TY - JOUR
T1 - Caesarean section and neonatal outcomes in private hospitals in Brazil
T2 - comparative study of two different perinatal models of care
AU - Torres, Jacqueline Alves
AU - Domingues, Rosa Maria Soares Madeira
AU - Sandall, Jane
AU - Hartz, Zulmira
AU - Gama, Silvana Granado Nogueira da
AU - Filha, Mariza Miranda Theme
AU - Schilithz, Arthur Orlando Correa
AU - Leal, Maria do Carmo
PY - 2014/8
Y1 - 2014/8
N2 - This study aims at comparing caesarean section rates and neonatal outcomes of two perinatal models of care provided in private hospitals in Brazil. Birth in Brazil data, a national hospital-based cohort conducted in the years 2011/2012 was used. We analysed 1,664 postpartum women and their offspring attended at 13 hospitals located in the South-east region of Brazil, divided into a "typical” – standard care model and "atypical" – Baby-Friendly hospital with collaborative practices between nurse-midwives and obstetricians on duty to attend deliveries in an alternative labour ward. The Robson’s classification system was used to compare caesarean sections, which was lower in the atypical hospital (47.8% vs. 90.8%, p < 0.001). Full term birth, early skin-to-skin contact, breastfeeding in the first hour, rooming-in care, and discharge in exclusive breastfeeding were more frequent in the atypical hospital. Neonatal adverse outcome did not differ significantly between hospitals. The atypical hospital’s intervention should be further evaluated since it might reduce caesarean section prevalence and increase good practices in neonatal care.
AB - This study aims at comparing caesarean section rates and neonatal outcomes of two perinatal models of care provided in private hospitals in Brazil. Birth in Brazil data, a national hospital-based cohort conducted in the years 2011/2012 was used. We analysed 1,664 postpartum women and their offspring attended at 13 hospitals located in the South-east region of Brazil, divided into a "typical” – standard care model and "atypical" – Baby-Friendly hospital with collaborative practices between nurse-midwives and obstetricians on duty to attend deliveries in an alternative labour ward. The Robson’s classification system was used to compare caesarean sections, which was lower in the atypical hospital (47.8% vs. 90.8%, p < 0.001). Full term birth, early skin-to-skin contact, breastfeeding in the first hour, rooming-in care, and discharge in exclusive breastfeeding were more frequent in the atypical hospital. Neonatal adverse outcome did not differ significantly between hospitals. The atypical hospital’s intervention should be further evaluated since it might reduce caesarean section prevalence and increase good practices in neonatal care.
U2 - 10.1590/0102-311X00129813
DO - 10.1590/0102-311X00129813
M3 - Article
C2 - 25167181
SN - 0102-311X
VL - 30
SP - S220-S231
JO - CADERNOS DE SAUDE PUBLICA
JF - CADERNOS DE SAUDE PUBLICA
IS - Suppl 1
ER -
