Prácticas obstétricas en los partos domiciliarios planificados asistidos en Brasil
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng spa por |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | https://www.revistas.usp.br/reeusp/article/view/155174 |
Resumo: | Objective: To describe obstetric practices in planned home births, assisted by qualified professionals in Brazil. Method: This is a descriptive study, with data collected in an online bank maintained by 49 professionals from December 2014 to November 2015, in which the target population was women and newborns assisted in home births. Data were analyzed through descriptive statistics. Results: A total of 667 women and 665 newborns were included. Most of the women gave birth at home (84.4%), in a nonlithotomic position (99.1%); none underwent episiotomy; 32.3% had intact perineum; and 37.8% had firstdegree lacerations, some underwent amniotomy (5.4%), oxytocin administration (0.4%), and Kristeller’s maneuver (0.2%); 80.8% of the women with a previous cesarean section had home birth. The rate of transfer of parturients was 15.6%, of puerperal women was 1.9%, and of neonates 1.6%. The rate of cesarean section in the parturients that started labor at home was 9.0%. Conclusion: The obstetric practices taken are consistent with the scientific evidence; however, unnecessary interventions are still performed. The rates of cesarean sections and maternal and neonatal transfers are low. Home can be a place of birth option for women seeking a physiological delivery. |
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Revista da Escola de Enfermagem da USP (Online) |
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Prácticas obstétricas en los partos domiciliarios planificados asistidos en BrasilObstetric practices in planned home births assisted in BrazilPráticas obstétricas nos partos domiciliares planejados assistidos no BrasilHome ChildbirthHumanizing DeliveryObstetric NursingObservational StudyObjective: To describe obstetric practices in planned home births, assisted by qualified professionals in Brazil. Method: This is a descriptive study, with data collected in an online bank maintained by 49 professionals from December 2014 to November 2015, in which the target population was women and newborns assisted in home births. Data were analyzed through descriptive statistics. Results: A total of 667 women and 665 newborns were included. Most of the women gave birth at home (84.4%), in a nonlithotomic position (99.1%); none underwent episiotomy; 32.3% had intact perineum; and 37.8% had firstdegree lacerations, some underwent amniotomy (5.4%), oxytocin administration (0.4%), and Kristeller’s maneuver (0.2%); 80.8% of the women with a previous cesarean section had home birth. The rate of transfer of parturients was 15.6%, of puerperal women was 1.9%, and of neonates 1.6%. The rate of cesarean section in the parturients that started labor at home was 9.0%. Conclusion: The obstetric practices taken are consistent with the scientific evidence; however, unnecessary interventions are still performed. The rates of cesarean sections and maternal and neonatal transfers are low. Home can be a place of birth option for women seeking a physiological delivery.Universidade de São Paulo. Escola de Enfermagem2019-02-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/pdfhttps://www.revistas.usp.br/reeusp/article/view/15517410.1590/s1980-220x2017034003371Revista da Escola de Enfermagem da USP; v. 52 (2018); e03371Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e03371Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e033711980-220X0080-6234reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USPengspaporhttps://www.revistas.usp.br/reeusp/article/view/155174/151002https://www.revistas.usp.br/reeusp/article/view/155174/151003https://www.revistas.usp.br/reeusp/article/view/155174/151004http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessKoettker, Joyce GreenBruggemann, Odaléa MariaFreita, Paulo FontouraRiesco, Maria Luiza GonzalezCosta, Roberta2019-02-25T12:40:57Zoai:revistas.usp.br:article/155174Revistahttps://www.revistas.usp.br/reeuspPUBhttps://www.revistas.usp.br/reeusp/oai||nursingscholar@usp.br1980-220X0080-6234opendoar:2019-02-25T12:40:57Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Prácticas obstétricas en los partos domiciliarios planificados asistidos en Brasil Obstetric practices in planned home births assisted in Brazil Práticas obstétricas nos partos domiciliares planejados assistidos no Brasil |
title |
Prácticas obstétricas en los partos domiciliarios planificados asistidos en Brasil |
spellingShingle |
Prácticas obstétricas en los partos domiciliarios planificados asistidos en Brasil Koettker, Joyce Green Home Childbirth Humanizing Delivery Obstetric Nursing Observational Study |
title_short |
Prácticas obstétricas en los partos domiciliarios planificados asistidos en Brasil |
title_full |
Prácticas obstétricas en los partos domiciliarios planificados asistidos en Brasil |
title_fullStr |
Prácticas obstétricas en los partos domiciliarios planificados asistidos en Brasil |
title_full_unstemmed |
Prácticas obstétricas en los partos domiciliarios planificados asistidos en Brasil |
title_sort |
Prácticas obstétricas en los partos domiciliarios planificados asistidos en Brasil |
author |
Koettker, Joyce Green |
author_facet |
Koettker, Joyce Green Bruggemann, Odaléa Maria Freita, Paulo Fontoura Riesco, Maria Luiza Gonzalez Costa, Roberta |
author_role |
author |
author2 |
Bruggemann, Odaléa Maria Freita, Paulo Fontoura Riesco, Maria Luiza Gonzalez Costa, Roberta |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Koettker, Joyce Green Bruggemann, Odaléa Maria Freita, Paulo Fontoura Riesco, Maria Luiza Gonzalez Costa, Roberta |
dc.subject.por.fl_str_mv |
Home Childbirth Humanizing Delivery Obstetric Nursing Observational Study |
topic |
Home Childbirth Humanizing Delivery Obstetric Nursing Observational Study |
description |
Objective: To describe obstetric practices in planned home births, assisted by qualified professionals in Brazil. Method: This is a descriptive study, with data collected in an online bank maintained by 49 professionals from December 2014 to November 2015, in which the target population was women and newborns assisted in home births. Data were analyzed through descriptive statistics. Results: A total of 667 women and 665 newborns were included. Most of the women gave birth at home (84.4%), in a nonlithotomic position (99.1%); none underwent episiotomy; 32.3% had intact perineum; and 37.8% had firstdegree lacerations, some underwent amniotomy (5.4%), oxytocin administration (0.4%), and Kristeller’s maneuver (0.2%); 80.8% of the women with a previous cesarean section had home birth. The rate of transfer of parturients was 15.6%, of puerperal women was 1.9%, and of neonates 1.6%. The rate of cesarean section in the parturients that started labor at home was 9.0%. Conclusion: The obstetric practices taken are consistent with the scientific evidence; however, unnecessary interventions are still performed. The rates of cesarean sections and maternal and neonatal transfers are low. Home can be a place of birth option for women seeking a physiological delivery. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-02-25 |
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://www.revistas.usp.br/reeusp/article/view/155174 10.1590/s1980-220x2017034003371 |
url |
https://www.revistas.usp.br/reeusp/article/view/155174 |
identifier_str_mv |
10.1590/s1980-220x2017034003371 |
dc.language.iso.fl_str_mv |
eng spa por |
language |
eng spa por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/reeusp/article/view/155174/151002 https://www.revistas.usp.br/reeusp/article/view/155174/151003 https://www.revistas.usp.br/reeusp/article/view/155174/151004 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo. Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP; v. 52 (2018); e03371 Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e03371 Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e03371 1980-220X 0080-6234 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
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1800221744728899584 |