Maternal and neonatal outcomes | Total (N = 238) | Standard of care model (N = 154) | PPA model of care (N = 84) | p value | |||
---|---|---|---|---|---|---|---|
N | % | n | % | n | % | ||
Maternal outcomes | |||||||
Type of labor | |||||||
Spontaneous | 89 | 37.4 | 33 | 21.4 | 56 | 66.7 | < 0.001 |
Induced | 24 | 10.1 | 5 | 3.2 | 19 | 22.6 | |
Without labor | 125 | 52.5 | 116 | 75.3 | 9 | 10.7 | |
Type of birth | |||||||
Vaginal | 70 | 29.4 | 13 | 8.4 | 57 | 67.9 | < 0.001 |
Caesarean | 168 | 70.6 | 141 | 91.6 | 27 | 32.1 | |
Weighted caesareana | 88.6 | 31.7 | |||||
Severe maternal morbidity | 5 | 2.1 | 4 | 2.6 | 1 | 1.2 | 0.658 |
Maternal near miss | 1 | 0.4 | 1 | 0.7 | 0 | 0.0 | 1.000 |
Maternal death | 0 | – | 0 | – | 0 | – | |
Admission to Intensive Care Unit | 5 | 2.1 | 5 | 3.3 | 0 | 0.0 | 0.164 |
Maternal satisfaction with childbirth care | |||||||
Clarity of information | 219 | 92.0 | 143 | 92.9 | 76 | 90.5 | 0.517 |
Respect | 227 | 95.4 | 147 | 95.5 | 80 | 95.2 | 0.939 |
Preserved intimacy | 231 | 97.1 | 151 | 98.1 | 80 | 95.2 | 0.220 |
Time available for questions | 212 | 89.1 | 141 | 91.6 | 71 | 84.5 | 0.096 |
Participation in the decision making | 217 | 91.2 | 144 | 93.5 | 73 | 86.9 | 0.086 |
Any type of violence | 6 | 2.5 | 3 | 1.9 | 3 | 3.6 | 0.668 |
Global satisfaction with childbirth care | 228 | 95.8 | 148 | 96.1 | 80 | 95.2 | 0.745 |
Satisfaction with newborn care | 228 | 95.8 | 145 | 94.2 | 83 | 98.8 | 0.103 |
Neonatal outcomes | |||||||
Birth weight | |||||||
< 2.500 g | 7 | 3.0 | 5 | 3.3 | 2 | 2.4 | 0.225 |
2500 to 3999 g | 218 | 92.8 | 144 | 94.1 | 74 | 90.2 | |
≥ 4000 g | 10 | 4.3 | 4 | 2.6 | 6 | 7.3 | |
Gestational age (weeks) | |||||||
37 to 38 | 107 | 45.0 | 83 | 53.9 | 24 | 28.6 | < 0.001 |
Spontaneousb | 35 | 21.1 | 17 | 19.3 | 18 | 23.1 | 0.553 |
Induced | 72 | 35.5 | 66 | 48.2 | 6 | 9.1 | < 0.001 |
39 to 41 | 131 | 55.0 | 71 | 46.1 | 60 | 71.4 | < 0.001 |
Apgar < 7 in the 5th min of life | 2 | 0.9 | 1 | 0.7 | 1 | 1.2 | 1.000 |
Any neonatal complication | 30 | 12.6 | 16 | 10.4 | 14 | 16.7 | 0.163 |
Admission to NICU | 22 | 9.2 | 11 | 7.1 | 11 | 13.1 | 0.130 |
Neonatal near miss | 19 | 8.0 | 11 | 7.1 | 8 | 9.5 | 0.517 |
Stillbirth | 0 | – | 0 | – | 0 | – | |
Neonatal death | 0 | – | 0 | – | 0 | – |