Childbirth practices and challenges for humanization of care in two public hospitals in Southern Brazil

Cadernos de saúde pública
Elizabeth Eriko Ishida Nagahama, Silvia Maria Santiago

Abstract

The aim of this study was to characterize hospital care for childbirth in two hospitals affiliated with the Unified National Health System in Maringá, Paraná, Brazil, and identify both obstacles and facilitating factors for the implementation of humanized care, based on women's perception of the care received. This was an exploratory and descriptive study with a cross-sectional design, analyzing hospital patient charts and interviews with 569 women who gave birth at the two hospitals from March 2005 to February 2006. Hospital care was characterized on the basis of WHO quality-of-care guidelines for labor and delivery. The data pointed to a healthcare model marked by the hygienist legacy in physician-centered hospital protocols and professional practices. Institutional factors, identified as difficulties in institutional and infrastructure organization, hospital protocols, and health professionals' individual practices and stances, denote barriers that jointly hinder the implementation of a humanized model for childbirth care.

References

May 19, 2000·Social Science & Medicine·T Kabakian-KhasholianF Ghorayeb
Mar 19, 2004·Cadernos de saúde pública·Carmen Susana Tornquist
Sep 15, 2005·Cadernos de saúde pública·Odaléa Maria BrüggemannMaria José Duarte Osis
Nov 1, 2001·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·R Davis-Floyd

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Citations

Dec 15, 2011·Revista gaúcha de enfermagem·Taísa Guimarães de SouzaPriscilla Shirley Siniak dos Anjos Modes
Dec 21, 2013·Cadernos de saúde pública·Milena Temer JamasLuciana Magnoni Reberte
May 10, 2012·Archives of Gynecology and Obstetrics·Celia P PitaUNKNOWN Research Group for the Birth Humanization Project of the Enrique C. Sotomayor Hospital
Jan 24, 2012·Ciência & saúde coletiva·Juliana Maria de Sousa Pinto, Marilyn Kay Nations
May 12, 2012·Revista da Escola de Enfermagem da U S P·Cleci de Fátima EnderleBruna Goulart Gonçalves
Dec 21, 2018·Cadernos de saúde pública·Patrícia Sampaio da AnunciaçãoFernando Lamy-Filho
Nov 15, 2018·Ciência & saúde coletiva·Ricardo Motta PereiraRoberta Amaral Mafra
Mar 31, 2012·Revista brasileira de enfermagem·Josefine BusanelloBruna Goulart Gonçalves
Dec 20, 2013·Health Care for Women International·Roxana BehruziWilliam D Fraser

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