Implantação das boas práticas no hospital do município de Viçosa: uma contribuição do Curso de Especialização em Enfermagem Obstétrica

Abstract

Humanization favors the well-being of women and baby when considering the physiological processes, psychological and socio-cultural context, characterized by continuous monitoring of gestation and parturition. The principles and guidelines of the National Humanization Policy (PNH) guided the entire learning-dialogue process to direct discussion axes / training / learning / intervention for the reorganization of services and practices sustained in an ethical-political perspective. This study was conducted at the Municipal Hospital of Viçosa, which is a public institution administered by the city, the only provider of this service in the city of Viçosa - AL. The objectives were: a) Implement the best practices in the Municipal Hospital Viçosa; b) contribute to awaken and sensitize the health staff of HMV for the process of humanization of labor and birth; c) strengthen and implement the humanized delivery care and birth; d) contribute to a reflection on the importance and necessity of Nurse Midwife as a member of the health team of Motherhood; e) promote discussion and reflection on the importance of teaching-support bond in hospital quality practices. Methodology: it is an intervention project with the assistance practices carried out in the maternity ward of the Municipal Hospital of Viçosa with the participation of all professionals involved in the childbirth process, in order to compare indicators of results obtained half a year before and another after the introduction of good practices in the institution. Results: After comparative analysis there was a significant change in indicators of disuse maneuver Kristeller ( 80.89 % to 6.84% ) , extinction of episiotomy ( from 62.92 % to 0 %) , raising the Apgar score of the RN 's assisted ( from 55.05 % to 95.89 %) , and the introduction of new techniques such as the late cord clamping and breastfeeding in the first hour (from 0 % to 91.78 %) and its blessings to shoot. Founded upon so that the best practices recommended by the Ministry of Health of the humanization offered to the pair, mother and son, are able to make different and less traumatic the form of birth and calve .