PURPOSE:
To share the projet "Normal Birth Unit" the First midwifery unit in Portugal To receive contributions of improvement from experts

DISCUSSION:
The Normal Delivery Unit (NDU) is characterized as an innovative pilot project in Portugal in ​​maternal-fetal health care, aimed at a target group of healthy women with low-risk pregnancies. This care model is based on the work of nurse midwives, who perform their functions autonomously, ensuring personalized and quality care to this group of pregnant women it was born due to the constrains that we live in Portuguese Maternitys due to closures because there are not enough obstetricians even if the midwive team was complete. This situation has led to a decrease in access for users with low-risk pregnancies, a decrease in the number of births performed and an increase in births with multiple clinical interventions and generates feelings of insecurity among the pregnant population about where and how to access care for childbirth. We would like to share the process of building this projet from the motivations to the solutions proposed We will presente: The mission, vision, guiding values ​​and principles, and strategic and operational objectives; The prevision of prodution, human resourses and costs. The avaliation process.

EVIDENCE WHERE RELEVANT:
"An important aspect of implementing evidence-based care during maternity is to expand the provision of midwives-led care spaces and increase women’s access to them" Changing the Portuguese paradigm (in which maternity care is based exclusively on a medical model) is urgent, ensuring quality, timely and appropriate care for all users of the national health service (Ordem dos Enfermeiros, 2022). To this end, the allocation of specialized human resources to the various situations in which they are truly needed must be a priority, respecting citizens' rights and meeting their needs and expectations (APEO, 2020).

KEY MESSAGE:
Midwive units are cost efective and contribute to better maternal health care Poster session 3 (Group B)