Characterization of labor and birthing care in a normal birth center in the city of São Paulo / Caracterização da assistência ao parto e nascimento em um centro de parto normal do município de São Paulo

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

The proposed alternative places for the delivery and childbirth care, in Brazil, is a part of the approach of these events as family and physiological processes. Among these services there are the Normal Birth Centers, instituted as a policy of the Ministry of Health, since 1999. This study aimed to describe the sociodemographic characteristics, obstetric conditions at admission, the prevalence of obstetric practices used in labor and delivery, maternal and neonatal conditions in labor and prevalence of practices used in newborns, in an alongside Normal Birth Center in São Paulo. It is a cross-sectional study with retrospective data collection, between 2003 and 2006 with random sample of 991 records. Data collection was conducted during June-October 2007, by the researcher and two obstetric nurses. The data were stored in a database using Epi-Info 2000 version, with descriptive analysis. This study was approved by the Research Ethics Committee of the General Hospital of Itaim Paulista. The results show the following sociodemographic characteristics: average age of 23.6 years, with a standard deviation of 5.6 years and majority of eight or more years of study (76.6% women). On admission, 46.3% were nulliparous and 77.8% were with intact membranes, 53.0% with 5 to 9 cm of cervical dilation and 4.3% were hospitalized during expulsion period. The most widely practices used during the labor were: shower bath (71%), artificial rupture of the membranes (62.6%) and episiotomy (25.7%). Maternal conditions during delivery were 42.1% with intact perineum, first-degree lacerations in 22.4%, 92.2% had birthing partner, most often the stable companion. The average weight of newborns was 3221.4 grams, with standard deviation of 392.9 g, 7.9% had meconium during expulsion period and 98.6% had Apgar index of 7 in the first minute. The conclusion was that the model of care practiced at the Normal Birth Center presents maternal and perinatal outcomes expected for women with obstetric low risk, it is a safe alternative and a less interventionist model that can help in the ransom of the physiology of labor and birth

ASSUNTO(S)

birthing centers centros independentes de assistência à gravidez e ao parto enfermagem obstétrica birth obstetrical nursing parto

ACESSO AO ARTIGO

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