Nursing care during normal childbirth: implications for women’s satisfaction and safety
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v18.14796Keywords:
natural childbirth, patient satisfaction, obstetric nursing, humanization of care, patient safetyAbstract
Introduction: The aim of this study was to describe nursing care practices aimed at ensuring women’s satisfaction and safety during childbirth. Methodology: This was an evaluative study conducted from August to October 2024 at a referral hospital in the 6th Health Micro-Region of Ceará. Data were collected from women who experienced vaginal delivery using the Mackey Scale for Assessment of Satisfaction with Childbirth. Results: Regarding satisfaction with care, 48% of participants reported being satisfied and 24% very satisfied. The factors most strongly associated with satisfaction included humanized practices, emotional support, and the use of non-pharmacological methods for pain relief. Conclusions: Nursing care proved to be crucial for the quality and humanization of the childbirth experience, contributing to positive outcomes, a sense of safety, and female empowerment.
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Cardoso DC, Dias Barbosa M, Hora Mendes N, Hora Mendes N, Pereira Silva A, Queiros Bonfim N, et al. A importância do parto humanizado: uma revisão bibliográfica. Rev Eletron Acervo Saude. [Internet]. 2020 [acesso em 28 de fevereiro 2020];e2442. Disponível em: https://doi.org/10.25248/reas.e2442.2020.
Hardy S, Paramarta V, Info A. Impact of risk management, safety culture, and service quality on patient satisfaction. Int J Econ Account Manag. [Internet]. 2025 [cited 2025];1(6):e1106. Available from: https://doi.org/10.60076/ijeam.v1i6.1106.
Oliveira Silva MB, Sousa LAA. Auxílio do enfermeiro na humanização no parto normal. SciGen. [Internet]. 2024 [acesso em 7 de novembro 2024];5(2):540-50. Disponível em: https://doi.org/10.22289/sg.V5N2A57.
Falk M, Nelson M, Blomberg M. The impact of obstetric interventions and complications on women’s satisfaction with childbirth: a population-based cohort study including 16,000 women. BMC Pregnancy Childbirth. [Internet]. 2019 [cited 2019 Dec];19(1). Available from: https://doi.org/10.1186/s12884-019-2633-8.
Hermann JGAM, Trelha LL, Carvalho MCT. Assistência de enfermagem no parto humanizado. Rev FT. [Internet]. 2024 [acesso em 26 de julho 2024];29(140):21-2. Disponível em: https://revistaft.com.br/assistencia-de-enfermagem-no-parto-humanizado/.
Navas Arrebola R, Peteiro Mahía L, Blanco López S, López Castiñeira N, Seoane Pillado T, Pertega Díaz S. Women’s satisfaction with childbirth and postpartum care and associated variables. Rev Esc Enferm USP. [Internet]. 2021 [cited 2021];55:e03720. Available from: https://doi.org/10.1590/S1980-220X2020006603720.
Franchi JVO, Pelloso SM, Ferrari RAP, Cardelli AAM. A estrutura de maternidades como indicador de segurança materna. Cienc Cuid Saude. [Internet]. 2019 [acesso em 12 de agosto 2019];18(4). Disponível em: https://doi.org/10.4025/ciencuidsaude.v18i4.45049.
Lopes F, Carvas Júnior N, Nakamura MU, Nomura RMY. Content and face validity of the Mackey Childbirth Satisfaction Rating Scale questionnaire cross-culturally adapted to Brazilian Portuguese. Rev Bras Ginecol Obstet. [Internet]. 2019 [cited 2019 Jun 26];41(6). Available from: https://doi.org/10.1055/s-0039-1692125.
Brasil. Conselho Nacional de Saúde. Resolução nº 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diario Oficial da Uniao. [Internet]. 2012 [acesso em 8 de maio 2024]. Disponível em: https://www.gov.br/conselho-nacional-de-saude/pt-br/atos-normativos/resolucoes/2012/resolucao-no-466.pdf/view.
Brasil. Conselho Nacional de Saúde. Resolução nº 510, de 7 de abril de 2016. Dispõe sobre normas aplicáveis a pesquisas em Ciências Humanas e Sociais. Diario Oficial da Uniao. [Internet]. 2016 [acesso em 8 de maio 2024]. Disponível em: https://www.gov.br/conselho-nacional-de-saude/pt-br/atos-normativos/resolucoes/2016/resolucao-no-510.pdf/view.
Raposo NM, Jurgens CY. Nurses' role in the birth experience. MCN Am J Matern Child Nurs. [Internet]. 2025 [cited 2025 Mar];50(2). Available from: https://doi.org/10.1097/nmc.0000000000001080.
