Good practices and interventions in delivery in public reference maternity hospitals
Abstract
Objective: to analyze good practices and interventions in the care of parturient women in public maternity hospitals, a reference for habitual, intermediate and high-risk deliveries. Method: cross-sectional study nested in a cohort, outlined by the sequential explanatory mixed method, carried out in two stages: quantitative with 299 puerperal women and qualitative with 32. Results: among women at usual/intermediate risk, non-pharmacological methods for pain relief, companion, guidance and induction of labor and delivery and use of misoprostol were more frequent. In those at high risk, the lowest constancy is the auscultation of fetal heartbeats and information on vaginal touch, greater rupture of membranes artificially and restriction of water and food intake. Normal delivery was the main option for women at usual/intermediate risk, there was greater maintenance of the intact perineum. The lithotomic position predominated in both maternity hospitals, with little occurrence of delivery in bed, as well as the conditions of good vitality of the newborn. Conclusion: there was a small advance in good obstetric practices in the habitual/intermediate-risk maternity, while assistance in the high-risk maternity remains with little access to information about delivery, as well as routine induction.
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References
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