Tecnologias de cuidado obstétrico aplicadas à parturiente de alto risco durante o trabalho de parto e parto.

Abstract

In Brazil, approximately two million births occur per year, of which 57.01% occur surgically. This data reinforces that the birth care model is predominantly technocratic, hypermedicalized and marked by the inadequate and, at times, excessive use of obstetric care technologies. This study aimed to describe the technologies applied to high-risk parturient women during labour and delivery in a high-risk maternity hospital. This was a cross-sectional, exploratory, observational study, with a quantitative approach, carried out at the Maternidade Escola Santa Mônica, in Maceió-AL, with 145 participants, carried out from May to October 2022, after approval by the Ethics Committee through resolutions nº 466/2012, 510/2016 and 580/2018 of the National Health Council (CNS). The sample studied was made up of women, mostly brown skinned women, with an age between 20 and 29 years old, with a family income of up to one minimum wage, who had completed high school and were single. In clinical variables, it was found that the majority of pregnancies were full-term, of the single type, with at least 6 prenatal consultations and a more prevalent neonatal outcome in rooming-in. Listing the most used care technologies, the prevalence of soft and hard technologies in the high-risk scenario was noticed. From the results of this study, we can identify that in the high-risk scenario studied, soft and hard technologies were the most used, thereby, among hard technologies, cesarean surgery was the one with the highest prevalence. It is worth highlighting the need to make better use of soft-hard technologies, in order to provide a better birth experience for women.