0017/2021 - Transição do modelo de ambiência em hospitais que realizam partos na Rede Cegonha Transition of the ambience model in hospitals that deliver in the Rede Cegonha
O artigo analisa a ambiência dos locais de parto, considerando a presença de quartos PPP (Pré-parto, Parto e Pós-Parto) em 575 hospitais que realizam partos no Sistema Único de Saúde no âmbito da Rede Cegonha. Os dados foram extraídos da pesquisa Avaliação da atenção ao parto e nascimento nas maternidades da Rede Cegonha, realizada em 2017 pela UFMA e ENSP, em parceria com o Ministério da Saúde. O modelo de quarto PPP reúne o cuidado às parturientes em um só espaço, favorecendo o protagonismo das mulheres e o exercício de boas práticas de atenção ao parto e nascimento. As informações foram obtidas por observação direta nos serviços e a avaliação considerou a presença e adequação dos quartos PPP e sua distribuição segundo ambiente de pré-parto, que foram cotejadas com características específicas desses hospitais. Prevalecem salas coletivas para os partos e apenas 16,8% dos leitos são quartos PPP. Esse quadro sugere dificuldades de gestão dos recursos, resistências para a realização de mudanças e insuficiências no apoio institucional, que têm dificultado a transição do modelo da ambiência do parto nos hospitais brasileiros. O campo obstetriconeonatal brasileiro tem vivido um período fértil, mas é necessário construir e sustentar disposição político-institucional para avançar nas mudanças.
Palavras-chave:
Rede Cegonha; Salas de Parto; Parto; Humanização; Assistência ao parto.
Abstract:
This article analyzes the ambience adequacy of delivery places considering, the presence of PPP (pre-delivery, parturition and immediate post-partum) rooms, in 575 hospitals that deliver by SUS and are in a health region with the Rede Cegonha Action Plan. The data were extractedthe survey Evaluation of childbirth and birth care in the maternity units of Rede Cegonha, carried out in 2017 by UFMA and ENSP, in partnership with the Health Ministry. The PPP room model combines care in one space, favoring women protagonism, good practices. The information was provided by direct observation in the services and the evaluation considers the presence and adequacy of the PPP room and their distribution according to the pre-delivery environment, which were confronted with specific characteristics of the hospitals. Collective birth rooms prevail and only 16.8% of the beds are in PPP rooms. Difficulties in resource management, resistance to changes in the care mode for childbirth and birth and insufficiencies in institutional support have hindered the transition and adequacy of the delivery environment model in Brazil. The Brazilian obstetric and neonatal field has lived a fertile period, but it is necessary to build and sustain political-institutional disposition to advance the changes.
Transition of the ambience model in hospitals that deliver in the Rede Cegonha
Resumo (abstract):
This article analyzes the ambience adequacy of delivery places considering, the presence of PPP (pre-delivery, parturition and immediate post-partum) rooms, in 575 hospitals that deliver by SUS and are in a health region with the Rede Cegonha Action Plan. The data were extractedthe survey Evaluation of childbirth and birth care in the maternity units of Rede Cegonha, carried out in 2017 by UFMA and ENSP, in partnership with the Health Ministry. The PPP room model combines care in one space, favoring women protagonism, good practices. The information was provided by direct observation in the services and the evaluation considers the presence and adequacy of the PPP room and their distribution according to the pre-delivery environment, which were confronted with specific characteristics of the hospitals. Collective birth rooms prevail and only 16.8% of the beds are in PPP rooms. Difficulties in resource management, resistance to changes in the care mode for childbirth and birth and insufficiencies in institutional support have hindered the transition and adequacy of the delivery environment model in Brazil. The Brazilian obstetric and neonatal field has lived a fertile period, but it is necessary to build and sustain political-institutional disposition to advance the changes.
Pasche, D. F., Passatti, M., Accioli, L., Matão, M.E.L, Soares, D. B., Caramaschi, A.P.C.. Transição do modelo de ambiência em hospitais que realizam partos na Rede Cegonha. Cien Saude Colet [periódico na internet] (2021/jan). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/transicao-do-modelo-de-ambiencia-em-hospitais-que-realizam-partos-na-rede-cegonha/17916?id=17916&id=17916
