title: [Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study].
abstract: OBJECTIVE
  Presenting methodology for transferring knowledge to improve maternal outcomes in natural delivery based on scientific evidence.
  
  
  METHODS
  An intervention study conducted in the maternity hospital of Itapecerica da Serra, SP, with 50 puerperal women and 102 medical records from July to November 2014. The PACES tool from Joanna Briggs Institute, consisting of pre-clinical audit (phase 1), implementation of best practice (phase 2) and Follow-up Clinical Audit (phase 3) was used. Data were analyzed by comparing results of phases 1 and 3 with Fisher's exact test and a significance level of 5%.
  
  
  RESULTS
  The vertical position was adopted by the majority of puerperal women with statistical difference between phases 1 and 3. A significant increase in bathing/showering, walking and massages for pain relief was found from the medical records. No statistical difference was found in other practices and outcomes. Barriers and difficulties in the implementation of evidence-based practices have been identified. Variables were refined, techniques and data collection instruments were verified, and an intervention proposal was made.
  
  
  CONCLUSIONS
  The study found possibilities for implementing a methodology of practices based on scientific evidence for assistance in natural delivery.
authors.affiliation: Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Clodoaldo Tentes
authors.initials: CT
authors.lastname: Côrtes
authors.affiliation: Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Rafael Cleison Silva Dos
authors.initials: RC
authors.lastname: Santos
authors.affiliation: Escola de Artes, Ciências e Humanidades, Curso de Obstetrícia, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Adriana de Souza
authors.initials: Ade S
authors.lastname: Caroci
authors.affiliation: Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Sheyla Guimarães
authors.initials: SG
authors.lastname: Oliveira
authors.affiliation: Departamento de Enfermagem Materno-Infantil e Psiquiátrica, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Sonia Maria Junqueira Vasconcelos de
authors.initials: SM
authors.lastname: Oliveira
authors.affiliation: Departamento de Enfermagem Materno-Infantil e Psiquiátrica, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Maria Luiza Gonzalez
authors.initials: ML
authors.lastname: Riesco
mesh_terms: D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D009321:Natural Childbirth / Q000379:methods / Q000592:standards*; D010865:Pilot Projects; D011247:Pregnancy