Time series analysis: trend in late maternal mortality in Brazil, 2010-2019.

To analyze the temporal trend of the late maternal mortality ratio (LMMR) in Brazil and its geographic regions in the period from 2010 to 2019, an ecological time series study was conducted. Data related to late maternal mortality from information systems of the Brazilian Ministry of Health were used. Statistical analysis used Prais-Winsten autoregressive models.

Repercussions of SARS-CoV-2 infection and the pandemic on birth routes: a cross-sectional study.

Objective: To assess the repercussions of SARS-CoV-2 infection (suspected or confirmed) and the context of the pandemic on the birth route and humanized assistance during childbirth.

Method: Cross-sectional epidemiological study, nested within a cohort and comparative with the research "Birth in Belo Horizonte: Survey on Childbirth and Delivery".The medical records of three reference maternity hospitals in Belo Horizonte were assessed, with a final sample of 1,682 pregnant women, in the months of May, June and July 2020.

Coexistence and prevalence of obstetric interventions: an analysis based on the grade of membership.

Background: Obstetric interventions performed during delivery do not reflect improvements in obstetric care. Several practices routinely performed during childbirth, without any scientific evidence or basis - such as Kristeller maneuver, routine episiotomy, and movement or feeding restriction - reflect a disrespectful assistance reality that, unfortunately, remains in place in Brazil. The aims of the current study are to assess the coexistence and prevalence of obstetric interventions in maternity hospitals in Belo Horizonte City, based on the Grade of Membership (GoM) method, as well as to investigate sociodemographic and obstetric factors associated with coexistence profiles generated by it.

Association between early pregnant hospitalization and use of obstetric interventions and cesarean: a cross-sectional study.

Objective: Evaluate the association between early pregnant hospitalization and the use of obstetric interventions and cesarean delivery route.

Methods: Cross-sectional study, with 758 women selected at the time of childbirth. It was assumed as early hospitalization when the woman was admitted to the hospital having less than 6 cm of cervical dilation.

Rede Cegonha network and the methodological challenges of implementing networks in the SUS.

This paper addresses strategies employed in the implementation of the Rede Cegonha ("Stork Network") (RC), considering its contribution to change the delivery and birth care model in the Brazilian Unified Health System (SUS). It contextualizes RC as a project signed by SUS management interagency bodies and the importance of implementing the services' strategies. In this sense, it points out two essential axes supporting the RC, which are strategic to promote the intervention-analysis in obstetric-neonatal care, namely, institutional support (IS) and teamwork training.

Factors associated with the performance of episiotomy.

Objective: To analyze the factors associated with the performance of episiotomy.

Methods: Cross-sectional study, developed with data from the research "Born in Belo Horizonte: Labor and birth survey, "conducted with 577 women who had their children via vaginal birth. In order to verify the magnitude of the association between episiotomy and its possible determinants, logistic regression models were constructed to estimate the odds ratio.

Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study.

Objectives: to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte.

Methods: cross-sectional study developed with data from the study "Being born in Belo Horizonte: survey on childbirth and birth" carried out in seven maternity hospitals in Belo Horizonte - Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women.

Culture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study.

Objectives: to assess the patient safety culture of the health team working in three maternity hospitals.

Methods: observational, cross-sectional, comparative study. 301 professionals participated in the study.

Methodology to articulate the process of training-intervention-evaluation in the professional education in nursing.

This article presents a methodology for professional training in obstetrics nursing (ON) that goes beyond teaching specific competencies and contributes to the change in the model of childbirth care as proposed by Brazilian Unified Health System. This methodology addresses gaps and challenges in the current ON model and it builds on existing initiatives for the inclusion of ON in the teamwork environment. The training-intervention-evaluation method proposes the inclusion of evaluation as part of the training, which is in line with methods for intervention research.

Obstetric Nursing in best practices of labor and delivery care.

Objective: to evaluate the association of Obstetric Nursing in the best practices of delivery and birth care in maternity hospitals.

Method: a cross-sectional study, with 666 women selected for delivery. Parturition obstetric practices performed by professionals were categorized into: clearly useful practices that should be encouraged, practices that are clearly harmful or ineffective and that should be eliminated and practices used inappropriately at the time of parturition.

Obstetric violence: influences of the Senses of Birth exhibition in pregnant women childbirth experience.

Excessive interventions during labor in Brazil have been reported as disrespect and abuse and contribute to neonatal and maternal morbidity and mortality. The Senses of Birth exhibition aims to encourage normal birth to promote health and improve the experience of childbirth in the country. This article describes the characteristics of 555 women who visited the exhibition during pregnancy and their perception of obstetric violence in childbirth.

