Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research
Plain language summary This study aims to analyze the care model of the first postpartum hour offered by two hospitals participating in the Adequate Childbirth Project (PPA), a quality improvement project to enhance normal delivery and reduce unnecessary cesarean sections in Brazilian private hospit...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-01-01
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| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12978-022-01540-5 |
| _version_ | 1797952484366352384 |
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| author | Maysa Luduvice Gomes Lucia Regina de Azevedo Nicida Débora Cecília Chaves de Oliveira Andreza Rodrigues Jacqueline Alves Torres Amanda da Trindade Dias Coutinho Beatriz da Silva Soares de Souza Cravo Juliana Guimarães Dantas Thays Basílio Oliveira Patrick Brandão Rosa Maria Soares Madeira Domingues |
| author_facet | Maysa Luduvice Gomes Lucia Regina de Azevedo Nicida Débora Cecília Chaves de Oliveira Andreza Rodrigues Jacqueline Alves Torres Amanda da Trindade Dias Coutinho Beatriz da Silva Soares de Souza Cravo Juliana Guimarães Dantas Thays Basílio Oliveira Patrick Brandão Rosa Maria Soares Madeira Domingues |
| author_sort | Maysa Luduvice Gomes |
| collection | DOAJ |
| description | Plain language summary This study aims to analyze the care model of the first postpartum hour offered by two hospitals participating in the Adequate Childbirth Project (PPA), a quality improvement project to enhance normal delivery and reduce unnecessary cesarean sections in Brazilian private hospital. It is a qualitative analysis, based on the narrative of 102 women attended at two hospitals participating in the PPA. Categories that emerged from the analysis: “First hour; dimension of time and care expressed in the lived experience” and “Interferences in care in the first hour of life”. Most women expressed a chronological time of skin-to-skin contact far from the ideal recommended in the first postpartum hour; however, they valued the experience and its meaning. Two barriers were observed in this care process: the interruption of skin-to-skin contact for neonatal care and the transfer to the recovery room, without observing the duration of the "golden hour". We can conclude that women evaluated the service positively, with indications that point to the sustainability of the PPA. Information during antenatal care to increase women´s autonomy are needed to improve the implementation of these practices and access to their health benefits. |
| first_indexed | 2024-04-10T22:47:05Z |
| format | Article |
| id | doaj.art-6a5b5ecbc6ee4468bb25c26e0603e19f |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-04-10T22:47:05Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-6a5b5ecbc6ee4468bb25c26e0603e19f2023-01-15T12:13:39ZengBMCReproductive Health1742-47552023-01-0120S211410.1186/s12978-022-01540-5Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth researchMaysa Luduvice Gomes0Lucia Regina de Azevedo Nicida1Débora Cecília Chaves de Oliveira2Andreza Rodrigues3Jacqueline Alves Torres4Amanda da Trindade Dias Coutinho5Beatriz da Silva Soares de Souza Cravo6Juliana Guimarães Dantas7Thays Basílio Oliveira8Patrick Brandão9Rosa Maria Soares Madeira Domingues10Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ)Collective Health from National Institute of Women, Children and Adolescents Health Fernandes Figueira (IFF), Oswaldo Cruz Foundation (Fiocruz)Public Health at Sérgio Arouca National School of Public Health, Oswaldo Cruz Foundation (Fiocruz)Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ)Institute for Healthcare ImprovementAnna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ)Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ)Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ)Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ)Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ)Laboratory of Clinical Research in STD/AIDS, Evandro Chagas National Institute of Infectology, Oswaldo Cruz Foundation (Fiocruz)Plain language summary This study aims to analyze the care model of the first postpartum hour offered by two hospitals participating in the Adequate Childbirth Project (PPA), a quality improvement project to enhance normal delivery and reduce unnecessary cesarean sections in Brazilian private hospital. It is a qualitative analysis, based on the narrative of 102 women attended at two hospitals participating in the PPA. Categories that emerged from the analysis: “First hour; dimension of time and care expressed in the lived experience” and “Interferences in care in the first hour of life”. Most women expressed a chronological time of skin-to-skin contact far from the ideal recommended in the first postpartum hour; however, they valued the experience and its meaning. Two barriers were observed in this care process: the interruption of skin-to-skin contact for neonatal care and the transfer to the recovery room, without observing the duration of the "golden hour". We can conclude that women evaluated the service positively, with indications that point to the sustainability of the PPA. Information during antenatal care to increase women´s autonomy are needed to improve the implementation of these practices and access to their health benefits.https://doi.org/10.1186/s12978-022-01540-5WomenBirthHealth evaluationHospitalsPrivate |
| spellingShingle | Maysa Luduvice Gomes Lucia Regina de Azevedo Nicida Débora Cecília Chaves de Oliveira Andreza Rodrigues Jacqueline Alves Torres Amanda da Trindade Dias Coutinho Beatriz da Silva Soares de Souza Cravo Juliana Guimarães Dantas Thays Basílio Oliveira Patrick Brandão Rosa Maria Soares Madeira Domingues Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research Reproductive Health Women Birth Health evaluation Hospitals Private |
| title | Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research |
| title_full | Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research |
| title_fullStr | Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research |
| title_full_unstemmed | Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research |
| title_short | Care at the first postnatal hour in two hospitals of the Adequate Birth Project: qualitative analysis of experiences in two stages of the Healthy Birth research |
| title_sort | care at the first postnatal hour in two hospitals of the adequate birth project qualitative analysis of experiences in two stages of the healthy birth research |
| topic | Women Birth Health evaluation Hospitals Private |
| url | https://doi.org/10.1186/s12978-022-01540-5 |
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