Hospital obstetric practices and their repercussions on maternal welfare

• Autor(a) principal: Alvares, Aline Spanevello
• Data de Publicação: 2020
• Outros Autores: Paula Correa, Aurea Christina de, Tomiyoshi Nakagawa, Janete Tamami, Valim, Marilia Duarte, Jamas, Milena Temer [UNESP], Knupp Medeiros, Renata Marien
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1590/S1980-220X2018039003606; http://hdl.handle.net/11449/209479
• topic: Maternal Welfare; Obstetric Nursing; Humanizing Delivery; Maternal-Child Nursing

Objective: To analyze the association of care practices performed by obstetric professionals with maternal welfare/malaise levels. Method: A quantitative study conducted in a Prepartum/Childbirth/Postpartum Unit of a Teaching Hospital with puerperal women who underwent vaginal births. An association was performed between obstetric practices and maternal welfare/malaise levels. Results: There were 104 puerperal women who participated. Obstetric practices which caused mothers to feel unwell and which obtained statistical significance were: amniotomy (p = 0.018), episiotomy (p = 0.05), adoption of horizontal positions in the expulsive period (p = 0.04), the non-use of non-invasive care technologies (p = 0.029), and non-skin-to-skin contact between mother and child (p = 0.002). For most women, the presence of a companion favored welfare, even though it did not have a statistically significant association. After performing logistic regression, non-performance of amniotomy was the only variable which showed significance in maternal welfare. Conclusion: Humanized obstetric practices have greater potential to promote maternal welfare. The importance of obstetric nurses conducting practices which provide greater welfare to mothers is emphasized.