Parto e nascimento em processo de humanização do cuidado e as dimensões da comunicação em uma maternidade do estado de Mato Grosso

Abstract

Care at birth and birth is an important challenge in the field of health knowledge. The new practices of parturient-centered care based on scientific evidence, as well as interpersonal communication and teamwork are the topics discussed in this dissertation. It is relevant to research this topic because of the scarcity of the work carried out in the scope of the state of Mato Grosso. The question is how the practice of humanized care in obstetric care and how communication between managers and professionals and between professionals and parturients occurs in a maternity hospital in Cuiabá. We chose a qualitative approach using the Case Study, using observation techniques, document analysis and semistructured interviews with managers, health professionals and primiparous mothers in the maternity ward. Results: For professionals, the incorporation of care practices occurs with significant advances and adoption of devices that incorporate good practices in childbirth and birth. Advances come as the incorporation of the Reception and Risk Classification service, respect for the choice of the woman about her companions, partial use of non-pharmacological methods for pain relief and early skin contact between mother and child. The Hospital Santa Helena presents challenges to qualify the obstetric care that is accentuated due to the number of attendances being greater than the maternity hospital. It maintains care practices that are not advised by scientific evidence such as the routine use of supine position during delivery and the use of oxytocic to accelerate labor. The absence of institutional evaluation mechanisms was observed. The communication established between the managers and professionals presents empathy, but there is no formal organizational space for the team meeting. In the communication between the professionals and the parturient there are two models of communication, one iatrogenic and the other characterized by empathic support. It is concluded that, in order to produce changes in practices in the management of care, it is essential that professionals be able to dialogue as the current practices advocated by the National Humanization Policy (PNH), which exercise communication in a responsible manner and that management Management to reduce asymmetries in the relationship between professionals and parturients.