Obstetric care: challenges for quality improvement

摘要

The point of departure for the following commentary is a research-intervention project focused on improvement of obstetric care in public maternity hospitals in a large Brazilian city from 2015 to 2017, in which we aimed to understand the context for implementation of the intervention. The sources were interactions with administrators from the Municipal Health Department and the mater nity hospitals, and especially interviews with administrators, physicians, nurses, and postpartum primiparous women in the hospitals.