Hospital obstetric practices and their repercussions on maternal welfare.

Rev Esc Enferm USP

Universidade Federal de Mato Grosso, Faculdade de Enfermagem, Programa de Pós-Graduação em Enfermagem, Cuiabá, MT, Brasil.

Published: July 2021

Objective: To analyze the association of care practices performed by obstetric professionals with maternal welfare/malaise levels.

Method: A quantitative study conducted in a Prepartum/Childbirth/Postpartum Unit of a Teaching Hospital with puerperal women who underwent vaginal births. An association was performed between obstetric practices and maternal welfare/malaise levels.

Results: There were 104 puerperal women who participated. Obstetric practices which caused mothers to feel unwell and which obtained statistical significance were: amniotomy (p = 0.018), episiotomy (p = 0.05), adoption of horizontal positions in the expulsive period (p = 0.04), the non-use of non-invasive care technologies (p = 0.029), and non-skin-to-skin contact between mother and child (p = 0.002). For most women, the presence of a companion favored welfare, even though it did not have a statistically significant association. After performing logistic regression, non-performance of amniotomy was the only variable which showed significance in maternal welfare.

Conclusion: Humanized obstetric practices have greater potential to promote maternal welfare. The importance of obstetric nurses conducting practices which provide greater welfare to mothers is emphasized.

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Source
http://dx.doi.org/10.1590/S1980-220X2018039003606DOI Listing

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