Análise da assistência obstétrica prestada a gestantes de alto risco no centro obstétrico de um hospital universitário

Abstract

Objective: To analyze the obstetric interventions experienced by high-risk pregnant women in the obstetric center of a university hospital. Method: Quantitative, cross-sectional research, with analysis of 420 medical records of women with high-risk pregnancies who had their deliveries from January to March 2020. For data collection, a questionnaire was used that addressed the following aspects: data of the pregnant woman, data of hospitalization, monitoring of labor, data of delivery, data of the newborn, data of postpartum, sentinel events. Data collection took place from the electronic medical records of the Women's Health Care Unit selected in the Medical Archive Service and the sheet of obstetric indicators used in the service. Results: Regarding labor, 37.14% underwent some type of induction. Most women underwent a cesarean delivery (62.14%), 82.32% of which were for elective cesarean delivery and in 16.98% of those who had vaginal deliveries (37.86%), an episiotomy was performed. Final considerations: The study showed a high rate of obstetric interventions, the most frequent being elective cesarean section and episiotomy. The humanization of care has been strengthened by the increase in the adoption of good practices in childbirth and birth, but it still faces obstacles to progress, such as the intense medicalization of labor and delivery. There needs to be a change in the way in which the pregnancy-puerperal cycle is viewed by health professionals in obstetric care to provide comprehensive care to high-risk pregnant women.