Attention to childbirth and delivery in a university hospital: comparison of practices developed after Network Stork

• Published in: Revista latino-americana de enfermagem 2019-04, Vol.27, p.e3139
• Main Authors: Lopes, Giovanna De Carli, Gonçalves, Annelise de Carvalho, Gouveia, Helga Geremias, Armellini, Cláudia Junqueira
• Format: Article
• Language: eng ; por
• Subjects: Adult; Artigo Original; Brazil; Breast Feeding; Childbirth & labor; Cross-Sectional Studies; Delivery, Obstetric - nursing; Delivery, Obstetric - standards; Evidence-Based Practice; Female; Health Promotion - organization & administration; Health Promotion - standards; Hospitals, University; Humans; Labor, Obstetric; Maternal Health Services; Midwifery - methods; Midwifery - organization & administration; Midwifery - standards; Obstetrics; Parturition; Physical examinations; Pregnancy; Program Development; Quality of care; Socioeconomic Factors; Teaching hospitals; Young Adult
• ISSN: 0104-1169; 1518-8345; 1518-8345
• DOI: 10.1590/1518-8345.2643-3139

to compare, after four years of the implementation of the Stork Network, the obstetric practices developed in a university hospital according to the classification of the World Health Organization. cross-sectional study carried out in the year of adherence to the Stork Network (377 women) and replicated four years later (586 women). Data were obtained through medical records and a structured questionnaire. The Chi-square test was used in the analysis. four years after the implementation of the Stork Network, in Category A practices (demonstrably useful practices/good practices), there was increased frequency of companions, non-pharmacological methods, skin-to-skin contact and breastfeeding stimulation, and decreased freedom of position/movement. In Category B (harmful practices), there was reduction of trichotomy and increased venoclysis. In Category C (practices with no sufficient evidence), there was increase of Kristeller's maneuver. In Category D (improperly used practices), the percentage of digital examinations above the recommended level increased, as well as of analgesics and analgesia, and there was decrease of episiotomy. these findings indicate the maintenance of a technocratic and interventionist assistance and address the need for changes in the obstetric care model. A globally consolidated path is the incorporation of midwife nurses into childbirth for the appropriate use of technologies and the reduction of unnecessary interventions.