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Table 1 Indicators and source of information to analyse the PPA degree of implementation

From: Evaluation of a quality improvement intervention for labour and birth care in Brazilian private hospitals: a protocol

Driving components

Indicator (percentage of women)

Data Source

Participation of women and families

Knew that the hospital participated in PPAa

Women’s interview (hospital, quantitative)

Chose the hospital for birth because it participated on PPA interventiona

Women’s interview (hospital, quantitative)

Visited the hospital before birtha

Women’s interview (hospital, quantitative)

Attended antenatal classes at the hospital where she gave birtha

Women’s interview (hospital, quantitative)

Attended antenatal classes at the hospital where she gave birtha

Women’s interview (hospital, quantitative)

Made a birth plana

Women’s interview (hospital, quantitative)

Had her birth plan respecteda

Women’s interview (hospital, quantitative)

Reorganisation of care

Had her birth assisted by one of the professionals from the hospital staffa

Women’s interview (hospital, quantitative)

Had her birth assisted by one of the professionals from her antenatal care team a

Women’s interview (hospital, quantitative)

Had her birth assisted by the same professional who accompanied her throughout antenatal careb

Women’s interview (hospital, quantitative)

Had her vaginal birth assisted by a nurse-midwifea

Women’s interview (hospital, quantitative)

Had a family/friend companionship of her choice during laboura

Women’s interview (hospital, quantitative)

Had a family/friend companionship of her choice during birtha

Women’s interview (hospital, quantitative)

Had to move to another room when it was time to push to give birthb

Women’s interview (hospital, quantitative)

Had a partogram in the hospital medical recorda

Medical Records (hospital, quantitative)

Were adimitted in hospital in active phase of laboura

Medical Records (hospital, quantitative)

Had labour induction indicated according to scientific evidencea

Medical Records (hospital, quantitative)

Had freedom to move during labour during laboura

Women’s interview (hospital, quantitative)

Consumed any liquid or food during labora

Women’s interview (hospital, quantitative)

Used non-pharmacological methods for pain reliefa

Women’s interview (hospital, quantitative)

Had a catheter/cannula in her vein during labourb

Women’s interview (hospital, quantitative)

Had an episiotomyb

Women’s interview and medical Records (hospital, quantitative)

Had fundal pressure manouver during birthb

Women’s interview (hospital, quantitative)

Gave birth in litotomy positionb

Women’s interview and medical Records (hospital, quantitative)

  1. a Judgment criteria of the degree of implementation: 75–100% = satisfactory; 50–74% = partial; < 50% = unsatisfactory
  2. b Judgment criteria of the degree of implementation: < 50% = satisfactory; 50–74% = partial; 75–100% = unsatisfactory