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Table 4 Care practices during labor in women assisted in the PPA 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

Doctor

p-valor*

n

%

IC 95%

n

%

IC 95%

Recommended practices

 Companionship during labor

593

98.3

(97.1;99.0)

476

98.7

(97.5;99.4)

0.530

 Oral fluid and food

397

72.0

(67.1;76.3)

250

53.5

(48.4;58.5)

 < 0.001

 Maternal mobility and position

487

93.1

(90.0;95.4)

329

86.9

(82.5;90.4)

0.008

 Monitoring of labor progression

407

97.2

(94.5;98.6)

425

93.5

(90.5;95.6)

0.030

 Non-pharmacological pain relief

474

73.4

(69.0;77.4)

332

62.2

(57.4;66.8)

 < 0.001

 Respected birth plana

108

93.6

(85.9;97.2)

84

97.7

(92.6;99.3)

0.150

 Epidural analgesia for pain relief

417

64.6

(60.3;68.8)

298

56.0

(51.5;60.3)

0.007

Non recommended practices

 Routine intravenous fluid

319

49.5

(44.8;54.3)

266

49.9

(45.5;54.3)

0.919

 Routine amniotomyb

176

64.1

(56.7;70.9)

140

63.1

(56.0;69.8)

0.855

 Enema on admission

0

0.0

-

8

1.6

(0.7;3.4)

0.006

 Perineal/pubic shaving

23

3.6

(2.0;6.3)

25

4.6

(2.8;7.6)

0.505

 Use of oxytocin for prevention of delay in labor in women receiving epidural analgesia

297

71.2

(65.4;76.3)

219

73.7

(67.4;79.1)

0.540

 Cardiotocography during labor in healthy pregnant women with spontaneous labor

118

31.9

(26.3;38.1)

106

28.1

(22.9;33.9)

0.358

  1. Collaborative work during labor = labor assisted by a nurse-midwife or nurse-midwife and doctor;
  2. *Statistical method used: Pearson's chi-square
  3. aAmong women who prepared a birth plan (17.9% collaborative work, 16.0% doctors)
  4. bOnly in women without spontaneous rupture (n = 274 in assistance in collaborative work; n = 222 in assistance only by doctors)