Nascer no Brasil: the presence of a companion favors the use of best practices in delivery care in the South region of Brazil

Authors

  • Juliana Jacques da Costa Monguilhott Instituto Federal de Educação, Ciência e Tecnologia de Santa Catarina. Departamento Acadêmico de Saúde e Serviços
  • Odaléa Maria Brüggemann Universidade Federal de Santa Catarina. Programa de Pós-Graduação em Enfermagem
  • Paulo Fontoura Freitas Universidade do Sul de Santa Catarina. Núcleo de Orientação em Epidemiologia. Curso de Medicina
  • Eleonora d’Orsi Universidade Federal de Santa Catarina. Departamento de Saúde Pública. Programa de Pós-Graduação em Saúde Coletiva

DOI:

https://doi.org/10.11606/S1518-8787.2018052006258

Keywords:

Humanizing Delivery. Humanization of Assistance. Patient Rights. EvidenceBased Practice. Maternal-Child Health Services.

Abstract

OBJECTIVE: To analyze if the presence of a companion favors the use of best practices in the delivery care in the South region of Brazil. METHODS: This is a cross-sectional analysis of the longitudinal study Nascer no Brasil. We analyzed data from 2,070 women from the South region of Brazil who went into labor. The data were collected between February and August 2011, by interviews and medical records. We performed a bivariate and multivariate analysis, calculating the crude and adjusted prevalence ratios using Poisson regression with robust variance estimation. The level of significance adopted was 5%. RESULTS: Most women had a companion during labor (51.7%), but few remained during delivery (39.4%) or cesarean section (34.8%). Less than half of the women had access to several recommended practices, while non-recommended practices continue to be performed. In the model adjusted for age, education level, source of payment for the delivery, parity, and score of the Brazilian Association of Market Research Institutes, the presence of a companion was statistically associated with a greater supply of liquids and food (aPR = 1.34), dietary prescription (aPR = 1.34), use of non-pharmacological methods for pain relief (aPR = 1.37), amniotomy (aPR = 1.10), epidural or spinal analgesia (aPR = 1.84), adoption of non-lithotomy position in the delivery (aPR = 1.77), stay in the same room during labor, delivery, and postpartum (aPR = 1.62), skin-to-skin contact in the delivery (aPR = 1.81) and cesarean section (PR = 2.43), as well as reduced use of the Kristeller maneuver (aPR = 0.67), trichotomy (aPR = 0.59), and enema (aPR = 0.49). CONCLUSIONS: In the South region of Brazil, most women do not have access to the best practices in addition to undergoing several unnecessary interventions. The presence of a companion is associated with several beneficial practices and the reduction in some interventions, although other interventions are not impacted.

Published

2018-01-16

How to Cite

Monguilhott, J. J. da C., Brüggemann, O. M., Freitas, P. F., & d’Orsi, E. (2018). Nascer no Brasil: the presence of a companion favors the use of best practices in delivery care in the South region of Brazil. Revista De Saúde Pública, 52, 100. https://doi.org/10.11606/S1518-8787.2018052006258

Issue

Section

Original Articles