Care practices | Collaborative work during labor | p value* | |||||
---|---|---|---|---|---|---|---|
PPA model of care | Standard of care model | ||||||
n | % | CI 95% | n | % | CI 95% | ||
Recommended practices | |||||||
Companionship during labor | 593 | 98.3 | (97.1;99.0) | 147 | 94.6 | (87.5;97.8) | 0.019 |
Oral fluid and food | 397 | 72.0 | (67.2;76.3) | 93 | 65.9 | (55.7;74.8) | 0.248 |
Maternal mobility and position | 487 | 93.1 | (90.0;95.4) | 119 | 92.6 | (85.9;96.3) | 0.860 |
Monitoring of labor progression | 407 | 97.2 | (94.5;98.6) | 111 | 91.1 | (83.6;95.4) | 0.011 |
Non-pharmacological pain relief | 474 | 73.4 | (69.0;77.4) | 118 | 66.1 | (57.2;73.9) | 0.113 |
Respected birth plana | 108 | 93.6 | (85.9;97.3) | 33 | 92.5 | (81.9;97.1) | 0.792 |
Epidural analgesia for pain relief | 417 | 64.6 | (60.3;68.7) | 98 | 55.1 | (46.2;63.8) | 0.055 |
Non recommended practices | |||||||
Routine intravenous fluid | 319 | 49.5 | (44.8;54.3) | 83 | 46.4 | (37.7;55.4) | 0.550 |
Routine amniotomyb | 176 | 64.1 | (56.7;70.9) | 35 | 58.4 | (42.7;72.6) | 0.510 |
Enema on admission | 0 | – | – | 2 | 1.1 | (0.2;5.1) | 0.018 |
Perineal/pubic shaving | 23 | 3.6 | (2.0;6.3) | 15 | 8.5 | (4.2;16.2) | 0.052 |
Use of oxytocin for prevention of delay in labor in women receiving epidural analgesia | 297 | 71.2 | (65.4;76.3) | 72 | 73.8 | (63.0;82.3) | 0.652 |
Cardiotocography during labor in healthy pregnant women with spontaneous labor | 118 | 31.9 | (26.3;38.0) | 37 | 30.2 | (21.0;41.3) | 0.781 |