[Meanings of the childbirth plan for women that participated in the Meanings of Childbirth Exhibit].

This study aimed to analyze the perspective of women who used the childbirth plan on their childbirth experience, the meanings of the childbirth plan and its components, and the relationship between the childbirth plan and labor and delivery. A qualitative descriptive study was performed. Data were collected with the questionnaire Meanings of Birth - Postpartum Contacts, applied via telephone contact.

The Senses of Birth intervention to decrease cesarean and prematurity rates in Brazil.

Objective: To increase knowledge and promote cultural change toward valuing normal birth, and to lower rates of cesarean and unnecessary interventions during childbirth in Brazil via the Senses of Birth (SoB) exhibition.

Methods: The SoB intervention targeted 22 621 participants in three Brazilian cities in 2015. The effects of the exhibition in knowledge, perceptions, and preferences regarding childbirth were analyzed in a multi-method study.

Special attention to women experiencing high-risk pregnancy: Delivery, care assistance and neonatal outcomes in two Brazilian maternity wards.

Background: To compare two care models of high-risk pregnant women--a House for Pregnant Women, staffed by nurse-midwives, versus a traditional care model in a hospital maternity ward.

Design: This was across-sectional study conducted in two reference maternity hospitals for high-risk pregnancies, in Belo Horizonte, Minas Gerais, Brazil. The sample consisted of 312 high-risk pregnant women consecutively admitted from January 1st to December 31, 2010, either to the House for Pregnant Women (n=247), or the hospital maternity ward (n=65).

Epistemology of nursing care: a reflection on its foundations.

Objective:: to reflect on nursing care and its epistemology from its historical, theoretical, philosophical, spiritual dimensions and as a social practice.

Method:: discussions originated in the discipline "Epistemology of caring", from the graduate nursing program of the School of Nursing, Federal University of Minas Gerais, and in critical analysis of nursing literature together with the professional practice of the authors.

Results:: we identified the necessity of developing a critical conscience on health care provision, research, and teaching, as well as on challenges in maintaining high standards of working interpersonal relationships, which has a profound impact on population health.

[Intimate partner violence against pregnant women: the environment according to Levine's nursing theory].

Objective: Analyzing the elements that compose the environment of pregnant women who have experienced intimate partner violence in the light of Levine's Nursing Theory.

Method: A qualitative, descriptive study conducted from September to January 2012, with nine pregnant women in a Municipal Health Center in Rio de Janeiro. The interviews were semi-structured and individual.

[Causes of maternal mortality according to levels of hospital complexity].

Purposes: To identify and to analyze maternal mortality causes, according to hospital complexity levels.

Methods: A descriptive-quantitative cross-sectional study of maternal deaths that occurred in hospitals in Paraná, Brazil, during the periods from 2005 to 2007 and from 2008 to 2010. Data from case studies of maternal mortality, obtained by the State Committee for Maternal Mortality Prevention, were utilized.

[Maternal mortality due to pre-eclampsia/eclampsia in a state in southern Brazil].

Purpose: to identify the profile, tendency and causes of maternal death by pre-eclampsia/eclampsia in Paraná.

Methods: descriptive, transversal cohort study on maternal death by pre-eclampsia/eclampsia from 1997 to 2005. Data were obtained from case studies prepared by Maternal Death Committees that employ the Reproductive Age Mortality Survey Method to examine all the cases of death among women in fertile age.

[The postpartum appointment: women's needs from the perspective of social needs in health care].

Postpartum appointments are essential in women health care. This study aimed at identifying the social health needs of women during postpartum. A survey was conducted with 50 puerperal women of the Curitiba Mother Program receiving care at basic health units of a health district of the city of Curitiba, Paraná, southern Brazil.

[Episiotomy: focusing women's view].

Enough scientific evidences exist for the recommendation of the abolition of the used episiotomia in a liberal way. With objective of identifying the vision of a group of post-partum women in relation to the episiotomy it was done a study of qualitative approach, with the participation of 20 women, in the postpartumn period. It was used for data collection a semi-structured tool applied from April to June, 2004.

[Alice Michaud--devotion and glory: the first nurse in Paraná].

This study is about a part of Alice Michaud's biography, the first nurse in Parana and the first ABEn-PR's president, majored in 1948, being the third group of the Nursing School in São Paulo-USP The facts stated here were obtained from periodicals, recorded interviews with the honored nurse and after her death by documents given by the family. The data permitted to identify the source, the formation, the main work developed, the homages and the public acknowledgment of this nurse. This is the first, out of a series of registers, to be done standing out the life and work of Alice Michaud.