Projeto de intervenção de boas práticas obstétricas na Santa Casa de Misericórdia de Penedo

Abstract

Birth is historically a natural event. At first, the woman isolated her to give birth, usually without any assistance or care. Over time the delivery came to be seen by women as midwives recognized that translated the woman who attends home births, but that has no scientific knowledge. In the seventeenth century there was a major transformation in obstetrics: the introduction of surgeons in the deliveries. Hence, the changes related to childbirth would eventually characterize it as a medical event. For years it was asked this hegemonic model and discussed the return to humanized natural birth and the role of women, taking on scientific evidence the foundation for public policies, resulting in the stork network. Today, in Brazil, the midwife has been growing as a professional, as a legal activity and supported by Brazilian law, being a strategy to change this reality. Thus, nursing has gained space in delivery care. We aimed to: Deploy good obstetric practices based on scientific evidence incorporated and developed by nurses, through the implementation of humanized model of childbirth care. And Specific objectives: Reduce the episiotomy rate; Deploy skin contact; Raise the clamping fee opportune umbilical cord. Methodology: Meeting with the team of EO; Meeting with managers; Staff awareness of the adoption of best practices; Monthly assessment of the indicators of good practice. Had the results: The episiotomy rate was reduced by 99%; skin-to-skin and umbilical cord late clamping had its high rates of 100% in normal labor performed by midwives. It is concluded that with the implementation of good practices, changes in the birth scene, greatly reduced the episiotomy rate. The increase in skin to skin contact and late cord clamping has been shown to strengthen the link between the binomial in the 1st hour of life.