ABSTRACT
Objective:
analyze the insertion of the nurse midwife in a teaching hospital in Rio de Janeiro State.
Method:
descriptive, exploratory study of qualitative nature, study case type, carried out in a maternity in the mountain region, with nine healthcare professionals and six managers. The data collection occurred from December 2016 to March 2017, by semi-structured interviews that subsequently transcribed and submitted to content analysis in the thematic modality.
Results:
difficulties were observed for the insertion of the nurse midwife such as: lack of specialist nurses in the delivery room; absence of space for the professional autonomy; political partisans influence in the health management; acting conflict with the obstetricians; no team support, mainly with regard to workers qualification.
Conclusion:
this study shows the need for direct insertion of the nurse midwife in delivery and birth, especially valuing humanized care and autonomy for professional practice.
Keywords:
Maternal and Child Health Services; Woman’s Health; Delivery; Humanization of Assistance; Nurse Midwives