Banca de DEFESA: TAYNA MARTINS DE MEDEIROS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : TAYNA MARTINS DE MEDEIROS
DATE: 19/09/2025
TIME: 13:30
LOCAL: Remoto
TITLE:

EVALUATION OF THE COMPLETENESS OF OBSTETRIC RECORDS AND ADHERENCE TO GOOD PRACTICES IN CHILDBIRTH CARE

KEY WORDS:

Maternal and Child Health; Humanized Childbirth; Records; Health Policy.

PAGES: 73
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Assistance during labor and delivery is fundamental to maternal and neonatal health and represents one of the greatest challenges for health systems. However, even with the advances made in recent years, maternal morbidity and mortality remain a serious global public health problem. The quality of this assistance depends on systematic monitoring of labor, adequate recording of clinical information, and the adoption of good practices. This study aimed to analyze the completeness and quality of obstetric records, as well as adherence to good practices in childbirth care. This is a documentary, cross-sectional, quantitative study conducted in a maternity hospital in the interior of Rio Grande do Norte, with 88 medical records of women who gave birth between July 2023 and February 2024. Data analysis was performed using Statistical Package for the Social Sciences, version 22.0, using descriptive statistics, with calculations of absolute and relative frequencies. To assess the completeness of the records, the Romero and Cunha scoring system was used, which were grouped into adequate completeness (<10% incompleteness) and inadequate completeness (>10% incompleteness). The quality of care was assessed using the Bologna Score, composed of five indicators: presence of a companion, use of a partogram, absence of labor stimulation, non-supine delivery position, and skin-to-skin contact. The results showed that incompleteness rates were above 50% in essential variables of the risk stratification forms and partogram, in addition to significant failures in the checklists for safe delivery, in which 14 medical records had no registered checklist, resulting in inconsistencies in the application of safety protocols. Among the deliveries analyzed, 48.9% were cesarean sections, and only 33.3% achieved the maximum score on the Bologna Score, reflecting partial adherence to good practices. It is concluded that the analysis of the completeness of obstetric records, associated with the assessment of adherence to good care practices, can assist in the qualification of childbirth care and in strengthening maternal and neonatal safety. The findings offer insights that can contribute to supporting professional training processes and improving public strategies and policies, such as the Alyne Network, with a view to promoting safer, more humanized, and more efficient care.

COMMITTEE MEMBERS:
Presidente - 1242804 - ADRIANA GOMES MAGALHAES
Interna - 1934762 - FERNANDA DINIZ DE SA
Externa à Instituição - JESSICA DANTAS DE SA TINOCO - UERN