Obstetric interventions during labor and childbirth in Brazilian low-risk women.
نویسندگان
چکیده
This study evaluated the use of best practices (eating, movement, use of nonpharmacological methods for pain relief and partograph) and obstetric interventions in labor and delivery among low-risk women. Data from the hospital-based survey Birth in Brazil conducted between 2011 and 2012 was used. Best practices during labor occurred in less than 50% of women and prevalence of the use of these practices was lower in the North, Northeast and Central West Regions. The rate of use of oxytocin drips and amniotomy was 40%, and was higher among women admitted to public hospitals and in women with a low level of education. The uterine fundal pressure, episiotomy and lithotomy were used in 37%, 56% and 92% of women, respectively. Caesarean section rates were lower in women using the public health system, nonwhites, women with a low level of education and multiparous women. To improve the health of mothers and newborns and promote quality of life, a change of approach to labor and childbirth that focuses on evidence-based care is required in both the public and private health sectors.
منابع مشابه
Committee Opinion No. 687: Approaches to Limit Intervention During Labor and Birth.
Obstetrician-gynecologists, in collaboration with midwives, nurses, patients, and those who support them in labor, can help women meet their goals for labor and birth by using techniques that are associated with minimal interventions and high rates of patient satisfaction. Many common obstetric practices are of limited or uncertain benefit for low-risk women in spontaneous labor. For women who ...
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The period of labor in women is a great event as a result of a stressful situation, which occur in short-time. Laboring women need comprehensive support to enable themselves to cope with the stress of labor. Fear and anxiety may cause failure of progression and consequently, necessitate surgical interventions. The one to one midwifery care provides a situation in which the mother would be abl...
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عنوان ژورنال:
- Cadernos de saude publica
دوره 30 Suppl 1 شماره
صفحات -
تاریخ انتشار 2014