Rosemar Barbosa Mendes

Prenatal care: nurses’ testimonial / Assistência ao pré-natal: depoimento de enfermeiras

Objective: To evaluate the care prenatal low risk carried out by nurses in the municipality of Lagarto/Se. Method: A descriptive, qualitative study, conducted with 11 nurses who make a prenatal appointment. The data collection instrument includes information about the professional profile of the strategies that they use to achieve the quality indicators of prenatal care and its operations in the face of pregnant women. Data were analyzed using descriptive statistics, whereas qualitative data were analyzed according to Bardin, emerging three analytical categories. Results: It became clear that the prenatal low risk in Lizard municipality performed by nurses is done satisfactorily, and there is still need for strategies to improve the care of pregnant women. Conclusions: professional qualifications are necessary and continuing education for nurses facing the prenatal performance, with the main objective to improve prognosis, reduce risk and provide the best care to pregnant

Practices and obstetric interventions in women from a state in the Northeast of Brazil

OBJECTIVE To describe practices and interventions used during labor and childbirth and factors associated with such practices in puerperae in the state of Sergipe. METHOD A cross-sectional study with 768 postpartum women from 11 maternity hospitals interviewed 6 hours after delivery, and hospital records review. The associations between best practices and interventions used during labor and delivery with exposure variables were described using simple frequencies, percentages, crude and adjusted odds ratio (ORa) with the confidence interval. RESULTS Of the women in the study, 10.6% received food and 27.8% moved during labor; non-pharmacological methods for pain relief were performed in 26.1%; a partogram was filled in 39.4% of the charts; and an accompanying person was present in 40.6% of deliveries. Oxytocin, amniotomy and labor analgesia were used in 59.1%, 49.3% and 4.2% of women, respectively. Lithotomy position during childbirth was used in 95.2% of the cases, episiotomy in 43.9% and Kristeller maneuver in 31.7%. The variables most associated with cesarean section were private financing (ORa=4.27, 95CI 2.44-7.47), higher levels of education (ORa=4.54, 95CI 2.56-8.3) and high obstetric risk (ORa=1.9, 95CI 1.31-2.74). Women whose delivery was funded privately were more likely to have an accompanying person present (ORa=2.12, 95CI 1.18-3.79) and to undergo labor analgesia (ORa=4.96, 95CI 1.7-14.5). CONCLUSION Best practices are poorly performed and unnecessary interventions are frequent. The factors most associated with c-section were private funding, greater length of education and high obstetric risk.