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首页> 外文期刊>Revista de Saúde Pública >Nascer no Brasil : the presence of a companion favors the use of best practices in delivery care in the South region of Brazil
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Nascer no Brasil : the presence of a companion favors the use of best practices in delivery care in the South region of Brazil

机译：Nascer no Brasil：在巴西南部地区，有同伴的出现有助于在分娩护理中采用最佳实践

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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.
机译：目的分析在巴西南部地区同伴的存在是否有利于在分娩护理中使用最佳实践。方法这是纵向研究Nascer no Brasil的横截面分析。我们分析了来自巴西南部地区的2,070名妇女的数据。该数据是在2011年2月至2011年8月之间通过访谈和医疗记录收集的。我们进行了双变量和多变量分析，使用带有稳健方差估计的泊松回归来计算粗略和调整的患病率。采用的显着性水平为5％。结果大多数妇女在分娩时有伴侣（51.7％），但在分娩期间（39.4％）或剖宫产（34.8％）的妇女很少。不到一半的妇女享有几种推荐的作法，而不推荐的作法继续被采用。在根据年龄，教育水平，交付费用的支付来源，比价和巴西市场研究所协会的评分进行调整的模型中，同伴的存在在统计上与更大的液体和食物供应相关（aPR = 1.34 ），饮食处方（aPR = 1.34），使用非药物方法缓解疼痛（aPR = 1.37），羊膜切开术（aPR = 1.10），硬膜外或脊柱镇痛（aPR = 1.84），采用非截骨术分娩（aPR = 1.77），分娩，分娩和产后（aPR = 1.62），分娩时皮肤接触（aPR = 1.81）和剖宫产（PR = 2.43）也要留在同一房间减少使用Kristeller动作（aPR = 0.67），三截法（aPR = 0.59）和灌肠（aPR = 0.49）。结论在巴西南部地区，大多数妇女除了接受一些不必要的干预外，还无法获得最佳实践。同伴的存在与几种有益的作法和一些干预措施的减少相关，尽管其他干预措施没有受到影响。

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