Childbirth care by health professionals: conflicting practices in obstetrics.

IF 1.2 Q3 NURSING Revista Brasileira De Enfermagem Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI:10.1590/0034-7167-2023-0129
Greici Naiara Mattei, Gabriela Marcellino de Melo Lanzoni, Giovana Dorneles Callegaro Higashi, Taís Regina Schapko, Maria Aparecida Baggio
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Abstract

Objectives: to understand the perceptions of women and health professionals regarding childbirth care at a teaching hospital in the western state of Paraná, Brazil.

Methods: this qualitative study employed Grounded Theory, conducted in an obstetric care service with 38 participants (women and health professionals) through semi-structured interviews.

Results: limitations in physical infrastructure and management of care, along with the women's limited knowledge about the childbirth process and the decision-making and guidance of professionals, show conflicting obstetric practices-a discrepancy between good practices and obstetric violence. Training in obstetric nursing and active participation in care, alongside the presence of a companion, were identified as intervening conditions and strategies in the process.

Final considerations: childbirth care is characterized by dichotomous practices. While some professionals base their practices on scientific evidence, others rely on teachings and experiences from the time of their training.

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卫生专业人员的分娩护理:产科中相互冲突的做法。
目的:了解巴西西部帕拉纳州一家教学医院妇女和保健专业人员对分娩护理的看法。方法:本定性研究采用扎根理论,在产科护理服务中通过半结构化访谈对38名参与者(妇女和卫生专业人员)进行。结果:物理基础设施和护理管理的局限性,以及妇女对分娩过程的有限知识以及专业人员的决策和指导,显示了产科实践的冲突-良好实践与产科暴力之间的差异。产科护理培训和积极参与护理,以及伴侣在场,被确定为这一过程中的干预条件和策略。最后的考虑:分娩护理的特点是二分法的做法。虽然一些专业人士的做法是基于科学证据,但其他人则依赖于他们接受培训时的教导和经验。
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来源期刊
CiteScore
2.30
自引率
7.70%
发文量
477
审稿时长
21 weeks
期刊介绍: The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
期刊最新文献
ERRATUM. ERRATUM. Individualization of implantable devices in Brazil. An overview of the implementation of the first doctorate program in nursing in the Northern region. Evaluation of care for people with HIV in Primary Health Care: construct validation.
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