Details

Autor(en) / Beteiligte

• Carmo Leal, Maria do
• Pereira, Ana Paula Esteves
• Domingues, Rosa Maria Soares Madeira
• Theme Filha, Mariza Miranda
• Dias, Marcos Augusto Bastos
• Nakamura-Pereira, Marcos
• Bastos, Maria Helena
• Gama, Silvana Granado Nogueira da

Titel

Obstetric interventions during labor and childbirth in Brazilian low-risk women

Ist Teil von

• Cadernos de saúde pública, 2014-08, Vol.30 Suppl 1, p.S1-16

Ort / Verlag

Brazil

Erscheinungsjahr

2014

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• 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.