The Need for a Competence Matrix in Delivery Rooms for the Proper Work of Multiprofessional Teams - Revista Brasileira de Ginecologia e Obstetrícia
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):01-03
The Brazilian Ministry of Health (MH) is, although belatedly, actually concerned about the quality of maternal and childcare. Indeed, the Brazilian national indicators related to maternal and child mortality, the low quality of prenatal care, illustrated by the sharp growth in the number of cases of syphilis in pregnant women and congenital syphilis in recent years, the high rates of cesarean sections (C-sections; Brazil is the second country in C-section rates in the world), and the poor quality of delivery care, so broadly and repeatedly exposed in the media, are alarming. There is an endless number of failures that may be attributed to the poor performance of the Brazilian health system, including private health insurance plans.
Regarding delivery care, it is widely known that it requires more attention, taking into account the situation of imminent risk to which the mother and her fetus are exposed. The World Health Organization (WHO) has recently issued a publication entitled Intrapartum Care for a Positive Childbirth Experience, with recommendations for care during labor and delivery based on an extensive review of published studies, as well as care protocols from several countries. These data were submitted to evaluation by an external commission, which included experts from the International Federation of Gynecology and Obstetrics (known by its French acronym FIGO). The WHO document was analyzed and endorsed by the Brazilian Federation of Gynecology and Obstetrics Associations’ (Febrasgo, in Portuguese) National Specialized Commission for Childbirth and Postpartum Care. It establishes the recommended and non-recommended practices according to the 2018 WHO intrapartum care model (considering healthy mothers and fetuses or newborns). Other articles about good practices in delivery care can be found in some publications in the Brazilian literature.
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The Brazilian Ministry of Health (MH) is, although belatedly, actually concerned about the quality of maternal and childcare. Indeed, the Brazilian national indicators related to maternal and child mortality, the low quality of prenatal care, illustrated by the sharp growth in the number of cases of syphilis in pregnant women and congenital syphilis in recent years, the high rates of cesarean sections (C-sections; Brazil is the second country in C-section rates in the world), and the poor quality of delivery care, so broadly and repeatedly exposed in the media, are alarming. There is an endless number of failures that may be attributed to the poor performance of the Brazilian health system, including private health insurance plans.
Regarding delivery care, it is widely known that it requires more attention, taking into account the situation of imminent risk to which the mother and her fetus are exposed. The World Health Organization (WHO) has recently issued a publication entitled Intrapartum Care for a Positive Childbirth Experience, with recommendations for care during labor and delivery based on an extensive review of published studies, as well as care protocols from several countries. These data were submitted to evaluation by an external commission, which included experts from the International Federation of Gynecology and Obstetrics (known by its French acronym FIGO). The WHO document was analyzed and endorsed by the Brazilian Federation of Gynecology and Obstetrics Associations' (Febrasgo, in Portuguese) National Specialized Commission for Childbirth and Postpartum Care. It establishes the recommended and non-recommended practices according to the 2018 WHO intrapartum care model (considering healthy mothers and fetuses or newborns). Other articles about good practices in delivery care can be found in some publications in the Brazilian literature.
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