Care during labor and birth: mothers’ perception

Abstract

Objective: to describe the care provided to women during labor and delivery in their perception. Methods: study with qualitative approach, developed in a hospital in the northern region of the state of Ceará, with 14 mothers. The analysis explored the content in the light of good care practices during labor and birth, recommended by the National Humanization Policy. Results: the mothers’ speeches revealed the need to make the environment more welcoming and the care more humanized during childbirth, contemplating listening to their problems and their concerns; satisfaction with the use of non-pharmacological methods used for pain relief and with the care given during labor. Conclusion: it was revealed how much human involvement and the search for a qualified assistance to mothers in maternity wards have contributed significantly to the quality of these actions.

Women's perception of prenatal and delivery care in cases of neonatal death

“…In this sense, the medical team's disregard for maternal pain is a factor that negatively influences this moment. 9 Lack of information during the delivery process and harmful malpractice known by women cause them to become distrustful of the treatment received. This makes the medical team become more neglectful, not informing patients about the procedures to be performed and disregarding communication as a protective factor for a successful delivery.…”

“…20 The presence of a companion at the moment of delivery brings comfort and safety, apart from being a special moment for this family member, as observed in the literature. 9 Studies show that, for health professionals, giving women the opportunity to choose a companion for delivery means to provide humanized care. 10,21,22 However, current evidence shows that there are still women who are not accompanied at any moment of the birth process.…”

“…11,17,23 The nursing team has been described by other studies as the main factor for humanized delivery care. 9,17 During interviews, humanized care, guidance and dialogue aimed at answering pregnant women's questions are found to be actions associated with the nursing team when they are hospitalized for delivery. Nursing instructions aroused a feeling a comfort and encouraged women in the birth process.…”

“…Nursing instructions aroused a feeling a comfort and encouraged women in the birth process. 9 Nonetheless, in cases of neonatal death, nurses who shared the family's routine of anguish faced death as a difficult moment, although their own bond with their family helps them to cope with the pain. 24 The death of a newborn is an emotional and traumatizing experience for parents.…”

“…The following factors contributed to the good experience of pregnant women seeking health services: the participation of a companion during the entire process; the availability of exams and consultations; the acquisition of clear and safe information about health status; the respect for the particularities of each pregnant woman and their cultural and subjective aspects; the availability of health care services in case of birth complications and reception in maternity hospitals. 3,4,[7][8][9][10][11] Considering the lack of studies that assess prenatal and delivery care in the perspective of women whose newborns died, the present study aimed to analyze women's perception of quality of prenatal and delivery care in the cases when newborns died.…”