Humanized practices of obstetric nurses: contributions in maternal welfare

To analyze the practice of obstetric nurses operating in a prenatal/delivery/postpartum unit of a university hospital in Mato Grosso and the maternal welfare resulted from the care provided in this scenario.

Method:

Study with a quantitative approach, carried out in a prenatal/delivery/postpartum unit of a university hospital in Cuiabá, Mato Grosso. The data were collected through the Scale of Maternal Welfare in Delivery Situation 2, and the study included 104 recent mothers in the period from June to September 2016. The data were analyzed in Epi Info version 7.

Results:

The results indicate that the practice of obstetric nurses is based on the humanization of labor and childbirth, however, the presence of invasive and unnecessary practices in the service did not influence the level of maternal welfare, which was optimum for 76% of the women.

Conclusion:

The lack of information might make the women less critical and, therefore, influence the evaluation of the care received

Descriptors:
Humanized Childbirth; Humanization of Care; Maternal Welfare; Obstetric Nursing; Childbirth

Professional	No	Yes	Total	Prevalence ratio (95% confidence interval)	p value^‡ ‡ p value - Significance level
Use of non-invasive healthcare technologies^* * Fisher's exact test;
Doctor	14	46	60	8.4 (1.15-61.22)1.0	0.005
Nurse	1	35	36
Total	15	81	96
Feeling uncomfortable during vaginal examination^* * Fisher's exact test;
Doctor	10	50	60	6 (0.80-44.94)1.0	0.034
Nurse	1	35	36
Total	11	85	96
Amniotomy
Doctor	30	30	60	1.8 (1.00-3.22)1.0	0.032
Nurse	10	26	36
Total	40	56	96
Horizontal position for the stage of expulsion^* * Fisher's exact test;
Doctor	10	50	60	-	0.006
Nurse	0	36	36
Total	10	86	96
Episiotomy^* * Fisher's exact test;
Doctor	5	55	60	-	0.089
Nurse	0	36	36
Total	5	91	96
Immediate clamping of the umbilical cord^* * Fisher's exact test;
Doctor	21	39	60	6.3 (1.56-25.30)1	< 0.001
Nurse	2	34	36
Total	23	73	96
Skin-to-skin contact^* * Fisher's exact test;
Doctor	27	33	60	4.05 (1.54-0.63)1	< 0.001
Nurse	4	32	36
Total	31	65	96
Incentive to breastfeeding^* * Fisher's exact test;
Doctor	11	49	60	2.2 (0.65-7.36)1	0.147
Nurse	3	33	36
Total	14	82	96

Domains	Number of items	Possible interval	Obtained interval	Mode	Mean
Domain I - Quality of relationship during care	13	13-65	35-65	65	60.38
Domain II - Self-care and comfort	9	9-45	27-45	45	41.05
Domain III - Conditions that allow the contact between mother and child	4	4-20	7-20	20	18.56
Domain IV - Depersonalized care	6	6-30	14-30	30	24.97
Domain V - Continuous participation of the family	4	4-20	10-20	20	18.51
Domain VI - Timely and respectful care	6	6-30	15-30	30	26. 81
Domain VII - Comfortable physical environment	5	5-25	15-25	25	22.26

Classification	Score	n (N = 104)	%
Malaise	< 183	9	8.6
Satisfactory Welfare	183 ≥ x ≤ 200	16	15.4
Optimum Welfare	> 200	79	76
Total		104	100

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR Aline Spanevello Alvares E-mail: aline_spanevello@hotmail.com