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首页> 外文期刊>Reproductive Health >Good practices according to WHO’s recommendation for normal labor and birth and women’s assessment of the care received: the “birth in Brazil” national research study, 2011/2012
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Good practices according to WHO’s recommendation for normal labor and birth and women’s assessment of the care received: the “birth in Brazil” national research study, 2011/2012

机译：根据世界卫生组织关于正常分娩和分娩的建议以及妇女对所接受护理的评估得出的良好做法：“巴西出生”国家研究报告，2011/2012年

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Background The World Health Organization recommends good practices for the conduct of uncomplicated labor and birth, with the aim of improving the quality of and assessment by women of childbirth care. The aim of this study was to evaluate the association between adoption of good practices according to WHO’s recommendation for normal labor and birth and assessment by women of the care received. Methods Birth in Brazil is a national hospital-based study with countrywide representation consisting of 23,894 mothers and their newborns, conducted between February 2011 and October 2012. The present study analysed a subsample of this national survey. Postpartum women classified as low risk during pregnancy who had experienced either spontaneous or induced labor were included in this study, totalling 4102 mothers. To estimate the association between assessment by women of the childbirth care received (dependent variable) and good practices according to WHO’s recommendation during normal labor and birth (independent variables), a multinomial logistic regression analysis was used and crude and adjusted odds ratios calculated with their 95?% confidence intervals. Results The good practices associated with positive assessment of the care received by women during labor and birth included the partner’s presence, privacy in the birthing place, time available to ask questions, clarity of information received, and empathic support from caregivers during labor and birth. Freedom of movement, free nutrition offered, choice of companions, nonpharmacological analgesia, skin-to-skin contact and breastfeeding in the childbirth room were not associated with the assessment by women of the care received. Conclusions Our findings reveal the importance to mothers of their relationship with the team of caregivers during labor and birth. Therefore, caregiver teams must be qualified within a more humanistic vision of childbirth health care.
机译：背景技术世界卫生组织（WHO）建议进行简单劳动和分娩的良好做法，以提高妇女对分娩护理的质量和评估。这项研究的目的是评估根据世界卫生组织关于正常分娩和生育建议的良好做法的采用与妇女对所接受护理的评估之间的关联。方法巴西的出生是一项基于国家医院的研究，于2011年2月至2012年10月在全国范围内进行了研究，由23894名母亲及其新生儿组成。本研究分析了该国家调查的子样本。这项研究包括了在妊娠期间被归类为自发或引产的低风险产后妇女，总共有4102名母亲。为了估计妇女接受的分娩护理评估（因变量）与世卫组织建议的正常分娩和分娩时良好作法（因变量）之间的关联，使用了多项逻辑回归分析，并使用其得出的原始和调整后的优势比进行了计算。置信区间为95％。结果与积极评估妇女在分娩和分娩期间得到的护理有关的良好做法包括伴侣的存在，分娩地点的私密性，可以提问的时间，信息的清晰性以及分娩和分娩时照顾者的同情支持。行动自由，提供免费营养，选择伴侣，非药理镇痛，皮肤接触和分娩室母乳喂养与妇女对所接受护理的评估无关。结论我们的发现揭示了母亲在分娩和分娩过程中与护理人员团队之间关系的重要性。因此，看护人员团队必须具备更人性化的分娩保健视野。

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