| Alignment between theoretical content and practice |
Programmatic content |
“We have an entire program, a programmatic content, revised annually, which is the pedagogical project, and in the content, the topic of good practices is addressed” (N1) |
| “During the residency development, they have a workshop, they are tutored on good practices, which would be the theoretical part and they come to apply them, [...] then they are taught by us, with all the resources and mechanisms that facilitate good practices and they learn together with us, watching us do it and performing these good practices with us” (N13) |
| “One of the first modules they have in the theoretical program of medical residency is childbirth care and in this module, they have all the items related to good practices in childbirth care. Moreover, during the practical activity, the theoretical part is put into practice. It is seen in theory and at the moment of practice” (P1) |
| Theoretical and practical moment |
“We address it at all times, in lectures and during practice, every time we provide assistance, we use good practices and pass this on to the residents” (N3) |
| “Currently, practice is more in line with theory and since the beginning, from the public policies of the first module, we see the protocols, the evidence [...] the residency is guided by them, it is grounded on these Good Practices” (N4) |
| “It is seen in the theoretical-practical program together with the other items that are part of the theoretical program and then it is taught in daily practice” (P9) |
| Practices in normal birth care |
Evidently useful practices |
“The non-pharmacological methods, we try to use all of them” (N12) |
| “The presence of a companion and free-choice doula” (N5) |
| “[...] skin-to-skin contact, delayed clamping of the cord, breastfeeding within the first hour of delivery” (P9) |
| “[...] I ask, talk to the woman, look her in the eye, listen to what she has to say, because that is where you will guide your practice, [...] bonding is the main way, in In my opinion, of providing qualified assistance under the precepts of humanization, of a respectful delivery, because it does not help to have a ‘one-size-fits-all’ approach with everyone, not all things are the same” (N11) |
| “In relation to harmful or ineffective practices that must be eliminated and are worthless in this service is the use of routine intravenous infusion, the lithotomy position and directed pushing” (E5) |
| Clearly harmful practices |
“Nowadays, there is no such thing as routine induction [...]” (E7) |
| Practices without evidence that should be used with caution |
“The Kristeller maneuver is rarely done, but it still happens” (E11) |
| Inappropriately used practices |
“In the nursing residency, we have eradicated the episiotomy, it is not done” (E2) |
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“Vaginal examinations by more than one professional are done because we need to teach, don’t we? [...] so the examination is done twice - by the evaluating physician and the student” (M10) |
