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Table 3 Care practices during labor according to the model of care, Brazil, 2017

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

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

  1. Collaborative work during labor = labor assisted by nurse-midwife or nurse-midwife and a doctor
  2. *Statistical method used: Pearson's chi-square
  3. aAmong women who prepared a birth plan (17.9% in the PPA model of care and 20.2% in the standard of care model)
  4. bOnly in women without spontaneous rupture (n = 60 in the Standard of care model, n = 274 in the PPA model of care)