Evidence map›Paper›PMID 29364356›Full record

ArticleRevista de saude publica2018

Nascer no Brasil: the presence of a companion favors the use of best practices in delivery care in the South region of Brazil.

Juliana Jacques da Costa Monguilhott, Odaléa Maria Brüggemann, Paulo Fontoura Freitas, Eleonora d'Orsi

Open access · goldAbstract read
In one paragraph

Article in Revista de saude publica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
31.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 191 citations in OpenAlex.

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  7. Review
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  13. Barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence.Revista panamericana de salud publica = Pan American journal of public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Juliana Jacques da Costa MonguilhottDepartamento Acadêmico de Saúde e Serviços, Instituto Federal de Educação, Ciência e Tecnologia de Santa Catarina, Florianópolis, SC, Brasil.
Odaléa Maria BrüggemannUniversidade Federal de Santa Catarina, Florianópolis, SC, Brasil.
Paulo Fontoura FreitasNúcleo de Orientação em Epidemiologia, Universidade do Sul de Santa Catarina, Palhoça, SC, Brasil.
Eleonora d'OrsiDepartamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.
Universidade Federal de Santa Catarina · BRInstituto Federal de Educação, Ciência e Tecnologia de Santa Catarina · BRUniversidade do Sul de Santa Catarina · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

OBJECTIVE To analyze if the presence of a companion favors the use of best practices in the delivery care in the South region of Brazil. METHODS This is a cross-sectional analysis of the longitudinal study Nascer no Brasil. We analyzed data from 2,070 women from the South region of Brazil who went into labor. The data were collected between February and August 2011, by interviews and medical records. We performed a bivariate and multivariate analysis, calculating the crude and adjusted prevalence ratios using Poisson regression with robust variance estimation. The level of significance adopted was 5%. RESULTS Most women had a companion during labor (51.7%), but few remained during delivery (39.4%) or cesarean section (34.8%). Less than half of the women had access to several recommended practices, while non-recommended practices continue to be performed. In the model adjusted for age, education level, source of payment for the delivery, parity, and score of the Brazilian Association of Market Research Institutes, the presence of a companion was statistically associated with a greater supply of liquids and food (aPR = 1.34), dietary prescription (aPR = 1.34), use of non-pharmacological methods for pain relief (aPR = 1.37), amniotomy (aPR = 1.10), epidural or spinal analgesia (aPR = 1.84), adoption of non-lithotomy position in the delivery (aPR = 1.77), stay in the same room during labor, delivery, and postpartum (aPR = 1.62), skin-to-skin contact in the delivery (aPR = 1.81) and cesarean section (PR = 2.43), as well as reduced use of the Kristeller maneuver (aPR = 0.67), trichotomy (aPR = 0.59), and enema (aPR = 0.49). CONCLUSIONS In the South region of Brazil, most women do not have access to the best practices in addition to undergoing several unnecessary interventions. The presence of a companion is associated with several beneficial practices and the reduction in some interventions, although other interventions are not impacted.

Indexed as

HumanismPractice Guidelines as TopicAdolescentAdultBrazilChildCross-Cultural ComparisonCross-Sectional StudiesDelivery, ObstetricFamilyFemaleHealth Knowledge, Attitudes, PracticeHumansLabor, ObstetricMaternal Health ServicesPatient Rights

Identifiers

PMID29364356
PMCPMC5772405
OpenAlexW2784002779

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.