Obstetric interventions during labor and childbirth in Brazilian low-risk women
Carmo Leal, M.d.; Pereira, A.P.E.; Domingues, R.M.S.M.; Theme Filha, M.M.; Dias, M.A.B.; Nakamura-Pereira, M.; Bastos, M.H.; Gama, S.G.N.d.
Cadernos de Saude Publica 30(Suppl 1): S1-16
2014
ISSN/ISBN: 1678-4464 PMID: 25167177 DOI: 10.1590/0102-311x00151513Document Number: 626842
This study evaluated the use of best practices (eating, movement, use of nonpharmacological methods for pain relief and partograph) and obstetric interventions in labor and delivery among low-risk women. Data from the hospital-based survey Birth in Brazil conducted between 2011 and 2012 was used. Best practices during labor occurred in less than 50% of women and prevalence of the use of these practices was lower in the North, Northeast and Central West Regions. The rate of use of oxytocin drips and amniotomy was 40%, and was higher among women admitted to public hospitals and in women with a low level of education. The uterine fundal pressure, episiotomy and lithotomy were used in 37%, 56% and 92% of women, respectively. Caesarean section rates were lower in women using the public health system, nonwhites, women with a low level of education and multiparous women. To improve the health of mothers and newborns and promote quality of life, a change of approach to labor and childbirth that focuses on evidence-based care is required in both the public and private health sectors.