Women’s preference for a vaginal birth in Brazilian private hospitals: effects of a quality improvement project

Table 2 Access to health activities and health information according to the type of model of care

Health activities	Total (n = 4,798)		PPA model of care (n = 2,571)		Standard of care model (n = 2,227)		P value
Health activities	n	%	n	%	n	%	P value
Received information about the PPA	1582	33.0	889	34.6	693	31.1	0.025
Counseled to give birth in a PPA hospital^a	355	22.4	207	23.3	147	21.2	0.354
Opted to give birth in a PPA hospital^a	589	37.2	385	43.3	204	29.4	< 0.001
Counseled to visit the maternity hospital	2523	52.6	1438	55.9	1084	48.7	< 0.001
Visited the maternity hospital	1620	33.8	1060	41.2	560	25.1	< 0.001
Offered to participate in an antenatal group activity	1582	33.0	917	35.7	665	29.9	0.001
Participated in the antenatal group activity^b	427	27.0	272	29.7	154	23.2	0.014
Counseled to prepare a birth plan	697	14.5	428	16.7	269	12.1	< 0.001
Prepared a birth plan	467	9.7	300	11.7	167	7.5	< 0.001
Received information about:
Signs of labor	4082	85.1	2245	87.3	1837	82.5	< 0.001
Signs of risk danger	4050	84.4	2193	85.3	1857	83.4	0.120
Best practices during labor ^c	3652	76.1	2035	79.1	1618	72.6	< 0.001
Delayed umbilical cord clamping	2060	43.0	1153	44.9	907	40.7	0.014
Skin to skin contact immediately after birth	3454	72.0	1832	71.3	1621	72.8	0.297
Breastfeeding during the first hour after birth	3656	76.2	1957	76.1	1699	76.3	0.908
Risks and benefits of each type of birth	3464	72.3	1830	71.3	1634	73.4	0.158
Safest type of birth for mother and baby							< 0.001
Vaginal	2177	46.5	1262	50.4	915	42.1
C section	338	7.2	121	4.8	218	8.8
Both are equally safe	2163	46.2	1122	44.8	1041	47.9

^aAmong those who received information about the PPA (n = 1582)
^bAmong those who were offered to participate in the group activities (n = 1582)
^cFreedom of movement, bathing, adopting upright positions, non-pharmacological pain relief

ISSN: 1742-4755