Evaluation of labor and childbirth care by nurse-midwives in Brazilian private hospitals: results of a quality improvement project

Table 2 Labor and childbirth care in 12 hospitals participating in the “Adequate Chidbirth Project”, Brazil 2017

Hospital	n	Proportion of the women population		Proportion of women with spontaneous or induced labor		Proportion of women assisted during labor by nurse and physician in collaborative work		Proportion of women with vaginal birth		Proportion of women with vaginal birth assisted by nurses
Hospital	n	PPA model of care	SoC model	PPA model of care	SoC model	PPA model of care	SoC model	PPA model of care	SoC model	PPA model of care	SoC model
1	222	29.7	70.3	63.6	25.8	95.2	87.5	34.8	10.9	4.3	0.0
2	151	11.2	88.8	56.2	19.4	0.0	6.7	31.2	5.9	0.0	0.0
3	287	32.1	67.9	73.9	17.5	1.5	5.9	57.1	5.1	0.0	0.0
4	217	58.3	41.7	60.3	32.2	4.2	4.0	43.7	18.7	1.8	5.9
5	187	45.5	54.5	71.8	18.6	94.8	92.9	54.1	9.8	0.0	0.0
6	561	62.6	37.4	42.0	30.0	2.7	6.4	20.5	16.7	1.4	0.0
7	325	52.0	48.0	64.5	20.5	14.5	11.1	38.1	7.1	0.0	0.0
8	599	56.8	43.2	56.5	27.9	88.2	97.7	38.8	9.7	0.8	0.0
9	323	73.4	26.6	54.7	4.7	68.9	100	32.9	2.3	13.0	0.0
10	324	46.0	54.0	53.3	22.4	44.6	48.1	32.9	10.9	2.0	0.0
11	1098	58.5	41.5	50.9	26.0	63.1	55.4	29.1	10.8	0.0	0.0
12	504	59.0	41.0	41.3	29.5	95.3	81.1	26.8	22.7	3.8	2.1
Total	4798	53.6	46.4	53.0^a	24.2^a	54.8^b	50.1^b	32.7^a	11.3^a	2.2^c	0.7^c

SoC model = Standard of care model
Definition of the PPA model of care population: Hospitals 1, 2, 3, 7, 9 and 10 = admission and birth care by hospital team on duty; Hospitals 4 and 8 = Robson groups 1 to 4; Hospital 5 = primiparous and multiparous without previous uterine scar, admitted by hospital team on duty; Hospitals 6 and 12 = primiparous women; Hospital 11 = Robson groups 1 to 4, childbirth care by hospital team on duty
^ap < 0.001
^bp = 0.191
^cp = 0.142, chi-square statistical test

ISSN: 1742-4755