MATERNAL RESULTS FROM PLANNED HOME BIRTHS ASSISTED BY NURSES FROM THE HANAMI TEAM IN THE SOUTH OF BRAZIL, 2002-2012

Joyce Green Koettker, Odaléa Maria Brüggemann, Roxana Knobel

Texto & Contexto - Enfermagem · 2017 · 15 citations · 25 references

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Abstract

ABSTRACT Objective: described the maternal results of the care with planned home births provided by the Hanami Team in 2002-2012. Method: this transversal study It includes home and hospital births (212). Descriptive analysis was undertaken, with CI 95%, using the SAS/9.1.3 software. Results: the rate of amniotomy was 9.9% (CI 95% 5.9-13.9), of episiotomy was 0.5% (CI 95% 0.5-1.5), the amniotic fluid remained clear in 95.2% (CI 95% 92.4-98), there was no change in fetal heartbeat in 94.3% (CI 95% 92-96.6). The vaginal tears perineal trauma were exclusively of first degree (64.7%; CI 95% 57.8-71.6) and second degree (7.0%; CI 95% 3.4-10.8), it being the case that almost half did not need suturing (46.8%; CI 95% 41.1-52.6). The rate of transfer to hospital was 7.4%, all these cases occurring during labor (CI 95% 3.8 - 11.0). The rate of cesareans in the sample was 9.9%. Conclusions: the women assisted at home undergo few interventions. Rates of complications and transfers to hospital for obstetric reasons were low.

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