Abstract
Objective: This study aims to evaluate childbirth assistance in maternity hospitals in northern Paraná using the Bologna Index. Methods: A quantitative and cross-sectional research carried out in four maternity hospitals, covering 417 women between the period of January and June 2017. The Bologna index evaluates the assistance provided in normal childbirth through five variables: presence of a companion; use of the partogram; absence of stimulation or induction, use of forceps / vacuum instruments; delivery in the non-supine position; skin to skin contact. Each one can score 0, if it is not present, or 1, if the variable is present. For the evaluation of normal delivery, 229 women were included. Results: The Bologna Index score was, respectively, 1 point (4%), 2 points (42%), 3 points (44.4%), 4 points (9.2%) and 5 points (0.4%). The use of the partograph during labor was highlighted as positive, and the use of the supine position in most births was negative. Conclusion: Despite the prevalence of a median score (3 points), it was possible to conclude that during assistance there are non-recommended practices, which bring harm to women. Finally, the importance of the Bologna Index for the evaluation of assistance is reinforced.