Introduction:

The notion of humanization of health care appears as a consequence of the advancement of medical technologies. Although institutional delivery has led to a reduction in maternal mortality, this has occurred at the expense of a dehumanization of care, led by unattended childbirth.

Objective:

general - to implement a model of humanized care in perinatal health, in the public maternity hospital in the Department of Rocha, Uruguay, between 2014 and 2016. Specific objectives - generate training opportunities for all the staff of the Maternity Hospital, raise awareness among pregnant women and their partners about reproductive rights, particularly during pregnancy, delivery and postpartum, evaluate the results of the change in care through a before and after approach and a qualitative study of the perception of the participating actors.

Methodology:

A quasi-experimental study with before and after measurements was developed to evaluate the effects of implementing a humanization of maternal health care program. A survey was conducted in the puerperium to assess compliance with the humanized care protocol. Stakeholder perceptions were assessed through in-depth interviews and group interviews.

Results:

We observed a downward trend in the proportion of caesarean sections, an increase in follow-up during labor, a slight increase in skin-to-skin contact compared to baseline and in non-overlapping positions during labor, improvements in perineum management, and significant commitment to the proposal by users and their families.

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