The role of the respectful maternity care model in São Paulo, Brazil: A cross‐sectional study.
Introduction: The promotion of a positive birth experience has been a main goal of the World Health Organization's (WHO) recent work on improving maternity care. The purpose of this study was to assess the cesarean rates, the prevalence of birth practices, perinatal outcomes, and maternal satisfacti...
| Publicado en: | Birth: Issues in Perinatal Care Vol. 46; no. 3; pp. 509 - 517 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138176604&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138176604 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07307659 ES5 jtl: Birth: Issues in Perinatal Care issn: 07307659 maglogo: Y pubinfo: dt: Sep2019 vid: 46 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 138176604 138176604 138176604 10.1111/birt.12448 138176604 ppf: 509 ppct: 8 formats: tig: atl: The role of the respectful maternity care model in São Paulo, Brazil: A cross‐sectional study. aug: au: Giordano, Juliana Surita, Fernanda G. affil: Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas Brazil sug: subj: Obstetric Care Methods Cesarean Section Childbirth Pregnancy Outcomes Maternal Attitudes Patient Satisfaction Quality of Health Care Human Brazil Cross Sectional Studies Pregnancy Female Prevalence Questionnaires Perinatal Care Pearson's Correlation Coefficient World Health Organization Practice Guidelines Chi Square Test Odds Ratio Confidence Intervals Midwifery Multidisciplinary Care Team Birthing Positions Apgar Score Sampling Error Descriptive Statistics Data Analysis Software Adult Adult: 19-44 years Female ab: Introduction: The promotion of a positive birth experience has been a main goal of the World Health Organization's (WHO) recent work on improving maternity care. The purpose of this study was to assess the cesarean rates, the prevalence of birth practices, perinatal outcomes, and maternal satisfaction, in women involved with the respectful maternity care (RMC) support groups in Sao Paulo, Brazil. Methods: This was a cross‐sectional study of women with low‐risk pregnancies who were assisted by professionals recommended by the RMC groups. An online questionnaire was administered. Variables to assess birth practices were classified as positive, negative, or unspecified according to the WHO guidelines. The Pearson chi‐square tests and odds ratios (ORs) with their corresponding 95% confidence intervals (CIs) were computed to assess differences between the groups. Results: Five‐hundred and eighty women completed the questionnaire. The cesarean rate was 14.7%, and the operative vaginal birth rate was 9.5%. The VBAC rate was 87.1%, and there was no significant difference in risk for cesarean between women with or without a prior cesarean. Of all women, 83.1% had a midwife's assistance and 75.5% hired a doula; 81.4% gave birth in a nonlithotomic position. The practices of enema, fasting and episiotomy were all under 2%. All 5‐minute Apgar scores were ≥7. Most (83.1%) women reported having a positive birth experience. Conclusions: Woman's engagement with the birth support groups and a transdisciplinary team focused on RMC are key elements to achieve positive perinatal outcomes and high women's satisfaction. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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