AVALIAÇÃO DE BOAS PRÁTICAS OBSTÉTRICAS NO PROCESSO DE PARTURIÇÃO

Karla Kelma Almeida Rocha; Kassya Rosete Silva Leitão; Iderlânia  Maria de Oliveira Sousa; Camiliane  Azevedo Ferreira; Kayo Elmano Costa da Ponte Galvão; Rita  da Graça Carvalhal Frazão Corrêa

Authors

Karla Kelma Almeida Rocha Universidade Federal do Maranhão https://orcid.org/0000-0003-4793-214X
Kassya Rosete Silva Leitão Universidade Federal do Maranhão https://orcid.org/0000-0002-3061-3065
Iderlânia Maria de Oliveira Sousa Universidade Federal do Maranhão https://orcid.org/0000-0001-5502-6337
Camiliane Azevedo Ferreira Universidade Federal do Maranhão https://orcid.org/0000-0002-3268-991X
Kayo Elmano Costa da Ponte Galvão Universidade Federal do Maranhão
Rita da Graça Carvalhal Frazão Corrêa Universidade Federal do Maranhão https://orcid.org/0000-0002-6451-5156

Keywords:

Nursing, Evidence-Based Practice, Humanization of Assistance, Humanizing Delivery

Abstract

Objective: to analyze obstetric practices in labor and delivery in a teaching maternity hospital. Method: descriptive study, with 150 parturients in São Luís, Brazil. A questionnaire and checklist were applied between January and September 2020, data analyzed by descriptive analysis and Fisher's Exact test. Results: most women between 20 and 29 years old, elementary school, up to 5 prenatal consultations and primiparous women. The good obstetric practices offered were: presence of a companion (96.0%), breastfeeding in the 1st hour of life (94.7%) and immediate skin-to-skin contact (90.7%). Low adherence to partogram use (34.0%), Kristeller's maneuver occurred (6.0%). According to the Bologna score, only 11.3% of women were assisted with evidence-based practices. Conclusion: The presence of the partograph, the absence of labor stimulation and delivery in the non-supine position were associated with evidence-based care, practices supported by the technocratic model were identified, requiring strategies to promote changes in the obstetric model.

Descriptors: Nursing; Evidence-Based Practice; Humanization of Assistance; Humanizing Delivery.