Analysis of the care provided to women and newborns during delivery and birth
Abstract
Objective: to analyze the care provided to women and newborns during the labor and birth process. Method: a cross-sectional study using secondary data from 2020–2021, obtained from delivery monitoring forms of 3,547 women assisted at a university hospital in southern Brazil. Data analysis was descriptive and inferential, following approval by the ethics committee. Results: vaginal delivery showed a statistically significant association with timely umbilical cord clamping, breastfeeding, and skin-to-skin contact (p<0.001); Robson classification groups 1, 3, and 4 (p<0.001); freedom of position, aromatherapy, and immersion bathing (p<0.05). Physicians (99.9%) mostly attended deliveries, with the lithotomy position used during the expulsive phase (62.82%) and episiotomy performed in 8.2% of cases. Conclusion: good practices in delivery and birth care are implemented in this service and were associated with vaginal delivery; however, it is necessary to reduce the incidence of the lithotomy position and episiotomy and to expand the role of obstetric nurses.
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