Overcoming the culture of physical immobilization of birthing women in Brazilian healthcare system? Findings of an intervention study in São Paulo, Brazil

Overcoming the culture of physical immobilization of birthing women in Brazilian healthcare system? Findings of an intervention study in São Paulo, Brazil

Overcoming the culture of physical immobilization during labor and birth remains a challenge in Brazil. This study identified facilitators and barriers to implementing freedom of movement throughout labor and birth in a pilot project of the Mother-Baby Friendly Birthing Facilities Initiative in a pu...

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Bibliographic Details
Published in:Interface (Botucatu, Brazil) Vol. 23
Main Authors: Niy, Denise Yoshie, Valéria Clarisse de Oliveira, Luma Rodrigues de Oliveira, Bruna Dias Alonso, Carmen Simone Grilo Diniz
Format: Journal Article
Language:English
Published: Botucatu Universidade Estadual Paulista "Julio de Mesquita Filho" Fundacao U N I 01-01-2019
Subjects:
Accreditation
Attrition (Research Studies)
Evidence
Females
Focus groups
Freedom
Gynecology
Health services
Initiatives
Innovations
International agreements
International organizations
Laboratories
Maternal mortality
Meetings
Mothers
Observation
Obstetrics
Participant Observation
Physiology
Professional Training
Professionals
Social Organizations
Undergraduate Students
Women
Working groups
Brazil
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Summary:Overcoming the culture of physical immobilization during labor and birth remains a challenge in Brazil. This study identified facilitators and barriers to implementing freedom of movement throughout labor and birth in a pilot project of the Mother-Baby Friendly Birthing Facilities Initiative in a public maternity facility in São Paulo, Brazil using the Change Laboratory methodology. There was a divergence between health managers’ and professionals’ perceptions of maternal care practice and those of the service users and the observations made in the facility. Freedom of movement seemed to be more respected during labor than at birth. Birthing mothers were regularly “positioned” in the lithotomy position, considered by health professionals to be an “instinctive” or “preferred” position. Women reported that they failed to take the initiative to move for fear of being reprimanded by health professionals. Simple changes to the ambience and professional training for health professionals in care provision in nonsupine positions could help foster change.
ISSN:1414-3283
1807-5762
DOI:10.1590/interface.180074