Background: The skills of midwives in childbirth care competence are still inadequate. This problem is influenced by limitation experience of midwifery students of childbirth care in the field of practice area. That c...Background: The skills of midwives in childbirth care competence are still inadequate. This problem is influenced by limitation experience of midwifery students of childbirth care in the field of practice area. That condition related to the proportion of midwifery students and case of childbirth woman was an imbalance. Midwifery students must prepare this competence in an education with childbirth care experience from practice in the laboratory and in the field of practice. Reflective learning is an appropriate learning method that uses experience as the basis of learning to improve childbirth care competence of midwifery students. Objective: This study is to analyze the effect of reflective learning implementation in childbirth care practice to improve students’ competence. Method: This research uses quasi-experimental design with non-equivalent control group design. The respondents were midwifery students in the fourth semester who had experienced the theory of childbirth care. There were totally 64 samples, 34 samples for treatment group and 30 samples for control group. Data were analyzed by using unpaired t test, Mann Whitney U and linear regression. Results: The respondents were homogeny in motivation and grade point of average (GPA). The improvement of childbirth care competency is influenced by treatment of 19.064 with R2 = 57.7%. Conclusion: The implementation of reflective learning in childbirth care practice affected the improvement of students’ competence.展开更多
Objective: To compare and identify possible differences in the use of the partogram in different models of delivery and birth care. Design/Setting: This was a cross-sectional study performed in two Brazilian hospitals...Objective: To compare and identify possible differences in the use of the partogram in different models of delivery and birth care. Design/Setting: This was a cross-sectional study performed in two Brazilian hospitals with different models of care: Natural Birth Center (NBC) and Traditional Obstetric Center (TOC). Data were collected from the medical records of 112 mothers with low obstetric risk who underwent an intrapartum cesarean section. Socioeconomic and demographic variables, obstetric history, partogram labor evolution, complications, and indication of cesarean section were included. A significance level of 5% and a confidence interval of 95% were considered. Data were analyzed in accordance with the Brazilian Ministry of Health and World Health Organization recommendations. Findings: In the NBC, the use of the partogram follows the Ministry of Health recommendations for filling-in variables with greater frequency and significance (p p = 0.00, OR = 42.2) and continuous records (p = 0.00, OR = 53.3). However, obstetric interventions, such as use of oxytocin, amniotomy and cesarean delivery were concentrated in area 1 of the partogram in both institutions. Conclusions: In this study, the NBC used the instrument most adequately;however there was no difference from the other model (TOC) and regarding the moment of interventions, many of them were early. This finding implies that, regardless of the care model, the partogram has been used bureaucratically and not as a guiding instrument of assistance envisioning safely and timely practices. In other words, aside from a “humanized” physical structure, it is necessary that obstetric practices should be focused on best evidence, thus reducing maternal and perinatal risks.展开更多
文摘Background: The skills of midwives in childbirth care competence are still inadequate. This problem is influenced by limitation experience of midwifery students of childbirth care in the field of practice area. That condition related to the proportion of midwifery students and case of childbirth woman was an imbalance. Midwifery students must prepare this competence in an education with childbirth care experience from practice in the laboratory and in the field of practice. Reflective learning is an appropriate learning method that uses experience as the basis of learning to improve childbirth care competence of midwifery students. Objective: This study is to analyze the effect of reflective learning implementation in childbirth care practice to improve students’ competence. Method: This research uses quasi-experimental design with non-equivalent control group design. The respondents were midwifery students in the fourth semester who had experienced the theory of childbirth care. There were totally 64 samples, 34 samples for treatment group and 30 samples for control group. Data were analyzed by using unpaired t test, Mann Whitney U and linear regression. Results: The respondents were homogeny in motivation and grade point of average (GPA). The improvement of childbirth care competency is influenced by treatment of 19.064 with R2 = 57.7%. Conclusion: The implementation of reflective learning in childbirth care practice affected the improvement of students’ competence.
文摘Objective: To compare and identify possible differences in the use of the partogram in different models of delivery and birth care. Design/Setting: This was a cross-sectional study performed in two Brazilian hospitals with different models of care: Natural Birth Center (NBC) and Traditional Obstetric Center (TOC). Data were collected from the medical records of 112 mothers with low obstetric risk who underwent an intrapartum cesarean section. Socioeconomic and demographic variables, obstetric history, partogram labor evolution, complications, and indication of cesarean section were included. A significance level of 5% and a confidence interval of 95% were considered. Data were analyzed in accordance with the Brazilian Ministry of Health and World Health Organization recommendations. Findings: In the NBC, the use of the partogram follows the Ministry of Health recommendations for filling-in variables with greater frequency and significance (p p = 0.00, OR = 42.2) and continuous records (p = 0.00, OR = 53.3). However, obstetric interventions, such as use of oxytocin, amniotomy and cesarean delivery were concentrated in area 1 of the partogram in both institutions. Conclusions: In this study, the NBC used the instrument most adequately;however there was no difference from the other model (TOC) and regarding the moment of interventions, many of them were early. This finding implies that, regardless of the care model, the partogram has been used bureaucratically and not as a guiding instrument of assistance envisioning safely and timely practices. In other words, aside from a “humanized” physical structure, it is necessary that obstetric practices should be focused on best evidence, thus reducing maternal and perinatal risks.
