Comparison of childbirth care models in public hospitals, Brazil
To compare collaborative and traditional childbirth care models. Cross-sectional study with 655 primiparous women in four public health system hospitals in Belo Horizonte, MG, Southeastern Brazil, in 2011 (333 women for the collaborative model and 322 for the traditional model, including those with...
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Veröffentlicht in: | Revista de saúde pública 2014-04, Vol.48 (2), p.304-313 |
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creator | Vogt, Sibylle Emilie Silva, Kátia Silveira da Dias, Marcos Augusto Bastos |
description | To compare collaborative and traditional childbirth care models.
Cross-sectional study with 655 primiparous women in four public health system hospitals in Belo Horizonte, MG, Southeastern Brazil, in 2011 (333 women for the collaborative model and 322 for the traditional model, including those with induced or premature labor). Data were collected using interviews and medical records. The Chi-square test was used to compare the outcomes and multivariate logistic regression to determine the association between the model and the interventions used.
Paid work and schooling showed significant differences in distribution between the models. Oxytocin (50.2% collaborative model and 65.5% traditional model; p < 0.001), amniotomy (54.3% collaborative model and 65.9% traditional model; p = 0.012) and episiotomy (collaborative model 16.1% and traditional model 85.2%; p < 0.001) were less used in the collaborative model with increased application of non-pharmacological pain relief (85.0% collaborative model and 78.9% traditional model; p = 0.042). The association between the collaborative model and the reduction in the use of oxytocin, artificial rupture of membranes and episiotomy remained after adjustment for confounding. The care model was not associated with complications in newborns or mothers neither with the use of spinal or epidural analgesia.
The results suggest that collaborative model may reduce interventions performed in labor care with similar perinatal outcomes. |
doi_str_mv | 10.1590/S0034-8910.2014048004633 |
format | Article |
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Cross-sectional study with 655 primiparous women in four public health system hospitals in Belo Horizonte, MG, Southeastern Brazil, in 2011 (333 women for the collaborative model and 322 for the traditional model, including those with induced or premature labor). Data were collected using interviews and medical records. The Chi-square test was used to compare the outcomes and multivariate logistic regression to determine the association between the model and the interventions used.
Paid work and schooling showed significant differences in distribution between the models. Oxytocin (50.2% collaborative model and 65.5% traditional model; p < 0.001), amniotomy (54.3% collaborative model and 65.9% traditional model; p = 0.012) and episiotomy (collaborative model 16.1% and traditional model 85.2%; p < 0.001) were less used in the collaborative model with increased application of non-pharmacological pain relief (85.0% collaborative model and 78.9% traditional model; p = 0.042). The association between the collaborative model and the reduction in the use of oxytocin, artificial rupture of membranes and episiotomy remained after adjustment for confounding. The care model was not associated with complications in newborns or mothers neither with the use of spinal or epidural analgesia.
The results suggest that collaborative model may reduce interventions performed in labor care with similar perinatal outcomes.</description><identifier>ISSN: 0034-8910</identifier><identifier>EISSN: 1518-8787</identifier><identifier>DOI: 10.1590/S0034-8910.2014048004633</identifier><identifier>PMID: 24897052</identifier><language>eng ; por</language><publisher>Brazil: Faculdade de Saúde Pública da Universidade de São Paulo</publisher><subject>Adolescent ; Adult ; Brazil ; Cooperative Behavior ; Cross-Sectional Studies ; Female ; Humans ; Midwifery ; Nurse Midwives ; Outcome and Process Assessment (Health Care) ; Perinatal Care - methods ; Physician-Nurse Relations ; Public Health Practice ; Risk Factors ; Socioeconomic Factors ; Young Adult</subject><ispartof>Revista de saúde pública, 2014-04, Vol.48 (2), p.304-313</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206134/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206134/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24897052$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vogt, Sibylle Emilie</creatorcontrib><creatorcontrib>Silva, Kátia Silveira da</creatorcontrib><creatorcontrib>Dias, Marcos Augusto Bastos</creatorcontrib><title>Comparison of childbirth care models in public hospitals, Brazil</title><title>Revista de saúde pública</title><addtitle>Rev Saude Publica</addtitle><description>To compare collaborative and traditional childbirth care models.
Cross-sectional study with 655 primiparous women in four public health system hospitals in Belo Horizonte, MG, Southeastern Brazil, in 2011 (333 women for the collaborative model and 322 for the traditional model, including those with induced or premature labor). Data were collected using interviews and medical records. The Chi-square test was used to compare the outcomes and multivariate logistic regression to determine the association between the model and the interventions used.
