Comparison of childbirth care models in public hospitals, Brazil

Vogt, Sibylle Emilie; Silva, Kátia Silveira da; Dias, Marcos Augusto Bastos

Comparison of childbirth care models in public hospitals, Brazil

Files

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Authors

Vogt, Sibylle Emilie

Silva, Kátia Silveira da

Dias, Marcos Augusto Bastos

Issue Date

2014-04

Type

Article

Language

en_US

Keywords

Midwifery , Perinatal Care , Maternal-Child Health Services , Outcome Assessment (Health Care) , Unified Health System , Cross-Sectional Studies

Abstract

OBJECTIVE: To compare collaborative and traditional childbirth care models. METHODS: 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. RESULTS: 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. CONCLUSIONS: The results suggest that collaborative model may reduce interventions performed in labor care with similar perinatal outcomes.

Citation

Vogt, S. E., Silva, K. S., & Dias, M. A. (2014). Comparison of childbirth care models in public hospitals, Brazil. Revista de saude publica, 48(2), 304–313. https://doi.org/10.1590/s0034-8910.2014048004633

Publisher

Revista de Saude Publica