Humanized childbirth: the values of health professionals in daily obstetric care

Abstract

Objective: To understand health professionals' values in the process of thinking and feeling about obstetric care, based on their experienced needs in the care process. Methods: Phenomenological study based on the Schelerian framework, with 48 health professionals from four maternity hospitals within the Metropolitan Region II of the state of Rio de Janeiro. Data collection was done through a phenomenological interview; and the analysis, with the Ricoeurian methodological framework. Results: The vital value was signified in care centered on physiological processes, for an individualized and safe monitoring. The ethical value was signified in the attitudes that provide women with autonomy in their way of giving birth, and recognize dialogue as a process of sympathy, affection, and bonding. Conclusion: The resignification of obstetric practice, articulated with public policies in the field of delivery and birth, supported by a vital ethical value, positively contributes to the humanization of care for women.

The Experience of Pregnancy and Childbirth Overshadowed by Obstetric Violence and Structural Barriers of the Israeli Health System from the Perspective of Arab and Jewish Women

“…Humane values and respect were parallel to gender preferences. This finding reinforces the recommendations in the present study, and in previous research, concerning the importance of the interpersonal aspect in forming a woman’s birth experience as a whole ( Huschke, 2022 ; Marques et al, 2020 ; Rodrigues et al, 2021 ).…”

Perceptions in the formation of graduates of residency in obstetric nursing: a described-exploratory study / As percepções na formação de egressos da residência em enfermagem obstétrica: estudo descrito-exploratório

“…For, the REO guarantees the movement between the theoretical base and the practice, bringing foundation for knowledge and sustaining the competence with its professional exercise,1 especially the support for the care of the entire gravidic-puerperal cycle, a care with safety, which constitutes as primordial for life as an EO. [2][3][9][10][11] Over the years, OE has gained prominence, promoting discussions on behalf of humanized care and ensuring humanized 11,17 and quality training for women in the process of pregnancy and childbirth. With this, the MH has been investing in the quali-fication of professionals, aiming at actions for humanization and insertion of OE in the context of normal childbirth care, to change the Brazilian scenario, with a decline in unnecessary interventions and cesarean sections.…”

“…Currently, the scientific evidence applied in the practical daily life of women's care has been discussed, and it is believed that the OER enhances these necessary transformations aligned with the scientific evidence, thus gradually enabling the change of the current obstetric scenario. 1,[4][5][6][7]11,17 Professional practice supported by scientific evidence can contribute to a new panorama of obstetric care in the country, looking at birth and the female body in a natural way, avoiding unnecessary obstetric procedures, such as episiotomy, excessive touching, Kristeller maneuver, among others. 6,-9,16-18 Obstetric nursing starts from the identity premise of scientific knowledge, which mirrors the professional practice, in addition to the search for the guarantee of its professional exercise in accordance with responsibility and commitment.…”

“…23 And when the maintenance of a model, which is interventionist, medicalized, valuing the established medical knowledge, allows the performance of the EO to be curtailed, even if the Law of Professional Practice of Nursing establishes the performance of EO in direct assistance to pregnancies and deliveries of usual risk. 1,[7][8][17][18][19]24 Thus, in view of the public policies to improve and encourage the formation of the EO, the role cannot be limited, but the assistance must be guaranteed, with a collaborative, scientific and humanized work process, [5][6][10][11]17 focused on the quality and safety of labor and birth. In this context, the quality of care depends on the joint action between the teams, such as the exchange of knowledge and decision making, so that each professional has their unique importance in the care of women and newborns, promoting collaborative action aligned to the physiology, humanization, and proven beneficial practices.…”

“…This is due to the low number of active OEs and non-recognition of the assistance provided by these professionals, and thus, considering discrimination by the institution and the medical team itself, which devalues the assistance and practice in the health team. 25 From this perspective, the current model of obstetric care in Brazil, despite great changes for the benefit of women's health through public policies, is considered centered on the figure of the medical professional and determined by institutional culture with outdated and unnecessary routines 2,8,[10][11]17,24 that are outside the current context of changes, suggested by the WHO and the MH, which guarantee the valorization of the knowledge, know-how, and knowhow of the EO, and being an essential professional in conducting direct care to women and newborns.…”