Barriers to implementing childbirth recommendations in Brazil

The women’s perspective

Bibliographic Data

ID14964990
AuthorsÁvila Teixeira Vidal (0000-0003-4494-6888, Universidade de Brasília (UnB), Faculdade de Ciências da Saúde, Departamento de Saúde Coletiva, Brasília (DF), Brazil., corresponding author), Jorge Otávio Maia Barreto (0000-0002-7648-0472, Fundação Oswaldo Cruz (Fiocruz), Brasília (DF), Brazil.), Daphne Rattner (0000-0003-1354-9521, Universidade de Brasília (UnB), Faculdade de Ciências da Saúde, Departamento de Saúde Coletiva, Brasília (DF), Brazil.)
Year2021
Volume45
Pages1
Publication date2021-02-22
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2021.17
PMID33643400
OpenAlexW3131362791
LanguageEN
Citations received4
References cited17

Objectives. To identify barriers to the implementation of National Childbirth Guidelines in Brazil from the women’s perspective. Methods. A descriptive exploratory study was performed using a qualitative approach and an interpretive perspective. The hermeneutic unit of analysis was established based on the contribution of users to a public online consultation about the National Childbirth Guidelines in Brazil, performed in 2016 by the National Committee for Health Technology Incorporation into the Unified Health System (CONITEC). Content analysis techniques were used to examine the answers provided to the following specific question: “Considering your local reality, what would hinder the implementation of this protocol or guideline?” Results. Of 396 contributions recorded by CONITEC, 55 were included in the content analysis. The mean age of women was 31 years, with most self-declared as white (69%) and living in the Southeast of Brazil (56.3%). Coding revealed seven barrier categories, which were grouped into three families — barriers related to 1) professional training and culture (which highlighted the centrality of physicians, not women, in childbirth), 2) social culture (general population not well informed), and 3) political and management issues (little interest on the part of managers, lower physician compensation for vaginal childbirth vs. cesarian section, and poor hospital infrastructure). Conclusions. Aspects of professional training and culture, social culture, and political as well as management issues are critical points to be considered in future interventions aiming at overcoming or weakening the barriers to implementing childbirth recommendations in Brazil

Childbirth · Content analysis · Population · Pregnancy · Psychological intervention · Social science · Sociology · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Maternal and Perinatal Health Interventions · Medicine · Nursing · Psychology

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