{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:45:45Z","timestamp":1785757545882,"version":"3.56.0"},"reference-count":24,"publisher":"FapUNIFESP (SciELO)","issue":"7","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: The aim of this study was to evaluate the participation of obstetric nurses in care provided during labor and delivery within the Brazilian private health system.  METHODS: This cross-sectional observational study included women admitted for delivery in six private hospitals\u2014five in S\u00e3o Paulo and one in Santos, Brazil. Data were obtained through structured interviews conducted during the postpartum period and included information on hospital admission, labor and delivery care, healthcare professionals involved, and obstetric interventions. Women with live births during the study period were included.  RESULTS: A total of 2,435 postpartum women were interviewed. Among them, 48.2% were in their first pregnancy, and 56.4% were primiparous. Only 14.9% had a previous vaginal delivery, while 31.2% had undergone a previous cesarean section. Labor was attended by a physician in 99.3% of cases. Although 52.3% of women had the presence of an obstetric nurse during labor, only 0.7% received delivery assistance from this professional. Among women with labor onset, 58.3% had a vaginal delivery, and only 3.2% were assisted exclusively by obstetric nurses during labor and delivery. Overall, 76.6% of participants underwent cesarean section.  CONCLUSION: Obstetric nurses were frequently present during labor but rarely performed delivery care in private hospitals. Their limited participation suggests underutilization of this professional group within the studied setting.<\/jats:p>","DOI":"10.1590\/1806-9282.20260119","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:00:22Z","timestamp":1785754822000},"source":"Crossref","is-referenced-by-count":0,"title":["Participation of obstetric nurses in the care of labor and delivery in private hospitals in Brazil: a cross-sectional observational study"],"prefix":"10.1590","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8485-9454","authenticated-orcid":false,"given":"Alessandra Costa","family":"Timoteo","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2395-9161","authenticated-orcid":false,"given":"Maria Cristina","family":"Gabrielloni","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8593-5080","authenticated-orcid":false,"given":"Rosemeire Sartori de","family":"Albuquerque","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6145-2532","authenticated-orcid":false,"given":"Edward","family":"Araujo J\u00fanior","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil; Universidade Municipal de S\u00e3o Caetano do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9841-0300","authenticated-orcid":false,"given":"Marina Macruz","family":"Rugna","sequence":"additional","affiliation":[{"name":"Universidade Municipal de S\u00e3o Caetano do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6694-6569","authenticated-orcid":false,"given":"Gustavo Yano","family":"Callado","sequence":"additional","affiliation":[{"name":"Faculdade Israelita de Ci\u00eancias da Sa\u00fade Albert Einstein,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6573-7386","authenticated-orcid":false,"given":"Sue Yazaki","family":"Sun","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4662-1983","authenticated-orcid":false,"given":"M\u00e1rcia","family":"Barbieri","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","series-title":"Vital statistics registry 2021 [Estat\u00edsticas do Registro Civil 2021]","first-page":"1","volume":"48","year":"2021"},{"key":"ref2","series-title":"New care organization for childbirth and birth for better health outcomes: adequate Childbirth Project \u2013 Phase 1 [Cartilha nova organiza\u00e7\u00e3o do cuidado ao parto e nascimento para melhores resultados de sa\u00fade: Projeto Parto Adequado \u2013 fase 1]","year":"2016"},{"key":"ref3","series-title":"Trends in maternal mortality: 1990 to 2015","year":"2015"},{"key":"ref4","series-title":"Establishes the Stork Network within SUS [Portaria No 1.459, de 24 de Junho de 2011. Institui a Rede Cegonha no \u00e2mbito do SUS]","volume-title":"Ordinance No. 1.459 of June 24, 2011","year":"2011"},{"issue":"Suppl 1","key":"ref5","first-page":"S1","article-title":"Process of decision-making regarding the mode of birth in Brazil: from the initial preference of women to the final mode of birth","volume":"30","author":"Domingues RM","year":"2014","journal-title":"Cad Saude Publica"},{"key":"ref6","series-title":"The state of the world\u2019s midwifery 2021: building a health workforce to meet the needs of women, newborns and adolescents everywhere","year":"2021"},{"key":"ref7","series-title":"The millennium development goals report 2015","year":"2016"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"e24","DOI":"10.1016\/S2214-109X(20)30397-1","article-title":"Potential impact of midwives in preventing and reducing maternal and neonatal mortality and stillbirths: a Lives Saved Tool modelling study","volume":"9","author":"Nove 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