Revista de Saúde Pública
Print version ISSN 0034-8910
BRUGGEMANN, Odaléa Maria; OSIS, Maria José Duarte and PARPINELLI, Mary Angela. Support during childbirth: perception of health care providers and companions chosen by women. Rev. Saúde Pública [online]. 2007, vol.41, n.1, pp. 44-52. Epub Feb 16, 2007. ISSN 0034-8910. http://dx.doi.org/10.1590/S0034-89102006005000015.
OBJECTIVE: To understand health care providers' perception on managing laboring women in the presence of a labor companion of their choice, and the labor companion's perception of this experience. METHODS: A qualitative study was conducted based on a controlled randomized clinical trial. Sampling was intentional and determined through information saturation. Semi-structured interviews were carried out with 11 health care providers and 16 laboring companions in the obstetric unit of a maternity facility at the hospital complex, in Campinas, Southern Brazil, between October 2004 and March 2005. The thematic analysis of discourse was applied using the following methodological figures: central idea, key expressions and discourse of the collective subject. RESULTS: The most remarkable central ideas of health care providers were: no difference was observed in managing laboring women with a labor companion; positive changes were noted in labor management when a labor companion was present; the companion provided emotional support to laboring women who were more pleased, and felt safer and peaceful; many positive aspects were seen in the behavior and involvement of laboring women with a labor companion; the companion caused no problems and encouraged health providers to engage in a more humane and less routine attitude. The main central ideas of labor companions were: positive feelings, emotions, a sense of satisfaction with the experience; being with the laboring woman was a great opportunity to provide her emotional support; and they felt welcome by health care providers. CONCLUSIONS: Health providers considered positive the support provided by a labor companion and had no problems in managing laboring women in the presence of their companions. Labor companions were pleased and happy with this experience. There was no conflicting opinions.
Keywords : Humanizing delivery; Patient care team; Health knowledge [attitudes, practice]; Qualitative research; Patient's companion.