2014
DOI: 10.1590/0102-311x00151513
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Intervenções obstétricas durante o trabalho de parto e parto em mulheres brasileiras de risco habitual

Abstract: Este artigo avaliou o uso das boas práticas (alimentação, deambulação, uso de métodos não farmacológicos para alívio da dor e de partograma) e de intervenções obstétricas na assistência ao trabalho de parto e parto de mulheres de risco obstétrico habitual. Foram utilizados dados da pesquisa Nascer no Brasil, estudo de base hospitalar realizada em 2011/2012, com entrevistas de 23.894 mulheres. As boas práticas durante o trabalho de parto ocorreram em menos de 50% das mulheres, sendo menos frequentes nas regiões… Show more

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Cited by 328 publications
(498 citation statements)
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References 45 publications
(38 reference statements)
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“…However, during birth, despite the benefits of upright positions for the woman and the fetus, the lithotomy or semi seated position was prevalent, reaching over 88% of births, lower than what was found in a national study (5) ( 91.7%). When comparing the vertical position or side position to the lithotomic position important aspects are highlighted, such as: the reduction of intense soreness and fatigue of women, the reduction of the expulsion stage, besides the reduction of directed delivery rates, episiotomy and obstetric interventions (15) .…”
Section: Discussioncontrasting
confidence: 64%
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“…However, during birth, despite the benefits of upright positions for the woman and the fetus, the lithotomy or semi seated position was prevalent, reaching over 88% of births, lower than what was found in a national study (5) ( 91.7%). When comparing the vertical position or side position to the lithotomic position important aspects are highlighted, such as: the reduction of intense soreness and fatigue of women, the reduction of the expulsion stage, besides the reduction of directed delivery rates, episiotomy and obstetric interventions (15) .…”
Section: Discussioncontrasting
confidence: 64%
“…However, these initiatives have proven to be insufficient. It is believed that the persistence of poor maternal and perinatal indicators are directly related to the inappropriate use of technologies or unnecessary interventions, a fact clearly illustrated by the significant current cesarean rate (5) .…”
Section: Introductionmentioning
confidence: 99%
“…To overcome the present situation of stagnation in maternal and perinatal health indicators, particularly on the early neonatal component and the increase in preterm births, the main challenge in Brazil is changing the institutional culture toward an evidence based care, guided by human rights, sexual and reproductive health rights for woman 9 .…”
Section: Discussionmentioning
confidence: 99%
“…Every year, babies are increasingly being born in late preterm and early term when compared with the previous years. This phenomenon affects all age, income and education groups, although in Brazil it is more pronounced among more educated women which have higher income, is more frequent in private sector users, where the practice of elective caesarean section is the rule 8,9 .…”
Section: Introductionmentioning
confidence: 99%
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