Journal
REVISTA DA ESCOLA DE ENFERMAGEM DA USP
Volume 47, Issue 5, Pages 1031-1038Publisher
UNIV SAO PAOLO
DOI: 10.1590/S0080-623420130000500004
Keywords
Parturition; Natural childbirth; Obstetrical nursing; Birthing Centers
Categories
Funding
- National Council for Scientific and Technological Development (CNPq) through a Scientific Initiation Scholarship - PIBIC [115521/2008-9]
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Birth centers are maternal care models that use appropriate technology when providing care to birthing women. This descriptive study aimed to characterize intrapartum care in a freestanding birth center, in light of the practices recommended by the World Health Organization (WHO), with 1,079 assisted births from 2006 to 2009 in the Sapopemba Birth Center, Sao Paulo, Brazil. Results included the use of intermittent auscultation (mean=7 controls); maternal positions during delivery: semi-sitting (82.3%), side-lying (16.0%), other positions (1.7%), oral intake (95.6%); companionship (93.3%); exposure to up to three vaginal examinations (85.4%), shower bathing (84.0%), walking (68.0%), massage (60.1%), exercising with a Swiss ball (51.7%); amniotomy (53.4%), oxytocin use during the first (31.0%) and second stages of labor (25.8%), bath immersion (29.3%) and episiotomy (14.1%). In this birth center, care providers used practices recommended by the WHO, although some practices might have been applied less frequently.
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