Accessibility / Report Error

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

Octavio Muniz da Costa Vargens Alexandra Celento Vasconcellos da Silva Jane Márcia Progianti About the authors

Abstract

Introduction:

Since their insertion in the delivery rooms of public hospitals, nurse midwives have striven for humanized care in childbirth.

Objectives:

To identify the practices employed by nurse midwives in childbirth care in public hospitals and their contribution to the consolidation of humanization of childbirth.

Methods:

A descriptive, quantitative, cross-sectional, study, held in maternity hospitals of the public health system in Rio de Janeiro, evaluating records of 4,787 childbirths, of which 2,914 (59.73%) were attended by nurse midwives.

Results:

In Maternity Hospital A, 68.50% of childbirths were attended by nurse midwives, while in Maternity Hospital B, the figure was 43.07%. The adoption of upright positions was predominant (78.95%). Encouraging walking occurred in 37.29% of deliveries. Episiotomy occurred only in 4.0% of childbirths.

Conclusions:

The most frequent practices were those that do not negatively influence the physiology, contributing to the humanization. The occurrence of interventionist practices represents an ongoing process of change.

Keywords:
Obstetric nursing; Humanizing Delivery; Women's Health; Medicalization

Universidade Federal do Rio de Janeiro Rua Afonso Cavalcanti, 275, Cidade Nova, 20211-110 - Rio de Janeiro - RJ - Brasil, Tel: +55 21 3398-0952 e 3398-0941 - Rio de Janeiro - RJ - Brazil
E-mail: annaneryrevista@gmail.com