Compliance of nursing care practices with technical recommendations for normal birth

• Autor(a) principal: Guida, Natasha Faria Barros
• Data de Publicação: 2017
• Outros Autores: Pereira, Adriana Lenho de Figueiredo, Lima, Gabrielle Parrilha Vieira, Zveiter, Marcele, Araújo, Carla Luzia França, Moura, Maria Aparecida Vasconcelos
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Rev Rene (Online)
• Texto Completo: http://periodicos.ufc.br/rene/article/view/20287
• topic: Obstetric Nursing; Nursing Care; Humanizing Delivery.

Objective: to describe the compliance of obstetric nursing care practices with the technical recommendations for normal birth. Methods: cross-sectional study of records of normal birth care delivered by nurse-midwifes from two public maternity hospitals. The compliance assessment was based on the World Health Organization recommendations. The two-tailed Z-test was applied. Results: Appropriate compliance was found for all practices assessed at maternity hospital A. At maternity hospital B, the timely clamping of the umbilical cord obtained partial compliance (70.9%). Prescriptions were found for a null diet, 85.7% and 59.8%; oxytocin during labor, 38.7% and 48.4%; and peri-parturient tocodynamometry, 30.5% and 47.2%, at maternity hospitals A and B, respectively. Conclusion: the presence of the companion; use of the partogram; non-pharmacological care; intermittent auscultation of fetal heart beat; non-supinal maternal position during child birth; and postpartum application of intramuscular oxytocin obtain appropriate compliance, although inappropriate conducts were observed, such as prescriptions for a null diet, oxytocin and intrapartum tocodynamometry.