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. 2024 Dec 16;77(6):e20230129.
doi: 10.1590/0034-7167-2023-0129. eCollection 2024.

Childbirth care by health professionals: conflicting practices in obstetrics

[Article in English, Portuguese]
Greici Naiara Mattei  1 , Gabriela Marcellino de Melo Lanzoni  2 , Giovana Dorneles Callegaro Higashi  3 , Taís Regina Schapko  4 , Maria Aparecida Baggio  1
Affiliations

Childbirth care by health professionals: conflicting practices in obstetrics

[Article in English, Portuguese]
Greici Naiara Mattei et al. Rev Bras Enferm. .

Abstract
in English, Spanish

Objectives: to understand the perceptions of women and health professionals regarding childbirth care at a teaching hospital in the western state of Paraná, Brazil.

Methods: this qualitative study employed Grounded Theory, conducted in an obstetric care service with 38 participants (women and health professionals) through semi-structured interviews.

Results: limitations in physical infrastructure and management of care, along with the women's limited knowledge about the childbirth process and the decision-making and guidance of professionals, show conflicting obstetric practices-a discrepancy between good practices and obstetric violence. Training in obstetric nursing and active participation in care, alongside the presence of a companion, were identified as intervening conditions and strategies in the process.

Final considerations: childbirth care is characterized by dichotomous practices. While some professionals base their practices on scientific evidence, others rely on teachings and experiences from the time of their training.

Objetivos:: comprender la percepción de mujeres y profesionales de salud sobre la partería en un hospital-escuela del oeste del estado de Paraná.

Métodos:: investigación cualitativa del tipo Teoría Fundamentada en Datos, realizada en servicio de atención obstétrica con 38 participantes (entre mujeres y profesionales de salud) mediante entrevistas semiestructuradas.

Resultados:: las limitaciones de la estructura física y gestión de la atención, el incipiente conocimiento de mujeres sobre parto y el direccionamiento y toma de decisión de profesionales indican la conformación de prácticas obstétricas opuestas, una divergencia entre buenas prácticas y violencia obstétrica. La formación en enfermería obstétrica y participación activa en el cuidado relacionada a la presencia del acompañante fueron condiciones intervinientes y estrategias en el proceso.

Consideraciones Finales:: la partería es conformada por actuaciones dicotómicas. Mientras algunos profesionales sustentan sus prácticas basadas en evidencias científicas, otros las pautan en enseñanzas y experiencias relativas a la época de su formación.

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References

    1. Gomes SC, Teodoro LPP, Pinto AGA, Oliveira DR, Quirino GS, Pinheiro AKB. Rebirth of childbirth: reflections on medicalization of the Brazilian obstetric care. Rev Bras Enferm. 2018;71(5):2594–2598. doi: 10.1590/0034-7167-2017-0564. - DOI - PubMed
    1. World Health Organization (WHO) Intrapartum care for a positive childbirth experience. Geneva: WHO;; 2018. [cited 2022 Mar 29]. [Internet] Available from: https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-en... . - PubMed
    1. Côrtes CT, Oliveira SMJV, Santos RCS, Francisco AA, Riesco MLG, Shimoda GT. Implementation of evidence-based practices in normal delivery care. Rev Latino-Am Enfermagem. 2018;26:e2988. doi: 10.1590/1518-8345.2177.2988. - DOI - PMC - PubMed
    1. Franchi JV, Pelloso SM, Ferrari RA, Cardelli AA. Access to care during labor and delivery and safety to maternal health. Rev Latino-Am Enfermagem. 2020;28:e3292. doi: 10.1590/1518-8345.3470.3292. - DOI - PMC - PubMed
    1. Piler AA, Wall ML, Trigueiro TH, Benedet DCF, Aldrighi JD, Machado AVMB. Care in the parturition process from the perspective of nursing professionals. Texto Contexto Enferm. 2020;29:e20190214. doi: 10.1590/1980-265X-TCE-2019-0214. - DOI

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