr Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study
title_full_unstemmed Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study
title_sort Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study
author Fernandes, Luísa da Matta Machado
author_facet Fernandes, Luísa da Matta Machado
Lansky, Sônia
Passos, Hozana Reis
Bozlak, Christine T.
Shaw, Benjamin A.
author_role author
author2 Lansky, Sônia
Passos, Hozana Reis
Bozlak, Christine T.
Shaw, Benjamin A.
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Fernandes, Luísa da Matta Machado
Lansky, Sônia
Passos, Hozana Reis
Bozlak, Christine T.
Shaw, Benjamin A.
dc.subject.en.none.fl_str_mv Cesarean
Health education intervention
Intrapartum Evidence-based Practices (IEBP)
Childbirth
topic Cesarean
Health education intervention
Intrapartum Evidence-based Practices (IEBP)
Childbirth
description Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brazil.
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2022-02-24T18:39:27Z
dc.date.available.fl_str_mv 2022-02-24T18:39:27Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv FERNANDES, Luísa da Matta Machado al. Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study. PLoS One, v. 16, n. 4, p. 1-28, e0248740, 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/51477
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0248740
identifier_str_mv FERNANDES, Luísa da Matta Machado al. Brazilian women's use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study. PLoS One, v. 16, n. 4, p. 1-28, e0248740, 2021.
1932-6203
10.1371/journal.pone.0248740
url https://www.arca.fiocruz.br/handle/icict/51477
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 Public Library of Science
publisher.none.fl_str_mv Public Library of Science
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)
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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/51477/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/51477/2/Brazilian%20women%27s%20use%20of%20evidence-based%20practices.pdf
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