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Volume 20 Supplement 2

The Healthy Birth study: an evaluative research of the Adequate Childbirth Program

Research

Publication of this supplement was funded by the Bill & Melinda Gates Foundation. The articles have undergone the journal's standard peer review process for supplements. The Supplement Editors declare that they were not involved in the peer review of any articles that they co-authored. No other competing interests were declared.

Edited by Maria do Carmo Leal and Rodolfo Pacagnella.


  1. Brazil’s maternity care is highly medicalized, and obstetric interventions in labour and birth are high, mainly in private health system. The Adequate Birth Project (PPA—Projeto Parto Adequado) is quality impr...

    Authors: Mariza Miranda Theme Filha, Tatiana Henriques Leite, Marcia Leonardi Baldisserotto, Ana Paula Esteves-Pereira and Maria do Carmo Leal
    Citation: Reproductive Health 2022 20(Suppl 2):1

    The Correction to this article has been published in Reproductive Health 2023 20:21

  2. In 2015, a quality improvement project called “Projeto Parto Adequado-PPA” was implemented in Brazilian private hospitals to reduce unnecessary high rates of cesarean sections. This study aimed to analyze the ...

    Authors: Débora Cecília Chaves de Oliveira, Andreza Rodrigues, Lucia Regina de Azevedo Nicida, Maysa Luduvice Gomes, Jacqueline Alves Torres and Elyne Montenegro Engstrom
    Citation: Reproductive Health 2023 20(Suppl 2):9
  3. The Baby-Friendly Hospital Initiative’s Step 4 recommends: “support mothers to start breastfeeding as soon as possible after birth”, thus contributing to the reduction of neonatal mortality. The objective of t...

    Authors: Rachael de Vasconcelos Alves, Maria Inês Couto de Oliveira, Rosa Maria Soares Madeira Domingues, Ana Paula Esteves Pereira and Maria do Carmo Leal
    Citation: Reproductive Health 2023 20(Suppl 2):10
  4.  The Adequate Childbirth Project (PPA) is a quality improvement project that aims to enhance normal delivery and reduce cesarean sections with no clinical indication in the Brazilian supplementary health care ...

    Authors: Maysa Luduvice Gomes, Lucia Regina de Azevedo Nicida, Débora Cecília Chaves de Oliveira, Andreza Rodrigues, Jacqueline Alves Torres, Amanda da Trindade Dias Coutinho, Beatriz da Silva Soares de Souza Cravo, Juliana Guimarães Dantas, Thays Basílio Oliveira, Patrick Brandão and Rosa Maria Soares Madeira Domingues
    Citation: Reproductive Health 2023 20(Suppl 2):14
  5. In 2015, a quality improvement project—the “Adequate Childbirth Project” (Projeto Parto Adequado, or PPA)—was implemented in Brazilian private hospitals with the goal of reducing unnecessary cesarean sections. On...

    Authors: Fabrine C. Souza, Rosa Maria Soares Madeira Domingues, Jacqueline Alves Torres, Maysa Luduvice Gomes and Maria do Carmo Leal
    Citation: Reproductive Health 2023 20(Suppl 2):17
  6. In Brazil, childbirth practices are strongly marked by surgical events and particularly in the private sector cesarean sections reach rates above 80%. The National Supplementary Health Agency proposed the Adeq...

    Authors: Andreza Pereira Rodrigues, Débora Cecília Chaves de Oliveira, Maysa Luduvice Gomes, Lucia Regina de Azevedo Nicida, Jacqueline Alves Torres, Amanda da Trindade Dias Coutinho, Beatriz da Silva Soares de Souza Cravo, Juliana Guimarães Dantas, Thays Basílio Oliveira and Rosa Maria Soares Madeira Domingues
    Citation: Reproductive Health 2023 20(Suppl 2):19

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