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[Adherence to best care practices in normal birth: construction and validation of an instrument].[正常分娩中遵循最佳护理实践:一种工具的构建与验证]
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[The companion in the obstetrics centre of a university hospital in southern Brazil].[巴西南部一家大学医院产科中心的陪护人员]
Rev Gaucha Enferm. 2015;36 Spec No:159-67. doi: 10.1590/1983-1447.2015.esp.57289.
3
Obstetric interventions during labor and childbirth in Brazilian low-risk women.巴西低风险孕妇分娩期间的产科干预措施。
Cad Saude Publica. 2014 Aug;30 Suppl 1:S1-16. doi: 10.1590/0102-311x00151513.
4
Comparison of childbirth care models in public hospitals, Brazil.巴西公立医院分娩护理模式的比较。
Rev Saude Publica. 2014 Apr;48(2):304-13. doi: 10.1590/s0034-8910.2014048004633.
5
[Care in a birth center according to the recommendations of the World Health Organization].根据世界卫生组织的建议在分娩中心进行护理
Rev Esc Enferm USP. 2013 Oct;47(5):1031-8. doi: 10.1590/S0080-623420130000500004.
6
Maternal positions and mobility during first stage labour.第一产程中产妇的体位与活动情况
Cochrane Database Syst Rev. 2013 Oct 9;2013(10):CD003934. doi: 10.1002/14651858.CD003934.pub4.
7
Effect of partogram use on outcomes for women in spontaneous labour at term.使用产程图对足月自然分娩女性结局的影响。
Cochrane Database Syst Rev. 2013 Jul 10(7):CD005461. doi: 10.1002/14651858.CD005461.pub4.
8
Amniotomy for shortening spontaneous labour.人工破膜以缩短自然产程。
Cochrane Database Syst Rev. 2013 Jun 18;2013(6):CD006167. doi: 10.1002/14651858.CD006167.pub4.
9
[The partogram as an instrument to analyze care during labor and delivery].
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Labor analgesia: a comparative study between combined spinal-epidural anesthesia versus continuous epidural anesthesia.
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两家公立医院正常分娩的协助情况:卫生专业人员的看法

Assistance to Normal Delivery in Two Public Maternities: Perception of the Health Professionals.

作者信息

Oliveira Nayara Rodrigues Gomes de, Assis Thaís Rocha, Amaral Waldemar Naves do, Falone Valdivina Eterna, Salviano Lívia Maria Oliveira

机构信息

Division of Infectious and Parasitics Diseases, Department of Health Sciences, Universidade Federal de Goiás, Jataí, Goiás, Brazil.

Department of Health Sciences, Universidade Federal de Goiás, Jataí, Goiás, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2017 May;39(5):202-208. doi: 10.1055/s-0037-1603315. Epub 2017 May 18.

DOI:10.1055/s-0037-1603315
PMID:28521369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10309393/
Abstract

To evaluate the perception of health professionals involved in the labor process and the assistance to normal delivery, comparing two hospitals in the city of Goiânia, Brazil, regarding the perception of these professionals when they are performing the routines and practices recommended by the World Health Organization (WHO).  This is an analytical comparative study with a quantitative approach, performed in two public hospitals in the city of Goiânia, in the state of Goiás, Brazil. The study included 86 professionals working in assistance to immediate labor in two hospitals. A questionnaire containing 40 questions was applied. The questionnaire related to the Program for the Humanization of Prenatal and Childbirth Care (PHPN, in the Portuguese acronym) of the Brazilian Ministry of Health, the presence of a companion, and the procedures performed. For the data analysis, we used the chi-square and Fisher's exact tests.  Most of the professionals claimed to know about the PHPN proposed by Brazilian Ministry of Health in the two hospitals. With regard to good practices, most professionals said that they are performed in maternity ward 2, while on maternity 1, although many of them are present, there are still many unnecessary interventions.  When comparing the two maternity hospitals, maternity 2, which was created as a routine humanization model, manages to better adhere to the WHO recommendations. In maternity 1, there was a series of interventions considered by the WHO as ineffective, or used in an inappropriate manner.

摘要

为了评估参与分娩过程及正常分娩助产的卫生专业人员的认知情况,比较巴西戈亚尼亚市的两家医院中这些专业人员在执行世界卫生组织(WHO)推荐的常规操作和做法时的认知。这是一项采用定量方法的分析性比较研究,在巴西戈亚斯州戈亚尼亚市的两家公立医院开展。该研究纳入了在两家医院从事即刻分娩助产工作的86名专业人员。应用了一份包含40个问题的问卷。问卷涉及巴西卫生部的产前和分娩护理人性化项目(葡萄牙语首字母缩写为PHPN)、陪伴人员的在场情况以及所执行的程序。对于数据分析,我们使用了卡方检验和费舍尔精确检验。大多数专业人员声称了解两家医院中巴西卫生部提出的PHPN。关于良好做法,大多数专业人员表示在2号产科病房实施,而在1号产科病房,虽然许多良好做法存在,但仍有许多不必要的干预。在比较两家产科医院时,作为常规人性化模式设立的2号产科病房能够更好地遵循WHO的建议。在1号产科病房,存在一系列被WHO认为无效或使用不当的干预措施。