Avaliação dos indicadores da rede cegonha em um hospital terciário de referência em obstetrícia de Fortaleza

Abstract

This study aimed to evaluate the rates of good practices in the parturition and birth component advocated by the Ministry of Health (MS), through the ‘Rede Cegonha’ indicators, performed by the General Hospital of Fortaleza (HGF), which is tertiary Hospital of the State network referral in gynecological and obstetrics care located in Fortaleza/CE. This is an observational cross - selectional study, with a quantitative approach, performed at the obstetrical center of the General Hospital of Fortaleza. The sample was composed of the FormSUS forms filled with date collected through the ‘Ficha de Monitoramento de Atenção ao Parto e Nascimento’ used in the institution of all women hospitalized from June 2013 to march 2015 and who progressed to natural or cesarean parturition. After the collection, the data was analyzed during the period from December 2017 to June 2018. According to the results, it was observed that, in general, there was an increase in the rate of the indicators recommended by the ‘Rede Cegonha’ for the good practices in the parturition and birth component, for example, the use of nonpharmacological methods for pain relief, skin to skin contact of the newborn with the mother and breast feeding in the first hour of the birth. However, there is still a difficult in the execution of some indicators, specially in relation to the low rate in the parturitions performed by obstetrician nurses and the increase of the oxytocin since the implantation of the ‘Rede Cegonha’ in the Hospital. In general, the institution met what is recommended by the ‘Rede Cegonha’ there was an increase in the good practices in the care of parturition and birth, although this increase occurred subtly.