Obstetric interventions during labor and childbirth in Brazilian low-risk women

Maria do Carmo Leal Ana Paula Esteves Pereira Rosa Maria Soares Madeira Domingues Mariza Miranda Theme Filha Marcos Augusto Bastos Dias Marcos Nakamura-Pereira Maria Helena Bastos Silvana Granado Nogueira da Gama About the authors

This study evaluated the use of best practices (eating, movement, use of nonpharmacological methods for pain relief and partograph) and obstetric interventions in labor and delivery among low-risk women. Data from the hospital-based survey Birth in Brazil conducted between 2011 and 2012 was used. Best practices during labor occurred in less than 50% of women and prevalence of the use of these practices was lower in the North, Northeast and Central West Regions. The rate of use of oxytocin drips and amniotomy was 40%, and was higher among women admitted to public hospitals and in women with a low level of education. The uterine fundal pressure, episiotomy and lithotomy were used in 37%, 56% and 92% of women, respectively. Caesarean section rates were lower in women using the public health system, nonwhites, women with a low level of education and multiparous women. To improve the health of mothers and newborns and promote quality of life, a change of approach to labor and childbirth that focuses on evidence-based care is required in both the public and private health sectors.

Public Health Practice; Maternal and Child Health; Obstretic Labor; Parturition

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