The insertion of the nurse midwife in delivery and birth: obstacles in a teaching hospital in the Rio de Janeiro state

• Main Authors: Rosangela da Conceição Sant'anna Amaral (Author), Valdecyr Herdy Alves (Author), Audrey Vidal Pereira (Author), Diego Pereira Rodrigues (Author), Luana Asturiano da Silva (Author), Giovanna Rosário Soanno Marchiori (Author)
• Format: Book
• Published: Universidade Federal do Rio de Janeiro, 2019-02-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2177-9465; 10.1590/2177-9465-ean-2018-0218
• Keywords: Maternal and Child Health Services; Woman's Health; Delivery; Humanization of Assistance; Nurse Midwives; Nursing; RT1-120
• Source: Escola Anna Nery, Vol 23, Iss 1 (2019)

ABSTRACT Objective: analyze the insertion of the nurse midwife in a teaching hospital in Rio de Janeiro State. Method: descriptive, exploratory study of qualitative nature, study case type, carried out in a maternity in the mountain region, with nine healthcare professionals and six managers. The data collection occurred from December 2016 to March 2017, by semi-structured interviews that subsequently transcribed and submitted to content analysis in the thematic modality. Results: difficulties were observed for the insertion of the nurse midwife such as: lack of specialist nurses in the delivery room; absence of space for the professional autonomy; political partisans influence in the health management; acting conflict with the obstetricians; no team support, mainly with regard to workers qualification. Conclusion: this study shows the need for direct insertion of the nurse midwife in delivery and birth, especially valuing humanized care and autonomy for professional practice.