Practices of perinatology team professionals crossed by safe and family-centered maternity, Córdoba 2015

Abstract

This research aimed to visualize if health professionals know and have the Rights Approaching incorporated into their practices. This paradigm is supported by a current legal framework where rights and laws are established. This regulatory framework endorses and gives value to the conception of Safe and Family Centered Maternity (SFCM). It provides laws and principles that women, newborns and family have during pregnancy, labor (L), childbirth (B), puerperium and lactation. Our goal was to determine wether professionals of the Perinatology Service at Hospital Misericordia, Córdoba, know and apply in their practices the laws that involve the SFCM model. A descriptive, cross-sectional study was accomplished from March to October 2014, during wich 81 professionals were surveyed (including neonatologists, nurses, obstetricians, biochemists, psychologists, physiotherapists, nutritionists and social workers). The questionnaire was developed by UNICEF. In the first part, sociodemographic data and knowledge of the laws on SFCM were approached. In the second part, the instrument aadapted by the Ministry of Health, was applied. In each question the person answered Yes or No. Finally all the answers “YES” were added obtaining the percent of compliance. Of all professionals interviewed, 56.3% know the laws of women, mothers, children and families; however, only 8.6% of them carry out their practices based on SFCM. The least completed is the practice during“L” and “B”, while the most completed is joint mother-child hospitalization. There was a statistical association between: knowledge of the laws and sex (since women reported more knowledge than men); knowledge of the laws and working situation (as permanent plant and contract report more knowledge); among postgraduate training in rights and knowledge of laws (the more training, the more knowledge); among specialty and knowledge (nurses and neonatologists report more knowledge). However, among these same variables and practices based on SFCM there is no association, showing the disarticulation between theory and practice.