Women’s voice on changes in childbirth care practices: a qualitative approach to women’s experiences in Brazilian private hospitals participating in the Adequate Childbirth Project

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Andreza Pereira
Data de Publicação: 2023
Outros Autores: Oliveira, Débora Cecília Chaves de, Gomes, Maysa Luduvice, Nicida, Lucia Regina de Azevedo, Torres, Jacqueline Alves, Coutinho, Amanda da Trindade Dias, Cravo, Beatriz da Silva Soares de Souza, Dantas, Juliana Guimarães, Oliveira, Thays Basílio, 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/58603
Resumo: This work was supported, in part by the Bill & Melinda Gates Foundation [OPP1142172] and DECIT/MoH Brazil/CNPq [401715/2015-9]. Under the grant conditions of the Foundation, a Creative Commons Attribution 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 in the identifcation, design, conduct, and reporting of the analysis.
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spelling Rodrigues, Andreza PereiraOliveira, Débora Cecília Chaves deGomes, Maysa LuduviceNicida, Lucia Regina de AzevedoTorres, Jacqueline AlvesCoutinho, Amanda da Trindade DiasCravo, Beatriz da Silva Soares de SouzaDantas, Juliana GuimarãesOliveira, Thays BasílioDomingues, Rosa Maria Soares Madeira2023-05-24T02:30:43Z2023-05-24T02:30:43Z2023RODRIGUES, Andreza Pereira et al. Women's voice on changes in childbirth care practices: a qualitative approach to women's experiences in Brazilian private hospitals participating in the Adequate Childbirth Project. Reproductive Health, v. 20, Suppl. 2, p. 1-13, Jan. 2023.1742-4755https://www.arca.fiocruz.br/handle/icict/5860310.1186/s12978-022-01539-y1742-4755This work was supported, in part by the Bill & Melinda Gates Foundation [OPP1142172] and DECIT/MoH Brazil/CNPq [401715/2015-9]. Under the grant conditions of the Foundation, a Creative Commons Attribution 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 in the identifcation, design, conduct, and reporting of the analysis.Universidade Federal do Rio de Janeiro. Escola de Enfermagem Anna Nery. Rio de Janeiro, RJ, Brazil.Universidade Federal do Rio de Janeiro. Escola de Enfermagem Anna Nery. Rio de Janeiro, RJ, Brazil.Rio de Janeiro State University. Faculty of Nursing. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Casa de Oswaldo Cruz. Rio de Janeiro, RJ, Brazil.Institute for Health Care Improvement. Rio de Janeiro, RJ, Brazil.Universidade Federal do Rio de Janeiro. Escola de Enfermagem Anna Nery. Rio de Janeiro, RJ, Brazil.Universidade Federal do Rio de Janeiro. Escola de Enfermagem Anna Nery. Rio de Janeiro, RJ, Brazil.Universidade Federal do Rio de Janeiro. Escola de Enfermagem Anna Nery. Rio de Janeiro, RJ, Brazil.Universidade Federal do Rio de Janeiro. Escola de Enfermagem Anna Nery. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brazil.Background: In Brazil, childbirth practices are strongly marked by surgical events and particularly in the private sector cesarean sections reach rates above 80%. The National Supplementary Health Agency proposed the Adequate Childbirth Project (PPA), a quality improvement project developed at Brazilian hospitals with the aim of changing the current model of childbirth care and reducing unnecessary cesarean sections. The objective of this study is to assess how the participation of women in the process of improving quality childbirth care occurred in two hospitals participating in the PPA. Method: Qualitative study, based on interviews with 102 women attended at two hospitals that took part in the first and second stages of the "Healthy Birth", an evaluative hospital-based research, conducted in 2017-2018, that assessed the degree of implementation and the effects of PPA. After thematic content analysis, supported by MaxQda software, three categories emerged: (1) how women gathered knowledge about the PPA, (2) how women perceived it, and (3) which are their suggestions for the PPA improvement. Results: The PPA was unknown to most women before delivery. A polysemy of terms, including adequate childbirth, promotes recognition of the "new" model of care. Visits to the maternity hospital and antenatal care groups for pregnant women are opportunities for contacts that change the perception of what childbirth can be. Women have expectations of a relationship with maternity that is not limited to the moment of delivery. The listening channels established between hospitals and women are fragile and not systematized. By increasing the supply of listening spaces, one can also increase the request to leave their suggestions and contributions, and thus gain more allies in improving the project. Women are not yet included as PPA agents and their voices are silenced. Conclusions: Women's participation to improve childbirth care is relevant and necessary. The women's voice in the PPA is still incipient, and maternity hospitals and health plan operators should create strategies to insert and engage them. Women's voices should be listened to not only during but also before and after childbirth.engBioMed CentralWomen’s voice on changes in childbirth care practices: a qualitative approach to women’s experiences in Brazilian private hospitals participating in the Adequate Childbirth Projectinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBirthCesarean sectionChangeHospitalsOrganizationalPrivateQuality improvementWomen’s perspectiveinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALve_Andreza_Rodrigues_etal_INI_COC_2023.pdfve_Andreza_Rodrigues_etal_INI_COC_2023.pdfapplication/pdf1679704https://www.arca.fiocruz.br/bitstream/icict/58603/2/ve_Andreza_Rodrigues_etal_INI_COC_2023.pdf3db4f5742a52de4bebf5d690d9acba23MD52LICENSElicense.txtlicense.txttext/plain; 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dc.title.en_US.fl_str_mv Women’s voice on changes in childbirth care practices: a qualitative approach to women’s experiences in Brazilian private hospitals participating in the Adequate Childbirth Project
