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[Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot
Clodoaldo Tentes Côrtes1, Rafael Cleison Silva Dos Santos1, Adriana de Souza Caroci2
1Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Objective:
Presenting methodology for transferring knowledge to improve maternal outcomes in natural delivery based on scientific evidence.
Method:
An intervention study conducted in the maternity hospital of Itapecerica da Serra, SP, with 50 puerperal women and 102 medical records from July to November 2014. The PACES tool from Joanna Briggs Institute, consisting of pre-clinical audit (phase 1), implementation of best practice (phase 2) and Follow-up Clinical Audit (phase 3) was used. Data were analyzed by comparing results of phases 1 and 3 with Fisher's exact test and a significance level of 5%.
Results:
The vertical position was adopted by the majority of puerperal women with statistical difference between phases 1 and 3. A significant increase in bathing/showering, walking and massages for pain relief was found from the medical records. No statistical difference was found in other practices and outcomes. Barriers and difficulties in the implementation of evidence-based practices have been identified. Variables were refined, techniques and data collection instruments were verified, and an intervention proposal was made.
Conclusion:
The study found possibilities for implementing a methodology of practices based on scientific evidence for assistance in natural delivery.
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