IJERPH, Vol. 16, Pages 894: Evidence-based Birth Attendance in Spain: Private versus Public Centers

IJERPH, Vol. 16, Pages 894: Evidence-based Birth Attendance in Spain: Private versus Public Centers International Journal of Environmental Research and Public Health doi: 10.3390/ijerph16050894 Authors: Antonio Hernández-Martínez Juan Miguel Martínez-Galiano Julián Rodríguez-Almagro Miguel Delgado-Rodríguez Juan Gómez-Salgado The type of hospital (public or private) has been associated with the type of clinical practice carried out. The purpose of this study was to determine the association between the type of hospital (public or private) and delivery attendance with practices based on the recommendations by the World Health Organization (WHO). A cross-sectional study with puerperal women (n = 2906) was conducted in Spain during 2017. The crude Odds Ratios (OR), adjusted (aOR) and their 95% confidence intervals (CI) were calculated through binary logistic regression. For multiparous women in private centers, a higher rate of induced labor was observed (aOR: 1.49; 95% CI: 1.11–2.00), fewer natural methods were used to relieve pain (aOR: 0.51; 95% CI: 0.35–0.73), and increased odds of cesarean section (aOR: 2.50; 95% CI: 1.81–3.46) were found as compared to public hospitals. For primiparous women in private centers, a greater use of the epidural was observed (aOR: 1.57; 95% CI: 1.03–1.40), as well as an increased likelihood of instrumental birth (aOR: 1.53; 95% CI: 1.09–2.15) and of ces...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research