Mothers'health in Brazil and recovering the training of midwives for care in the birth process

Merighi, Míriam Aparecida Barbosa; Gualda, Dulce María Rosa

doi:10.1590/s0104-11692009000200020

Cited by 9 publications

(5 citation statements)

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“…Training Service Providers Kaboré et al indicated that staff training should be based on WHO guidelines for managing pregnancy complications, childbirth, and clinical decision-making algorithms for performing C-section (51). In addition, Merighi and Gualda (93) showed that education should be proportional to the curriculum and should be applied and technical. Health workers should have the necessary skills in this field.…”

Section: Encouraging Service Providers To the Ia Of The Fetal Heart Rate Instead Of Continuous Electronic Monitoring During Labor In Unnementioning

confidence: 99%

Assessment of Strategies for the Reduction of Cesarean Section Rate in Iranian and Foreign Studies: A Narrative Review

Moghadam

Alijani

Afrakoti

et al. 2020

International Journal of Women’s Health and Reproduction Scienc

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Objectives: This study was conducted aiming at exploring strategies for reducing cesarean section (C-section) in Iranian and foreign studies. Materials and Methods: The present study was carried out using a matrix approach and searching keywords including "Cesarean", "Effective Intervention", and "Cesarean Section Reduction Strategy" to find studies (2000-2019) in databases such as PubMed, SID, Science Direct, Google Scholar, and WHO. Results: CS reduction strategies were classified into 3 categories of psychological, clinical, and structural-policy interventions. The first category supports women throughout labor and childbirth by the midwife, doula, coping skills with fear and pain of labor, changes in the attitudes of service providers and pregnant women. Clinical interventions include vaginal birth after CS, vaginal breech delivery, external cephalic version (ECV) for breech presentation, encouragement of service providers into intermittent auscultation for the fetal heart rate instead of continuous electronic fetal monitoring (EFM), and training of service providers, pregnant woman, and her family. The last category encompassed managing insurance and financial services, receiving one-to-one care and midwifery care throughout active labor, and updating policy of labor induction in post-term pregnancy, as well as women’s admission policy with cervical dilatation of more than 4 cm with regular uterine contractions, active team care in labor, and auditing and feedback. Conclusions: It seems that multi-dimensional interventions are required to reduce the CS rate. Concerning some of the strategies (e.g., ECV), it is suggested that further research should be performed by addressing the limitations and drawbacks of previous studies before applying clinical procedures due to contradictory results.

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Section: Encouraging Service Providers To the Ia Of The Fetal Heart Rate Instead Of Continuous Electronic Monitoring During Labor In Unnementioning

confidence: 99%

Assessment of Strategies for the Reduction of Cesarean Section Rate in Iranian and Foreign Studies: A Narrative Review

Moghadam

Alijani

Afrakoti

et al. 2020

International Journal of Women’s Health and Reproduction Scienc

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“…Also, childbirth attendance in public facilities varies greatly from one facility to another 38 . But even though translating humanized discourse into practice has been difficult 39,40 and obstetric violence is still a serious issue 41 , health providers in some facilities are increasingly responsive to humanized models of care 42 .…”

Section: Disciplining (Women's Bodies) and Humanizing (Health Professmentioning

confidence: 99%

From expectation to experience: humanizing childbirth in the Brazilian National Health System

Teixeirense¹,

Santos

2018

Interface (Botucatu)

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During the past 15 years Brazil has increased efforts to humanize maternal care within the Brazilian National Health System (SUS). Humanization efforts come along with de-medicalization of birth even if quality care and reduction of inequalities are still pressing matters in the country. For this qualitative study we interviewed ten women regarding their experiences of pregnancy and childbirth. The study took place in Brasília (DF) and women narrated their birth experiences at local hospitals or a birth center. Women were mostly satisfied with their attention during childbirth, specifically those giving birth at the birth center, in contrast to women giving birth at local hospitals. However, the humanization movement, essentializing women's bodies can also reproduce normative discourses that shape a sense of self-blame and disappointment if the ‘ideal birth is not achieved.

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“…Se por um lado, o curso de obstetrícia, "foi a principal modificação introduzida na formação e titulação de profissionais não--médicos para a assistência ao parto" (15:14) , desde 1972, quando este ensino coube exclusivamente às escolas de enfermagem, sendo o curso, uma alternativa à exclusiva especialização de enfermeiras, por outro, a especialização em enfermagem obstétrica representou uma importante estratégia para capacitação de enfermeiras na área. Porém, essa via única não vinha atendendo plenamente a demanda por profissionais em nosso país, em número expressivo e adequadamente preparado, considerando o custo e o retorno social no âmbito do ensino, pesquisa e assistência (16) . Para a OMS (13:6) , "Mais importante do que o tipo de preparação para a prática oferecida por qualquer governo, é a competência e capacidade da parteira para agir de modo decidido e independente".…”

Section: Mudanças No Contexto Do Ensinounclassified

Coadjuvantes das mudanças no contexto do ensino e da prática da enfermagem obstétrica

Amorim¹,

Gualda²

2011

Rev Rene

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A pesquisa buscou conhecer os fatores que facilitaram a formação e reinserção das enfermeiras obstétricas na assistência ao parto, a partir da década de 1980 do século XX. Para compreender o processo, foi utilizada a História Oral Temática, metodologia que permite perceber o passado como algo que tem continuidade hoje. Foram entrevistadas 11 profissionais que participaram ativamente do processo, como coordenadoras e docentes de cursos de especialização em enfermagem obstétrica, membros da Área Temática Saúde da Mulher do Ministério da Saúde e da Associação Brasileira de Obstetrizes e Enfermeiros Obstetras. Dentre os fatores que contribuíram, estão as políticas ministeriais, o financiamento de cursos de especialização, a continuidade da atuação das profissionais e a criação dos Centros de Parto Normal. Conclui-se que o reconhecimento do trabalho dos profissionais depende de uma formação e atuação de qualidade, e que, é necessário realizar pesquisas sobre sua atuação, e divulgar seus resultados.

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Mothers'health in Brazil and recovering the training of midwives for care in the birth process

Cited by 9 publications

References 0 publications

Assessment of Strategies for the Reduction of Cesarean Section Rate in Iranian and Foreign Studies: A Narrative Review

Assessment of Strategies for the Reduction of Cesarean Section Rate in Iranian and Foreign Studies: A Narrative Review

From expectation to experience: humanizing childbirth in the Brazilian National Health System

Coadjuvantes das mudanças no contexto do ensino e da prática da enfermagem obstétrica

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