ArticleRevista de saude publica2014
Comparison of childbirth care models in public hospitals, Brazil.
Article in Revista de saude publica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Prevalence of Episiotomy Practice and Associated Factors in Brazil: A Systematic Review.Birth (Berkeley, Calif.) · 2026Pooled it
- Cesarean sections and early-term births according to Robson classification: a population-based study with more than 17 million births in Brazil.BMC pregnancy and childbirth · 2023Article
- Difficulties in Adaptation of the Mother and Newborn via Cesarean Section versus Natural Birth-A Narrative Review.Life (Basel, Switzerland) · 2023Review
- Respectful Maternity Care in South Asia: What Does the Evidence Say? Experiences of Care and Neglect, Associated Vulnerabilities and Social Complexities.International journal of women's health · 2022Review
- Strategies to reduce the caesarean section rate in a private hospital and their impact.BMJ open quality · 2021Article
- Value-based care in obstetrics: comparison between vaginal birth and caesarean section.BMC pregnancy and childbirth · 2021Article
- Reducing caesarean rates in a public maternity hospital by implementing a plan of action: a quality improvement report.BMJ open quality · 2020Article
- Attention to childbirth and delivery in a university hospital: comparison of practices developed after Network Stork.Revista latino-americana de enfermagem · 2019Article
- Non-verbal nurse-parturient communication in labor in Portuguese-speaking countries.Revista latino-americana de enfermagem · 2019Article
- Assistance to Normal Delivery in Two Public Maternities: Perception of the Health Professionals.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2017Article
- Labor and birth care by nurse with midwifery skills in Brazil.Reproductive health · 2016Article
- Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey.Reproductive health · 2016Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare collaborative and traditional childbirth care models.
methodsCross-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.
resultsPaid 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.
conclusionsThe results suggest that collaborative model may reduce interventions performed in labor care with similar perinatal outcomes.
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