O fim anunciado da Rede Cegonha – que decisões tomaremos para o nosso futuro?

Zveiter, Marcele; Mouta, Ricardo José Oliveira; Medina, Edymara Tatagiba; Almeida, Luciane Pereira de; Silva, Sandra Cristina De Souza Borges; Martins, Elaine Lutz

doi:10.12957/reuerj.2022.66736

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…However, recently, the Ministry of Health established throughout the national territory the "Maternal and Child Network " (Rede de Atenção Materno Infantil, in Portuguese) thus indicating the end of the Rede Cegonha [49]. Even after all the advances achieved by the Rede Cegonha with important changes in obstetric and neonatal care, including the insertion of obstetric nurses (os) in the model of care [49,50], Maternal and Child Network came to replace the model of "humanization of labor and birth care" that had been disseminated in Brazil, by medical hegemony, removing the focus centered on the needs of women and their family, relocating to the centre of care who has the habit of intervening in the physiological processes of labor and birth putting women, newborns and their families at risk. In addition to removing obstetric nursing from this context, which has played an important role in the advancement of obstetric and neonatal care in recent decades [49,50].…”

Section: Discussionmentioning

confidence: 99%

Influence of the COVID-19 pandemic on labor and childbirth care practices in Brazil: a cross-sectional study

Menezes

Silva

Felisbino-Mendes

et al. 2023

BMC Pregnancy Childbirth

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Background It has been hypothesized that the coronavirus disease 2019 (COVID-19) pandemic may have changed the conduct of obstetric practices at the time of labor, delivery, and birth. In Brazil, many practices lacking scientific evidence are implemented in this care, which is charcaterized by excessive use of unnecessary interventions. This scenario may have been worsened by the pandemic. Thus, we analyzed the effects of the pandemic on care during prenatal care and delivery by comparing the results of two surveys (one was administered before the pandemic and the other during the pandemic) in public hospitals in Belo Horizonte - Minas Gerais (MG), Brazil. Methods This cross-sectional and comparative study analyzed preliminary data from the study “Childbirth and breastfeeding in children of mothers infected with SARS-CoV-2”, which was conducted in three referral maternity hospitals in Belo Horizonte - MG during the pandemic in the first half of 2020 in Brazil. The final sample consisted of 1532 eligible women. These results were compared with data from 390 puerperae who gave birth in the three public hospitals in the study “Birth in Belo Horizonte: labor and birth survey”, conducted before the pandemic to investigate the changes in practices of labor and delivery care for the mother and her newborn, with or without COVID-19 infection, before and during the pandemic. In this research, “Birth in Belo Horizonte: labor and birth survey”, data collection was performed between November 2011 and March 2013 by previously trained nurses. Between study comparisons were performed using Pearson’s chi-square test, with a confidence level of 95%, and using Stata statistical program. Results We found a significant increase in practices recommended by the World Health Organization during the pandemic including the following: diet offering (48.90 to 98.65%), non-pharmacological pain relief (43.84 to 67.57%), and breastfeeding in the newborn´s first hour of life (60.31 to 77.98%) (p < 0.001). We found a significant reduction of non-recommended interventions, such as routine use of episiotomy (15.73 to 2.09%), the Kristeller maneuver (16.55 to 0.94%), oxytocin infusion misused (45.55 to 28.07%), amniotomy (30.81 to 15.08%), and lithotomy position during labor (71.23 to 6.54%) (p < 0.001). Conclusion Our study revealed a statistically significant increase in the proportion of use of recommended practices and a reduction in non-recommended practices during labor and delivery. However, despite advances in the establishment of World Health Organization recommended practices in labor, delivery, and birth, the predominance of interventionist and medicalized practices persists, which is worsened by events, such as the pandemic.

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Section: Discussionmentioning

confidence: 99%

Influence of the COVID-19 pandemic on labor and childbirth care practices in Brazil: a cross-sectional study

Menezes

Silva

Felisbino-Mendes

et al. 2023

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais

Ferreira,

Moutinho,

Almeida

et al. 2024

Rev. Bras. Enferm.

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Objectives: to analyze the factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais. Methods: a cross-sectional study nested within a cohort was conducted with postpartum women in a municipality of Minas Gerais. The Maternal Well-being in Childbirth Scale 2 was used. The prevalence of maternal well-being during childbirth was estimated. The magnitude of the association between maternal distress and care practices was estimated using the Prevalence Ratio (PR), applying Poisson regression. Results: a total of 183 postpartum women aged between 15 and 46 years participated, with 26.2%, 27.9%, and 45.9% reporting excellent, adequate, and poor well-being during childbirth care, respectively. Maternal distress was more prevalent among women who underwent cesarean sections (PR = 1.60) and those who did not receive breastfeeding information (PR = 1.59). Conclusions: a high prevalence of maternal distress during childbirth was observed, associated with cesarean delivery and the lack of breastfeeding information.

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Fatores associados ao bem-estar materno em situação de parto de puérperas em Minas Gerais

Ferreira,

Moutinho,

Almeida

et al. 2024

Rev. Bras. Enferm.

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RESUMO Objetivos: analisar os fatores associados ao bem-estar materno em situação de parto de puérperas em Minas Gerais. Métodos: estudo transversal, aninhado a uma coorte, realizado com puérperas em um município mineiro. Foi adotada a escala Bem-Estar Materno em Situação de Parto 2. Estimaram-se as prevalências do bem-estar materno em situação de parto. A magnitude da associação entre mal-estar materno e práticas assistenciais foi estimada pela Razão de Prevalência (RP), utilizando-se a regressão de Poisson. Resultados: participaram 183 puérperas com idade entre 15 e 46 anos, sendo que 26,2%, 27,9% e 45,9% relataram, respectivamente, ótimo, adequado e mal-estar na assistência ao parto. O mal-estar materno foi mais prevalente entre puérperas que passaram por parto cesárea (RP = 1,60) e que não receberam informações sobre amamentação (RP = 1,59). Conclusões: observou-se elevada prevalência de mal-estar no parto, associada à realização de cesáreas e à falta de informações sobre amamentação.

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O fim anunciado da Rede Cegonha – que decisões tomaremos para o nosso futuro?

Cited by 3 publications

References 10 publications

Influence of the COVID-19 pandemic on labor and childbirth care practices in Brazil: a cross-sectional study

Influence of the COVID-19 pandemic on labor and childbirth care practices in Brazil: a cross-sectional study

Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais

Fatores associados ao bem-estar materno em situação de parto de puérperas em Minas Gerais

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