Paid work and schooling showed significant differences in distribution between the models. Oxytocin (50.2% collaborative model and 65.5% traditional model; p < 0.001), amniotomy (54.3% collaborative model and 65.9% traditional model; p = 0.012) and episiotomy (collaborative model 16.1% and traditional model 85.2%; p < 0.001) were less used in the collaborative model with increased application of non-pharmacological pain relief (85.0% collaborative model and 78.9% traditional model; p = 0.042). The association between the collaborative model and the reduction in the use of oxytocin, artificial rupture of membranes and episiotomy remained after adjustment for confounding. The care model was not associated with complications in newborns or mothers neither with the use of spinal or epidural analgesia.
The results suggest that collaborative model may reduce interventions performed in labor care with similar perinatal outcomes.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Brazil</subject><subject>Cooperative Behavior</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Midwifery</subject><subject>Nurse Midwives</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Perinatal Care - methods</subject><subject>Physician-Nurse Relations</subject><subject>Public Health Practice</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Young Adult</subject><issn>0034-8910</issn><issn>1518-8787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkEtLxDAUhYMozjj6FyRLF1ZvHk3TjaiDLxhwoa5LJk1tJG1q0gr66w04Drq693A-zrlchDCBM5KXcP4EwHgmy6QpEA5cAnDB2A6ak5zITBay2EXzLTVDBzG-AVBGmdxHM8plWUBO5-hy6btBBRt9j32DdWtdvbZhbLFWweDO18ZFbHs8TGtnNW59HOyoXDzF10F9WXeI9pokzdFmLtDL7c3z8j5bPd49LK9W2UCFGDNSaKapWAMxsgAGZSk0iKYm3HBR16AF08kwJu1NSUqaU8JUghhommC2QBc_uemQztTa9GNQrhqC7VT4rLyy1X-nt2316j8qTkEQxlPAySYg-PfJxLHqbNTGOdUbP8WK5DwvCpGKE3r8t2tb8vs29g1-qXDB</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Vogt, Sibylle Emilie</creator><creator>Silva, Kátia Silveira da</creator><creator>Dias, Marcos Augusto Bastos</creator><general>Faculdade de Saúde Pública da Universidade de São Paulo</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140401</creationdate><title>Comparison of childbirth care models in public hospitals, Brazil</title><author>Vogt, Sibylle Emilie ; Silva, Kátia Silveira da ; Dias, Marcos Augusto Bastos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p266t-17c3c26b01e87030996c06fd14e46dd0c63c870eedd0f91925213a96c30c29963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Brazil</topic><topic>Cooperative Behavior</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Midwifery</topic><topic>Nurse Midwives</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Perinatal Care - methods</topic><topic>Physician-Nurse Relations</topic><topic>Public Health Practice</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vogt, Sibylle Emilie</creatorcontrib><creatorcontrib>Silva, Kátia Silveira da</creatorcontrib><creatorcontrib>Dias, Marcos Augusto Bastos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Revista de saúde pública</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vogt, Sibylle Emilie</au><au>Silva, Kátia Silveira da</au><au>Dias, Marcos Augusto Bastos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of childbirth care models in public hospitals, Brazil</atitle><jtitle>Revista de saúde pública</jtitle><addtitle>Rev Saude Publica</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>48</volume><issue>2</issue><spage>304</spage><epage>313</epage><pages>304-313</pages><issn>0034-8910</issn><eissn>1518-8787</eissn><abstract>To compare collaborative and traditional childbirth care models.
Cross-sectional study with 655 primiparous women in four public health system hospitals in Belo Horizonte, MG, Southeastern Brazil, in 2011 (333 women for the collaborative model and 322 for the traditional model, including those with induced or premature labor). Data were collected using interviews and medical records. The Chi-square test was used to compare the outcomes and multivariate logistic regression to determine the association between the model and the interventions used.
Paid work and schooling showed significant differences in distribution between the models. Oxytocin (50.2% collaborative model and 65.5% traditional model; p < 0.001), amniotomy (54.3% collaborative model and 65.9% traditional model; p = 0.012) and episiotomy (collaborative model 16.1% and traditional model 85.2%; p < 0.001) were less used in the collaborative model with increased application of non-pharmacological pain relief (85.0% collaborative model and 78.9% traditional model; p = 0.042). The association between the collaborative model and the reduction in the use of oxytocin, artificial rupture of membranes and episiotomy remained after adjustment for confounding. The care model was not associated with complications in newborns or mothers neither with the use of spinal or epidural analgesia.
The results suggest that collaborative model may reduce interventions performed in labor care with similar perinatal outcomes.</abstract><cop>Brazil</cop><pub>Faculdade de Saúde Pública da Universidade de São Paulo</pub><pmid>24897052</pmid><doi>10.1590/S0034-8910.2014048004633</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Brazil Cooperative Behavior Cross-Sectional Studies Female Humans Midwifery Nurse Midwives Outcome and Process Assessment (Health Care) Perinatal Care - methods Physician-Nurse Relations Public Health Practice Risk Factors Socioeconomic Factors Young Adult |
title | Comparison of childbirth care models in public hospitals, Brazil |
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