The meaning of humanized childbirth for pregnant women

Abstract

Objective: To understand the meaning of a humanized childbirth in the conception of pregnant women. Method: This was a descriptive study of a qualitative nature with a phenomenological approach. Semistructured interviews were conducted with 15 pregnant women enrolled in an outpatient prenatal care at a university hospital in the city of Montes Claros/MG. Results: The central unveiled theme was: Understanding the humanized childbirth as one in which the professional has as prerogative the empathic relationship and technical expertise enabling the woman to experience labor and delivery as the physiological protagonist during the process. Conclusion: The pregnant women define the humanized childbirth based on the philosophical bases of childbirth humanization and birth advocated by the Ministry of Health, which has the interpersonal relationship and competent assistance as principles

The contribution of nurse midwives to consolidating humanized childbirth in maternity hospitals in Rio de Janeiro-Brazil

“…2,3 As a result, the nurse midwife aggregated technical knowledge to humanized and quality care, respecting the ethical precepts and ensuring the woman's privacy and autonomy. 17,18 One evidence of the insertion of nurse midwives into the care for births in the hospital/maternity hospitals studied was the high percentage of births accompanied by these professionals (68.5% in hospital/maternity hospital A and 43.07% in hospital/ maternity hospital B). These data are not yet configured as as high as, for example, the high rate of attendances to normal births by the nurse midwives, in the Normal Birth Center (CPN) of the Sofia Feldman Hospital/Maternity Hospital, in the State of Minas Gerais.…”

“…The assistance provided by the nurse midwife permeates a variety of knowledges and skills which directly influence the care for women during labor. 17 In this context, in spite of the stipulations of Ministerial Ordinance N. 569, of June 1 st 2000, 572/GM, instituting the Humanization of Prenatal and Birth Program, which points to a policy geared towards returning to women the protagonism in their births, the practice does not reveal this as a reality, continuing to evidence difficulties experienced by pregnant women in obtaining service which is consistent with what is stipulated. 2,3 We perceive, therefore, that the implantation of care for births by nurse midwives is associated with changes in institutional practices and routines, given that it is characterized as an attitude in favor of the humanization of labor and birth.…”

“…As a result, the nurse midwife must allow and encourage the exercising of women's citizenship, bringing back the woman's autonomy in birth. 4,10 The nurse midwife has been the professional who -due to understanding and thinking about birth in a demedicalized perspective and adopting TNICE -dialogues with the woman, shares and seeks a relationship of partnership, respects and strengthens the woman during labor and birth, instrumentalizing her in coping with the physiological pain in labor 2,3,17,18 as well as providing quality care. This dialogue is fundamental for the understanding of the different dimensions involved in the phenomenon of giving birth, such as -for example -the social and cultural dimensions.…”

Humanized attendance to pregnant: reality and challenges / Atendimento humanizado às gestantes: realidades e desafios / Atención humanizada a las gestantes: realidades y desafíos

“…Confirmando assim, uma certa dúvida dessas profissionais não só em definirem o termo "atendimento humanizado a gestantes", como outrora discutido, mas também dúvidas de como criar estratégias para que as grávidas recebam tal atendimento. Além do mais, fatores como o avanço da tecnologia médica e a atuação equipe de saúde quando estão voltados apenas à aplicação de procedimentos técnicos prejudicam substancialmnete a autonomia do paciente (19) . Por outro lado, existe quem ignore as deficiências educacionais dos profissionais e coloque a falta de estrutura como fator limitante para a instituição do atendimento adequado, como foi expressado pela profissional D1.…”

Pharmacological obstetric analgesia: a study of obstetric and neonatal outcomes

“…Humanized obstetric nursing care should be conducted with sensitivity, respect, and dignity to the mother-child binomial, creating a welcoming atmosphere with professional and institutional attitudes that break with the traditional model of impersonality and violence imposed on pregnant women. Humanizing childbirth means respecting and creating favorable conditions for the whole -spiritual, psychological, and biological aspects of the human beings involvedthrough procedures that have proven to be beneficial to the mother-child binomial, avoiding unnecessary interventions and establishing relationships based on ethical principles (1)(2) .…”