Banca de DEFESA: MORGANNE ARRUDA GOMES VIEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : MORGANNE ARRUDA GOMES VIEIRA
DATE: 11/03/2026
TIME: 15:00
LOCAL: GOOGLE MEET
TITLE:

ASSESSMENT OF THE QUALITY OF CARE FOR IMPLEMENTATION OF THE SAFE CHILDBIRTH CHECKLIST IN A HIGH-RISK MATERNITY HOSPITAL IN NORTHEAST BRAZIL

KEY WORDS:

Checklist; maternal mortality; neonatal mortality; patient safety

PAGES: 66
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Maternal and infant mortality remains a serious public health problem in Brazil and worldwide. Faced with this challenge, the World Health Organization proposes the use of the Safe Childbirth Checklist as a safety tool in childbirth care, addressing the main causes of maternal morbidity and mortality. Objective: To evaluate the quality of childbirth care for the implementation of the WHO Safe Childbirth Checklist (SCC) in a high-risk maternity hospital in Northeast Brazil. Methodology: An analytical, cross-sectional observational study with a quantitative approach, conducted in a high-risk maternity hospital, followed these steps: a) identification of opportunities for improvement; b) analysis of the causes of the opportunities for improvement; c) context assessment for improvement projects using MUSIQ; d) adaptation of the SCC to the local context; e) measurement of quality criteria, which were good practices (GP) and adverse events (AE) related to childbirth; and f) participatory planning of interventions centered on the SCC. Research participants included healthcare professionals, quality management staff, and leadership. For the evaluation of quality criteria, data from 212 individuals (mother-baby pair) were analyzed. Absolute and relative frequencies were used in the analysis of the criteria. Results: The causes of poor quality are related to low adherence to protocols, lack of continuing education, structural weaknesses, and clinical management issues. The context analysis indicated that the project can be successful, but there are possible contextual barriers and the adaptation of the LVPS (Laboratory of Life Support). The average completion rate of birth certificates (BC) for mothers was 52.2%, with the completion of the partogram being the least frequent (0.9%). For babies, the average BC completion rate was 43.4%, with the least frequent being identification with the bracelet (15.1%). Neonatal death occurred in 38.7% of births and maternal death in 4.75%. Interventions for the implementation of the LVPS included an adaptation and training phase for its use. Conclusions: Significant weaknesses were identified in the quality of childbirth and newborn care, especially regarding the high frequency of serious adverse events in mothers and newborns. The relevance of implementing the SCC was highlighted, as well as adherence to good practices and evidence-based care. Investing in contextual improvements that provide an organizational environment conducive to cycles of improvement in childbirth care is fundamental.

COMMITTEE MEMBERS:
Presidente - 1674688 - TATYANA MARIA SILVA DE SOUZA ROSENDO
Interna - 1222022 - CECILIA OLIVIA PARAGUAI DE OLIVEIRA SARAIVA
Externa à Instituição - SUSANA CECAGNO - UFPel