Koettker Joyce Green, Bruggemann Odaléa Maria, Freita Paulo Fontoura, Riesco Maria Luiza Gonzalez, Costa Roberta
Equipe Hanami, O Florescer da Vida, Parto Domiciliar Planejado, Florianópolis, SC, Brazil.
Universidade Federal de Santa Catarina, Programa de Pós-Graduação Enfermagem, Florianópolis, SC, Brazil.
Rev Esc Enferm USP. 2018 Nov 23;52:e03371. doi: 10.1590/S1980-220X2017034003371.
To describe obstetric practices in planned home births, assisted by qualified professionals in Brazil.
This is a descriptive study, with data collected in an online bank maintained by 49 professionals from December 2014 to November 2015, in which the target population was women and newborns assisted in home births. Data were analyzed through descriptive statistics.
A total of 667 women and 665 newborns were included. Most of the women gave birth at home (84.4%), in a nonlithotomic position (99.1%); none underwent episiotomy; 32.3% had intact perineum; and 37.8% had first-degree lacerations, some underwent amniotomy (5.4%), oxytocin administration (0.4%), and Kristeller's maneuver (0.2%); 80.8% of the women with a previous cesarean section had home birth. The rate of transfer of parturients was 15.6%, of puerperal women was 1.9%, and of neonates 1.6%. The rate of cesarean section in the parturients that started labor at home was 9.0%.
The obstetric practices taken are consistent with the scientific evidence; however, unnecessary interventions are still performed. The rates of cesarean sections and maternal and neonatal transfers are low. Home can be a place of birth option for women seeking a physiological delivery.
描述在巴西由专业合格人员协助的计划在家分娩中的产科实践情况。
这是一项描述性研究，数据收集自2014年12月至2015年11月由49名专业人员维护的在线数据库，目标人群是在家分娩中接受协助的妇女和新生儿。通过描述性统计分析数据。
共纳入667名妇女和665名新生儿。大多数妇女在家分娩（84.4%），采用非截石位（99.1%）；无人接受会阴切开术；32.3%会阴完整；37.8%有一度裂伤，部分人接受了人工破膜（5.4%）、缩宫素使用（0.4%）和克里斯特勒手法（0.2%）；既往有剖宫产史的妇女中80.8%在家分娩。产妇转诊率为15.6%，产褥期妇女为1.9%，新生儿为1.6%。在家开始分娩的产妇剖宫产率为9.0%。
所采取的产科实践与科学证据一致；然而，仍存在不必要的干预措施。剖宫产率以及母婴转诊率较低。对于寻求自然分娩的妇女来说，家可以是一个分娩选择地点。
