What is it about?

A large group of women in Brazil that participated in a pre-natal education intervention answered a questionnaire about their childbirth experience. The responses related to using some evidence-based practices were analyzed in this study. The practices analyzed here we having continuous doula support, having the companionship of choice, using a Birth Plan, using nonpharmacological pain relief methods, having freedom of mobility during labor, and choosing the position during delivery.

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Why is it important?

The study presents facilitators and barriers to using the evidence-based practices recommended by the World Health Organization. The results indicate the barriers are systemic and need to be faced considering the social and racial differences and structuring of the health system - however - individual knowledge is also crucial to the use of the practices - indicating the intervention was impactful among Brazilian women and could be escalated.


It is a high-quality mixed-method study, increasing the validity of the results. It has a unique perspective because it gives voice to the women who have experienced the childbirth health system in the public and private sectors.

Luisa Fernandes
FIOCRUZ Minas - Instituto Rene Rachou

Read the Original

This page is a summary of: Brazilian women’s use of evidence-based practices in childbirth after participating in the Senses of Birth intervention: A mixed-methods study, PLoS ONE, April 2021, PLOS,
DOI: 10.1371/journal.pone.0248740.
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