RT Journal Article
T1 Evidence-based Birth Attendance in Spain: Private versus Public Centers
A1 Hernández Martínez, Antonio
A1 Martínez Galiano, Juan Miguel
A1 Rodríguez Almagro, Julián Javier
A1 Delgado Rodríguez, Miguel
A1 Gómez Salgado, Juan
AB The type of hospital (public or private) has been associated with the type of clinicalpractice carried out. The purpose of this study was to determine the association between the type ofhospital (public or private) and delivery attendance with practices based on the recommendations bythe 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 womenin private centers, a higher rate of induced labor was observed (aOR: 1.49; 95% CI: 1.11–2.00), fewernatural methods were used to relieve pain (aOR: 0.51; 95% CI: 0.35–0.73), and increased odds ofcesarean section (aOR: 2.50; 95% CI: 1.81–3.46) were found as compared to public hospitals. Forprimiparous 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) andof cesarean section (aOR: 1.77; 95% CI: 1.33–2.37) than in public hospitals. No differences were foundin hospitalization times among women giving birth in public and private centers (p > 0.05). TheWorld Health Organization birth attendance recommendations are more strictly followed in publichospitals than in private settings.
PB MDPI
SN 1660-4601
YR 2019
FD 2019-03
LK http://hdl.handle.net/10272/16471
UL http://hdl.handle.net/10272/16471
LA eng
NO Hernández Martínez, A., Martínez Galiano, J., Rodríguez Almagro, J., Delgado-Rodríguez, M.,  Gómez Salgado, J. (2019). Evidence-based Birth Attendance in Spain: Private versus Public Centers. International Journal of Environmental Research and Public Health, 16(5), 894. DOI: https://doi.org/10.3390/ijerph16050894
DS Repositorio Institucional de la Universidad de Huelva
RD 31 may 2026