O uso do Escore de Bologna na avaliação da assistência a partos normais em maternidades

Oliveira, Fabio André Miranda de; Leal, Giseli Campos Gaioski; Wolff, Lillian Daisy Gonçalves; Gonçalves, Luciana Schleder

doi:10.1590/1983-1447.2015.esp.56940

Cited by 9 publications

(8 citation statements)

References 11 publications

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“…In Cambodia, the main item that led to the loss of points in the Bologna score was delivery in the absence of non-supine position; similar to what was found in the studied Maternity Clinics. Likewise, the same was found in Sweden and in a study developed in a southern capital of Brazil (6,(10)(11)(12) . Birth in the supine position is a common and accepted practice in Brazil.…”

Section: Discussionsupporting

confidence: 77%

“…This tool was only found in some medical records because of the presence of medical students in the maternity clinic who had been instructed by their teacher to use it to monitor labor progress. In contrast, a study conducted in maternity schools located in the Northeast of Brazil identified a frequency of 42% for the use of partograms (35) and of 98.5% in Maternity Clinics located in a southern capital of the country (12) . The current available evidence does not allow for routinely recommending a partogram; its use should be decided locally, until the emergence of stronger evidence (36) .…”

Section: Discussionmentioning

confidence: 94%

“…Regarding the delivery process, some process indicators can be utilized: the percentage of women with induced labor or undergoing elective cesarean section (Indicator A), and the percentage of women attended to by a health professional (Indicator B) associated to the Bologna Score (indicator C), which can translate into the effectiveness of care provided (8) . This index is based on recommendations of the World Health Organization (WHO) for normal delivery assistance (9) , and it has been used by several studies in national and international settings (6,(10)(11)(12) . Regarding birth in Brazil, it should be emphasized that the current obstetrical model has not allowed this event to occur naturally, regardless of the economy status of laboring women.…”

Section: Introductionmentioning

confidence: 99%

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Using the Bologna Score to assess normal delivery healthcare

Carvalho

Brito

2016

Rev. esc. enferm. USP

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Objective: Describing the obstetric care provided in public maternity hospitals during normal labour using the Bologna Score in the city of Natal, Northeastern Brazil. Method: A quantitative cross-sectional study conducted with 314 puerperal women. Data collection was carried out consecutively during the months of March to July 2014. Results: Prenatal care was provided to 95.9% of the mothers, beginning around the 1 st trimester of pregnancy (72.3%) and having seven or more consultations (51%). Spontaneous vaginal delivery was planned for 88.2% women. All laboring women were assisted by a health professional, mostly by a physician (80.6%), and none of them obtained 5 points on the Bologna Score due to the small percentage of births in non-supine position (0.3%) and absence of a partogram (2.2%). A higher number of episiotomies were observed among primiparous women (75.5%). Conclusion: The score obtained using the Bologna Index was low. Thus, it is necessary to improve and readjust the existing obstetrical model.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Using the Bologna Score to assess normal delivery healthcare

Carvalho

Brito

2016

Rev. esc. enferm. USP

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“…A presença do partograma em 86,4% dos prontuários está acima da média descrita na literatura, de 77,4% (SOUSA et al, 2016), 62% (NOVO et al, 2016), 28,5% (GIGLIO; FRANÇA; LAMOUNIER, 2011) e de 2,2% (CARVALHO; BRITO, 2016). Por outro lado, foi observado presença de partograma em 98,5% dos 406 prontuários avaliados em três maternidades de risco habitual de Curitiba (OLIVEIRA et al, 2015). Há evidência que a utilização do partograma pode ser benéfica e linhas de ação mais precoces que uma linha de ação de quatro horas aumenta as possibilidades de intervenções sem benefícios para a mãe ou a criança (BRASIL, 2016).…”

Section: Discussionunclassified

Avaliação da atenção ao parto normal em um hospital do Sul do Brasil

Fagundes

Kluthcovsky

Ditzel

2020

RSS

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Resumo O objetivo desse estudo é avaliar as práticas da atenção hospitalar durante o trabalho de parto e parto normal em um hospital universitário no Sul do Brasil, com ênfase nos procedimentos obstétricos. Trata-se de um estudo descritivo, transversal e de abordagem quantitativa, realizado com 140 puérperas pós-parto normal. Foram coletados dados socioeconômicos, obstétricos e do recém-nato, mediante entrevistas com as puérperas e consulta ao prontuário médico e ao Cartão da Gestante. Os resultados são apresentados por frequências absoluta e relativa e medidas estatísticas descritivas. A média de idade das parturientes foi de 24,9 anos (DP=5,6), sendo a maioria branca (66,4%) e com companheiro (89,3%). As práticas consideradas úteis foram: dieta oral (75,7%), liberdade de posição e movimento (88,6%), métodos não farmacológicos para aliviar a dor (87,1%), acompanhante no pré-parto (95%) e parto (79,3%) e partograma (86,4%). As práticas consideradas prejudiciais foram: posição supina (87,1%) e manobra de Kristeller (6,4%), além de enema e tricotomia (práticas não realizadas nas puérperas deste estudo). As práticas usadas inapropriadamente foram: amniotomia (4,3%), ocitocina (49,3%), episiotomia (10,7%) e analgesia (0%). Enfatiza-se a importância da assistência ao trabalho de parto e parto com o mínimo de intervenções compatíveis com o que é preconizado. Palavras-chave: parto obstétrico, saúde materno-infantil, pesquisa sobre serviços de saúde.

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“…Também, é comumente utilizada para acelerar o trabalho de parto, no entanto, a perfusão de ocitocina para estimulação do parto é significativamente associada ao aumento das taxas de cesáreas, além de maior percentual de febre materna intraparto (10)(11) . Apesar dos riscos associados ao uso da ocitocina, a utilização desta é bastante presente em hospitais, podendo estar relacionada à cultura assistencial hospitalar (12) .…”

Section: Discussionunclassified

Childbirth care in a regional healthcare network of the Mãe Paranaense Network

et al. 2020

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Objective: to analyze childbirth care in a regional healthcare unit within the Mãe Paranaense Network. Methods: a cross-sectional descriptive study conducted with 395 mothers applying a structured questionnaire, data analysis using the Chi-Squared test or G-test, complemented by an adjusted residual analysis (p<0.05). Results: higher education, higher income, abortion and interpartal period <2 years increased cesarean rates. Intrapartum complications and antibiotic therapy were related to cesarean sections. Most did not visit the maternity, had their delivery choice respected, had a companion and mother-baby contact; however, 28.9% did not have their delivery choice respected. Conclusion: there was a reduction in cesarean sections among multiparous, an increase in women who suffered a miscarriage, with an interpartal interval <2 years. Antibiotic therapy and disrespect for the delivery choice were greater for women undergoing cesarean sections. Use of oxytocin, presence of a companion and mother-baby contact were more evident in vaginal delivery.

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O uso do Escore de Bologna na avaliação da assistência a partos normais em maternidades

Abstract: In the usual risk maternities evaluated, the labor and birth care provided do not match the standards recommended by the World Health Organisation.

Cited by 9 publications

References 11 publications

Using the Bologna Score to assess normal delivery healthcare

Using the Bologna Score to assess normal delivery healthcare

Avaliação da atenção ao parto normal em um hospital do Sul do Brasil

Childbirth care in a regional healthcare network of the Mãe Paranaense Network

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