Obstetric interventions during labor and childbirth in Brazilian low-risk women
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469 |
Resumo: | This study evaluated the use of best practices (eating, movement, use of nonpharmacological methods for pain relief and partograph) and obstetric interventions in labor and delivery among low-risk women. Data from the hospital-based survey Birth in Brazil conducted between 2011 and 2012 was used. Best practices during labor occurred in less than 50% of women and prevalence of the use of these practices was lower in the North, Northeast and Central West Regions. The rate of use of oxytocin drips and amniotomy was 40%, and was higher among women admitted to public hospitals and in women with a low level of education. The uterine fundal pressure, episiotomy and lithotomy were used in 37%, 56% and 92% of women, respectively. Caesarean section rates were lower in women using the public health system, nonwhites, women with a low level of education and multiparous women. To improve the health of mothers and newborns and promote quality of life, a change of approach to labor and childbirth that focuses on evidence-based care is required in both the public and private health sectors. |
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Obstetric interventions during labor and childbirth in Brazilian low-risk womenIntervenções obstétricas durante o trabalho de parto e parto em mulheres brasileiras de risco habitualPublic Health PracticeMaternal and Child HealthObstretic LaborParturitionPráticas de Saúde PúblicaSaúde Materno-InfantilTrabalho de PartoPartoThis study evaluated the use of best practices (eating, movement, use of nonpharmacological methods for pain relief and partograph) and obstetric interventions in labor and delivery among low-risk women. Data from the hospital-based survey Birth in Brazil conducted between 2011 and 2012 was used. Best practices during labor occurred in less than 50% of women and prevalence of the use of these practices was lower in the North, Northeast and Central West Regions. The rate of use of oxytocin drips and amniotomy was 40%, and was higher among women admitted to public hospitals and in women with a low level of education. The uterine fundal pressure, episiotomy and lithotomy were used in 37%, 56% and 92% of women, respectively. Caesarean section rates were lower in women using the public health system, nonwhites, women with a low level of education and multiparous women. To improve the health of mothers and newborns and promote quality of life, a change of approach to labor and childbirth that focuses on evidence-based care is required in both the public and private health sectors.Se evaluó el uso de buenas prácticas (alimentación, métodos no farmacológicos para el alivio del dolor, caminar y el uso del partograma), además de las intervenciones obstétricas durante el parto, en mujeres con un riesgo obstétrico habitual. Los datos provienen del estudio Nacer en Brasil, una cohorte de base hospitalaria realizada en 2011-2012, con entrevistas a 23.894 mujeres. Las buenas prácticas durante el parto se produjeron en menos de un 50% y fueron menos frecuentes en el Norte, Nordeste y Centro-oeste. El uso de oxitocina y amniotomía fue del 40%, principalmente, en el sector público y en las mujeres de menor nivel educativo. La presión fúndica uterina, episiotomía y litotomía fueron utilizados en: un 37%, 56% y 92% respectivamente. La cesárea fue menos frecuente en mujeres que son usuarias del sector público, no blancas, con menor nivel educativo y multíparas. Para mejorar la salud de las madres y los niños, y con el fin de promover la calidad de vida, el Sistema Único de Salud (SUS), y sobre todo el sector privado, necesitará cambiar el modelo de atención obstétrica mediante la adopción de evidencias científicas.Este artigo avaliou o uso das boas práticas (alimentação, deambulação, uso de métodos não farmacológicos para alívio da dor e de partograma) e de intervenções obstétricas na assistência ao trabalho de parto e parto de mulheres de risco obstétrico habitual. Foram utilizados dados da pesquisa Nascer no Brasil, estudo de base hospitalar realizada em 2011/2012, com entrevistas de 23.894 mulheres. As boas práticas durante o trabalho de parto ocorreram em menos de 50% das mulheres, sendo menos frequentes nas regiões Norte, Nordeste e Centro-oeste. O uso de ocitocina e amniotomia foi de 40%, sendo maior no setor público e nas mulheres com menor escolaridade. A manobra de Kristeller, episiotomia e litotomia foram utilizada, em 37%, 56% e 92% das mulheres, respectivamente. A cesariana foi menos frequente nas usuárias do setor público, não brancas, com menor escolaridade e multíparas. Para melhorar a saúde de mães e crianças e promover a qualidade de vida, o Sistema Único de Saúde (SUS) e, sobretudo o setor privado, necessitam mudar o modelo de atenção obstétrica promovendo um cuidado baseado em evidências científicas.Reports in Public HealthCadernos de Saúde Pública2014-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469Reports in Public Health; Vol. 30 No. 13 (2014): Supplement 1Cadernos de Saúde Pública; v. 30 n. 13 (2014): Suplemento 11678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469/11264https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469/11265https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469/11266https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469/11267Maria do Carmo LealAna Paula Esteves PereiraRosa Maria Soares Madeira DominguesMariza Miranda Theme FilhaMarcos Augusto Bastos DiasMarcos Nakamura-PereiraMaria Helena BastosSilvana Granado Nogueira da Gamainfo:eu-repo/semantics/openAccess2024-03-06T15:28:44Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5469Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:17.226921Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Obstetric interventions during labor and childbirth in Brazilian low-risk women Intervenções obstétricas durante o trabalho de parto e parto em mulheres brasileiras de risco habitual |
title |
Obstetric interventions during labor and childbirth in Brazilian low-risk women |
spellingShingle |
Obstetric interventions during labor and childbirth in Brazilian low-risk women Maria do Carmo Leal Public Health Practice Maternal and Child Health Obstretic Labor Parturition Práticas de Saúde Pública Saúde Materno-Infantil Trabalho de Parto Parto |
title_short |
Obstetric interventions during labor and childbirth in Brazilian low-risk women |
title_full |
Obstetric interventions during labor and childbirth in Brazilian low-risk women |
title_fullStr |
Obstetric interventions during labor and childbirth in Brazilian low-risk women |
title_full_unstemmed |
Obstetric interventions during labor and childbirth in Brazilian low-risk women |
title_sort |
Obstetric interventions during labor and childbirth in Brazilian low-risk women |
author |
Maria do Carmo Leal |
author_facet |
Maria do Carmo Leal Ana Paula Esteves Pereira Rosa Maria Soares Madeira Domingues Mariza Miranda Theme Filha Marcos Augusto Bastos Dias Marcos Nakamura-Pereira Maria Helena Bastos Silvana Granado Nogueira da Gama |
author_role |
author |
author2 |
Ana Paula Esteves Pereira Rosa Maria Soares Madeira Domingues Mariza Miranda Theme Filha Marcos Augusto Bastos Dias Marcos Nakamura-Pereira Maria Helena Bastos Silvana Granado Nogueira da Gama |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Maria do Carmo Leal Ana Paula Esteves Pereira Rosa Maria Soares Madeira Domingues Mariza Miranda Theme Filha Marcos Augusto Bastos Dias Marcos Nakamura-Pereira Maria Helena Bastos Silvana Granado Nogueira da Gama |
dc.subject.por.fl_str_mv |
Public Health Practice Maternal and Child Health Obstretic Labor Parturition Práticas de Saúde Pública Saúde Materno-Infantil Trabalho de Parto Parto |
topic |
Public Health Practice Maternal and Child Health Obstretic Labor Parturition Práticas de Saúde Pública Saúde Materno-Infantil Trabalho de Parto Parto |
description |
This study evaluated the use of best practices (eating, movement, use of nonpharmacological methods for pain relief and partograph) and obstetric interventions in labor and delivery among low-risk women. Data from the hospital-based survey Birth in Brazil conducted between 2011 and 2012 was used. Best practices during labor occurred in less than 50% of women and prevalence of the use of these practices was lower in the North, Northeast and Central West Regions. The rate of use of oxytocin drips and amniotomy was 40%, and was higher among women admitted to public hospitals and in women with a low level of education. The uterine fundal pressure, episiotomy and lithotomy were used in 37%, 56% and 92% of women, respectively. Caesarean section rates were lower in women using the public health system, nonwhites, women with a low level of education and multiparous women. To improve the health of mothers and newborns and promote quality of life, a change of approach to labor and childbirth that focuses on evidence-based care is required in both the public and private health sectors. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469/11264 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469/11265 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469/11266 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5469/11267 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html text/html application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 30 No. 13 (2014): Supplement 1 Cadernos de Saúde Pública; v. 30 n. 13 (2014): Suplemento 1 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943376110780416 |