Palharini LA, Figueirôa SFM. Gênero, história e medicalização do parto: a exposição “Mulheres e práticas de saúde”. Hist Cienc Saude Manguinhos. [Internet]. 2018 [acesso em dezembro 2018];25(4). Disponível em: https://doi.org/10.1590/S0104-59702018000500008.
Curtin M, Murphy M, Savage E, O’Driscoll M, Leahy-Warren P. Midwives’, obstetricians’, and nurses’ perspectives of humanised care during pregnancy and childbirth for women classified as high risk in high income countries: a mixed methods systematic review. PLoS One. [Internet]. 2023 [cited 2023 Oct 25];18(10):e0293007. Available from: https://doi.org/10.1371/journal.pone.0293007.
Ramos TM, Carmona EV, Balaminut T, Sanfelice CFO. Avaliação da satisfação de mulheres com trabalho de parto e parto em hospital de ensino. Rev Gaucha Enferm. [Internet]. 2022 [acesso em 1 de janeiro 2022];43:e20210286. Disponível em: https://doi.org/10.1590/1983-1447.2022.20210286.pt.
World Health Organization. Recommendations: intrapartum care for a positive childbirth experience. Geneva: World Health Organization; 2018.
Brasil. Ministério da Saúde. Portaria nº 5.350, de 13 de setembro de 2024. Institui a Rede Aline e define suas diretrizes no âmbito do SUS. Diario Oficial da Uniao. [Internet]. 2024 [acesso em 30 de outubro 2025]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2024/prt5350_13_09_2024.html.
Dönmez A, Yeşil Y. Factors affecting maternal satisfaction in labor and neonatal outcomes: a cross-sectional study. Afr J Reprod Health. [Internet]. 2024 [cited 2024 Nov 30];28(11). Available from: https://doi.org/10.29063/ajrh2024/v28i11.9.
McCutcheon A, Zhou H, Steen M. Maternal birth satisfaction relating to intraoperative and early postpartum skin-to-skin contact with the neonate during caesarean birth: an integrative review. Nurs Rep. [Internet]. 2025 [cited 2025 Jan 20];15(1). Available from: https://doi.org/10.3390/nursrep15010028.
Santos LMD, Silva JCR, Carvalho ESS, Carneiro AJS, Santana RCB, Fonseca MCC. Experiencing skin to skin contact with the baby during the postpartum period as a mechanical act. Rev Bras Enferm. [Internet]. 2014 [acesso em 1 de janeiro 2014];67(2). Disponível em: https://doi.org/10.5935/0034-7167.20140026.
Akselsson A, Small R, Ternström E, Westholm L. Midwives’ communication with non-Swedish-speaking women giving birth: a survey from a multicultural setting in Sweden. Eur J Midwifery. [Internet]. 2022 [cited 2022 Jun 16];6. Available from: https://doi.org/10.18332/ejm/148159.
Janevic T, Piverger N, Afzal O, Howell EA. “Just because you have ears doesn’t mean you can hear”: perception of racial-ethnic discrimination during childbirth. Ethn Dis. [Internet]. 2020 [cited 2020 Sep 24];30(4). Available from: https://doi.org/10.18865/ed.30.4.533.
Van Der Pijl MSG, Kasperink M, Hollander MH, Verhoeven C, Kingma E, De Jonge A. Client-care provider interaction during labour and birth as experienced by women: respect, communication, confidentiality and autonomy. PLoS One. [Internet]. 2021 [cited 2021 Feb 12];16(2):e0246697. Available from: https://doi.org/10.1371/journal.pone.0246697.
Afulani PA, Buback L, Kelly AM, Kirumbi L, Cohen CR, Lyndon A. Providers’ perceptions of communication and women’s autonomy during childbirth: a mixed methods study in Kenya. Reprod Health. [Internet]. 2020 [cited 2020 Dec];17(1). Available from: https://doi.org/10.1186/s12978-020-0909-0.
Leite VC, Gasquez AS, Bertoncim KRI. Estratificação de risco em gestantes no pré-natal. Rev Uninga. [Internet]. 2019 [acesso em 17 de março 2019];56(S2). Disponível em: https://doi.org/10.46311/2318-0579.56.eUJ2160.
Kalyan SSG, Bhardwaj G, Shafqat N, Verma M. Preferences and factors determining preferences for mode of delivery among primigravida mothers. J Family Med Prim Care. [Internet]. 2024 [cited 2024 Apr];13(4). Available from: https://doi.org/10.4103/jfmpc.jfmpc_1365_23.
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