title Women’s voice on changes in childbirth care practices: a qualitative approach to women’s experiences in Brazilian private hospitals participating in the Adequate Childbirth Project
spellingShingle Women’s voice on changes in childbirth care practices: a qualitative approach to women’s experiences in Brazilian private hospitals participating in the Adequate Childbirth Project
Rodrigues, Andreza Pereira
Birth
Cesarean section
Change
Hospitals
Organizational
Private
Quality improvement
Women’s perspective
title_short Women’s voice on changes in childbirth care practices: a qualitative approach to women’s experiences in Brazilian private hospitals participating in the Adequate Childbirth Project
title_full Women’s voice on changes in childbirth care practices: a qualitative approach to women’s experiences in Brazilian private hospitals participating in the Adequate Childbirth Project
title_fullStr Women’s voice on changes in childbirth care practices: a qualitative approach to women’s experiences in Brazilian private hospitals participating in the Adequate Childbirth Project
title_full_unstemmed Women’s voice on changes in childbirth care practices: a qualitative approach to women’s experiences in Brazilian private hospitals participating in the Adequate Childbirth Project
title_sort Women’s voice on changes in childbirth care practices: a qualitative approach to women’s experiences in Brazilian private hospitals participating in the Adequate Childbirth Project
author Rodrigues, Andreza Pereira
author_facet Rodrigues, Andreza Pereira
Oliveira, Débora Cecília Chaves de
Gomes, Maysa Luduvice
Nicida, Lucia Regina de Azevedo
Torres, Jacqueline Alves
Coutinho, Amanda da Trindade Dias
Cravo, Beatriz da Silva Soares de Souza
Dantas, Juliana Guimarães
Oliveira, Thays Basílio
Domingues, Rosa Maria Soares Madeira
author_role author
author2 Oliveira, Débora Cecília Chaves de
Gomes, Maysa Luduvice
Nicida, Lucia Regina de Azevedo
Torres, Jacqueline Alves
Coutinho, Amanda da Trindade Dias
Cravo, Beatriz da Silva Soares de Souza
Dantas, Juliana Guimarães
Oliveira, Thays Basílio
Domingues, Rosa Maria Soares Madeira
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Rodrigues, Andreza Pereira
Oliveira, Débora Cecília Chaves de
Gomes, Maysa Luduvice
Nicida, Lucia Regina de Azevedo
Torres, Jacqueline Alves
Coutinho, Amanda da Trindade Dias
Cravo, Beatriz da Silva Soares de Souza
Dantas, Juliana Guimarães
Oliveira, Thays Basílio
Domingues, Rosa Maria Soares Madeira
dc.subject.en.en_US.fl_str_mv Birth
Cesarean section
Change
Hospitals
Organizational
Private
Quality improvement
Women’s perspective
topic Birth
Cesarean section
Change
Hospitals
Organizational
Private
Quality improvement
Women’s perspective
description This work was supported, in part by the Bill & Melinda Gates Foundation [OPP1142172] and DECIT/MoH Brazil/CNPq [401715/2015-9]. Under the grant conditions of the Foundation, a Creative Commons Attribution 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 in the identifcation, design, conduct, and reporting of the analysis.
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-05-24T02:30:43Z
dc.date.available.fl_str_mv 2023-05-24T02:30:43Z
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 RODRIGUES, Andreza Pereira et al. Women's voice on changes in childbirth care practices: a qualitative approach to women's experiences in Brazilian private hospitals participating in the Adequate Childbirth Project. Reproductive Health, v. 20, Suppl. 2, p. 1-13, Jan. 2023.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/58603
dc.identifier.issn.en_US.fl_str_mv 1742-4755
dc.identifier.doi.none.fl_str_mv 10.1186/s12978-022-01539-y
dc.identifier.eissn.none.fl_str_mv 1742-4755
identifier_str_mv RODRIGUES, Andreza Pereira et al. Women's voice on changes in childbirth care practices: a qualitative approach to women's experiences in Brazilian private hospitals participating in the Adequate Childbirth Project. Reproductive Health, v. 20, Suppl. 2, p. 1-13, Jan. 2023.
1742-4755
10.1186/s12978-022-01539-y
url https://www.arca.fiocruz.br/handle/icict/58603
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
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/58603/2/ve_Andreza_Rodrigues_etal_INI_COC_2023.pdf
https://www.arca.fiocruz.br/bitstream/icict/58603/1/license.txt
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repository.mail.fl_str_mv repositorio.arca@fiocruz.br
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