Implementation of evidence-based practices in normal delivery care

Authors

  • Clodoaldo Tentes Côrtes Universidade Federal do Amapá; Departamento de Ciências Biológicas e da Saúde
  • Sonia Maria Junqueira Vasconcellos de Oliveira Universidade de São Paulo; Escola de Enfermagem
  • Rafael Cleison Silva dos Santos Universidade Federal do Amapá; Departamento de Ciências Biológicas e da Saúde
  • Adriana Amorim Francisco Universidade de São Paulo; Escola de Enfermagem
  • Maria Luiza Gonzalez Riesco Universidade de São Paulo; Escola de Enfermagem
  • Gilceria Tochika Shimoda Universidade de São Paulo; Hospital Universitário

DOI:

https://doi.org/10.1590/1518-8345.2177.2988

Keywords:

Labor Obstetric, Natural Childbirth, Evidence-Based Practice, Translational Medical Research, Clinical Audit, Obstetric Nursing

Abstract

Objective: to evaluate the impact of the implementation of evidence-based practices on normal delivery care. Method: quasi-experimental, before-and-after intervention study conducted in a public maternity hospital, Amapá. Forty-two professionals and 280 puerperal women were interviewed and data from 555 medical records were analyzed. The study was developed in three phases: baseline audit (phase 1), educational intervention (phase 2) and post-intervention audit (phase 3). Results: after the intervention, there was an increase of 5.3 percentage points (p.p.) in the normal delivery rate. Interviews with the women revealed a significant increase of the presence of companions during labor (10.0 p.p.) and of adoption of the upright or squatting position (31.4 p.p.); significant reduction of amniotomy (16.8 p.p.), lithotomy position (24.3 p.p.), and intravenous oxytocin (17.1 p.p.). From the professionals’ perspective, there was a statistical reduction in the prescription/administration of oxytocin (29.6 p.p.). In the analysis of medical records, a significant reduction in the rate of amniotomy (29.5 p.p.) and lithotomy position (1.5 p.p.) was observed; the rate of adoption of the upright or squatting position presented a statistical increase of 2.2 p.p. Conclusions: there was a positive impact of the educational intervention on the improvement of parturition assistance, but the implementation process was not completely successful in the adoption of scientific evidence in normal delivery care in this institution.

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Published

2018-01-01

Issue

Vol. 26 (2018)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Côrtes, C. T., Oliveira, S. M. J. V. de, Santos, R. C. S. dos, Francisco, A. A., Riesco, M. L. G., & Shimoda, G. T. (2018). Implementation of evidence-based practices in normal delivery care. Revista Latino-Americana De Enfermagem, 26, e2988. https://doi.org/10.1590/1518-8345.2177.2988