Labor and birth care by nurse with midwifery skills in Brazil

Detalhes bibliográficos
Autor(a) principal: Gama, Silvana Granado Nogueira da
Data de Publicação: 2016
Outros Autores: Viellas, Elaine Fernandes, Torres, Jacqueline Alves, Bastos, Maria Helena, Brüggemann, Odaléa Maria, Theme Filha, Mariza Miranda, Schilithz, Arthur Orlando Correa, Leal, Maria do Carmo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1186/s12978-016-0236-7
Texto Completo: https://www.arca.fiocruz.br/handle/icict/58095
Resumo: Oswaldo Cruz Foundation. National School of Public Health Sergio Arouca. Rio de Janeiro, RJ, Brazil.
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spelling Gama, Silvana Granado Nogueira daViellas, Elaine FernandesTorres, Jacqueline AlvesBastos, Maria HelenaBrüggemann, Odaléa MariaTheme Filha, Mariza MirandaSchilithz, Arthur Orlando CorreaLeal, Maria do Carmo2023-05-01T15:16:53Z2023-05-01T15:16:53Z2016GAMA, Silvana Granado Nogueira da et al. Labor and birth care by nurse with midwifery skills in Brazil. Reproductive Health, v. 13, Supl. 1, n. 123, p. 225-265, 2016.1742-4755https://www.arca.fiocruz.br/handle/icict/5809510.1186/s12978-016-0236-7engBioMed Central LtdLabor and birth care by nurse with midwifery skills in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleOswaldo Cruz Foundation. National School of Public Health Sergio Arouca. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. National School of Public Health Sergio Arouca. Rio de Janeiro, RJ, Brazil.National Agency of Supplemental Health. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. National School of Public Health Sergio Arouca. Rio de Janeiro, RJ, Brazil.Federal University of Santa Catarina. Florianópolis, SC, Brazil.Oswaldo Cruz Foundation. National School of Public Health Sergio Arouca. Rio de Janeiro, RJ, Brazil.National Cancer Institute. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. National School of Public Health Sergio Arouca. Rio de Janeiro, RJ, Brazil.Background: The participation of nurses and midwives in vaginal birth care is limited in Brazil, and there are no national data regarding their involvement. The goal was to describe the participation of nurses and nurse-midwives in childbirth care in Brazil in the years 2011 and 2012, and to analyze the association between hospitals with nurses and nurse-midwives in labor and birth care and the use of good practices, and their influence in the reduction of unnecessary interventions, including cesarean sections. Methods: Birth in Brazil is a national, population-based study consisting of 23,894 postpartum women, carried out in the period between February 2011 and October 2012, in 266 healthcare settings. The study included all vaginal births involving physicians or nurses/nurse-midwives. A logistic regression model was used to examine the association between the implementation of good practices and suitable interventions during labor and birth, and whether care was a physician or a nurse/nurse-midwife led care. We developed another model to assess the association between the use of obstetric interventions during labor and birth to the personnel responsible for the care of the patient, comparing hospitals with decisions revolving exclusively around a physician to those that also included nurses/nurse-midwives as responsible for vaginal births. Results 16.2 % of vaginal births were assisted by a nurse/nurse-midwife. Good practices were significantly more frequent in those births assisted by nurses/nurse-midwives (ad lib. diet, mobility during labor, non-pharmacological means of pain relief, and use of a partograph), while some interventions were less frequently used (anesthesia, lithotomy position, uterine fundal pressure and episiotomy). In maternity wards that included a nurse/nurse-midwife in labour and birth care, the incidence of cesarean section was lower. Conclusions: The results of this study illustrate the potential benefit of collaborative work between physicians and nurses/nurse-midwives in labor and birth care. The adoption of good practices in managing labor and birth could be the first step toward more effective obstetric and midwifery care in Brazil. It may be easier to introduce new approaches rather than to eliminate old ones, which may explain why the reduction of unnecessary interventions during labor and birth was less pronounced than the adoption of new practices.Maternal and child healthObstetric labourGood practices in obstetricsVaginal birthNurse-midwifeMidwifeMidwiferyinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/58095/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALve_Gama_Silvana_etal_ENSP_2016.pdfve_Gama_Silvana_etal_ENSP_2016.pdfapplication/pdf403888https://www.arca.fiocruz.br/bitstream/icict/58095/2/ve_Gama_Silvana_etal_ENSP_2016.pdf8e37a0ee0b12d34680ec240aa4fe2ff2MD52icict/580952023-05-01 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dc.title.en_US.fl_str_mv Labor and birth care by nurse with midwifery skills in Brazil
title Labor and birth care by nurse with midwifery skills in Brazil
spellingShingle Labor and birth care by nurse with midwifery skills in Brazil
Gama, Silvana Granado Nogueira da
Maternal and child health
Obstetric labour
Good practices in obstetrics
Vaginal birth
Nurse-midwife
Midwife
Midwifery
title_short Labor and birth care by nurse with midwifery skills in Brazil
title_full Labor and birth care by nurse with midwifery skills in Brazil
title_fullStr Labor and birth care by nurse with midwifery skills in Brazil
title_full_unstemmed Labor and birth care by nurse with midwifery skills in Brazil
title_sort Labor and birth care by nurse with midwifery skills in Brazil
author Gama, Silvana Granado Nogueira da
author_facet Gama, Silvana Granado Nogueira da
Viellas, Elaine Fernandes
Torres, Jacqueline Alves
Bastos, Maria Helena
Brüggemann, Odaléa Maria
Theme Filha, Mariza Miranda
Schilithz, Arthur Orlando Correa
Leal, Maria do Carmo
author_role author
author2 Viellas, Elaine Fernandes
Torres, Jacqueline Alves
Bastos, Maria Helena
Brüggemann, Odaléa Maria
Theme Filha, Mariza Miranda
Schilithz, Arthur Orlando Correa
Leal, Maria do Carmo
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gama, Silvana Granado Nogueira da
Viellas, Elaine Fernandes
Torres, Jacqueline Alves
Bastos, Maria Helena
Brüggemann, Odaléa Maria
Theme Filha, Mariza Miranda
Schilithz, Arthur Orlando Correa
Leal, Maria do Carmo
dc.subject.en.en_US.fl_str_mv Maternal and child health
Obstetric labour
Good practices in obstetrics
Vaginal birth
Nurse-midwife
Midwife
Midwifery
topic Maternal and child health
Obstetric labour
Good practices in obstetrics
Vaginal birth
Nurse-midwife
Midwife
Midwifery
description Oswaldo Cruz Foundation. National School of Public Health Sergio Arouca. Rio de Janeiro, RJ, Brazil.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2023-05-01T15:16:53Z
dc.date.available.fl_str_mv 2023-05-01T15:16:53Z
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 GAMA, Silvana Granado Nogueira da et al. Labor and birth care by nurse with midwifery skills in Brazil. Reproductive Health, v. 13, Supl. 1, n. 123, p. 225-265, 2016.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/58095
dc.identifier.issn.en_US.fl_str_mv 1742-4755
dc.identifier.doi.none.fl_str_mv 10.1186/s12978-016-0236-7
identifier_str_mv GAMA, Silvana Granado Nogueira da et al. Labor and birth care by nurse with midwifery skills in Brazil. Reproductive Health, v. 13, Supl. 1, n. 123, p. 225-265, 2016.
1742-4755
10.1186/s12978-016-0236-7
url https://www.arca.fiocruz.br/handle/icict/58095
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 BioMed Central Ltd
publisher.none.fl_str_mv BioMed Central Ltd
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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collection Repositório Institucional da FIOCRUZ (ARCA)
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