Impact of an intrapartum care quality improvement intervention in Brazilian private hospitals on care safety measures and adverse outcomes
Plain Language Summary Cesarean section rates in Brazil are among the highest in the world, particularly in private hospitals. In 2015, a quality improvement project was implemented in private hospitals aiming to reduce the cesarean section (CS) rates (the Adequate Childbirth Project—PPA). In the 20...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-02-01
|
| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12978-022-01541-4 |
| _version_ | 1811171710373724160 |
|---|---|
| author | Maíra Libertad Soligo Takemoto Marcos Nakamura-Pereira Fernando Maia Peixoto-Filho Maria do Carmo Leal |
| author_facet | Maíra Libertad Soligo Takemoto Marcos Nakamura-Pereira Fernando Maia Peixoto-Filho Maria do Carmo Leal |
| author_sort | Maíra Libertad Soligo Takemoto |
| collection | DOAJ |
| description | Plain Language Summary Cesarean section rates in Brazil are among the highest in the world, particularly in private hospitals. In 2015, a quality improvement project was implemented in private hospitals aiming to reduce the cesarean section (CS) rates (the Adequate Childbirth Project—PPA). In the 2017–2018 period, the Healthy Birth Study (HBS) was proposed to assess the effect of the PPA project in CS rates, as well as use of obstetric interventions, adoption of good practices during labor and birth care and outcomes for both women and their babies. This article presents the comparison of 4873 births analyzed in the HBS, 2589 who were exposed to the PPA project and 2284 who received standard care. The analysis aim was to compare CS rates at the same time to assess if women who were part of the PPA intervention were less likely to have a negative event for themselves or their babies. A group of 15 measures of safety of obstetric care and negative outcomes for women and their babies was compared. Women who were exposed to the PPA intervention had a lower chance of CS, late preterm and early term deliveries. At the same time, the PPA group did not have worse outcomes for women or babies. In terms of safety care, the PPA intervention was associated with both positive and negative effects. For instance, women exposed to the PPA group had a higher chance of not receiving antibiotics to prevent infections when they needed, when compared to standard care. |
| first_indexed | 2024-04-10T17:18:33Z |
| format | Article |
| id | doaj.art-9a36b04ec2114a9aacc5258616f86794 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-04-10T17:18:33Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-9a36b04ec2114a9aacc5258616f867942023-02-05T12:14:36ZengBMCReproductive Health1742-47552023-02-0120S211010.1186/s12978-022-01541-4Impact of an intrapartum care quality improvement intervention in Brazilian private hospitals on care safety measures and adverse outcomesMaíra Libertad Soligo Takemoto0Marcos Nakamura-Pereira1Fernando Maia Peixoto-Filho2Maria do Carmo Leal3Botucatu Medical School, Universidade Estadual Paulista Júlio de Mesquita Filho, UNESP - Campus de BotucatuNational Institute of Health for Women, Children and Adolescents Fernandes Figueira (IFF/Fiocruz)National Institute of Health for Women, Children and Adolescents Fernandes Figueira (IFF/Fiocruz)Oswaldo Cruz Foundation, National School of Public HealthPlain Language Summary Cesarean section rates in Brazil are among the highest in the world, particularly in private hospitals. In 2015, a quality improvement project was implemented in private hospitals aiming to reduce the cesarean section (CS) rates (the Adequate Childbirth Project—PPA). In the 2017–2018 period, the Healthy Birth Study (HBS) was proposed to assess the effect of the PPA project in CS rates, as well as use of obstetric interventions, adoption of good practices during labor and birth care and outcomes for both women and their babies. This article presents the comparison of 4873 births analyzed in the HBS, 2589 who were exposed to the PPA project and 2284 who received standard care. The analysis aim was to compare CS rates at the same time to assess if women who were part of the PPA intervention were less likely to have a negative event for themselves or their babies. A group of 15 measures of safety of obstetric care and negative outcomes for women and their babies was compared. Women who were exposed to the PPA intervention had a lower chance of CS, late preterm and early term deliveries. At the same time, the PPA group did not have worse outcomes for women or babies. In terms of safety care, the PPA intervention was associated with both positive and negative effects. For instance, women exposed to the PPA group had a higher chance of not receiving antibiotics to prevent infections when they needed, when compared to standard care.https://doi.org/10.1186/s12978-022-01541-4Cesarean sectionQuality improvementObstetricsMaternal HealthHealth Services ResearchEvaluation Study |
| spellingShingle | Maíra Libertad Soligo Takemoto Marcos Nakamura-Pereira Fernando Maia Peixoto-Filho Maria do Carmo Leal Impact of an intrapartum care quality improvement intervention in Brazilian private hospitals on care safety measures and adverse outcomes Reproductive Health Cesarean section Quality improvement Obstetrics Maternal Health Health Services Research Evaluation Study |
| title | Impact of an intrapartum care quality improvement intervention in Brazilian private hospitals on care safety measures and adverse outcomes |
| title_full | Impact of an intrapartum care quality improvement intervention in Brazilian private hospitals on care safety measures and adverse outcomes |
| title_fullStr | Impact of an intrapartum care quality improvement intervention in Brazilian private hospitals on care safety measures and adverse outcomes |
| title_full_unstemmed | Impact of an intrapartum care quality improvement intervention in Brazilian private hospitals on care safety measures and adverse outcomes |
| title_short | Impact of an intrapartum care quality improvement intervention in Brazilian private hospitals on care safety measures and adverse outcomes |
| title_sort | impact of an intrapartum care quality improvement intervention in brazilian private hospitals on care safety measures and adverse outcomes |
| topic | Cesarean section Quality improvement Obstetrics Maternal Health Health Services Research Evaluation Study |
| url | https://doi.org/10.1186/s12978-022-01541-4 |
| work_keys_str_mv | AT mairalibertadsoligotakemoto impactofanintrapartumcarequalityimprovementinterventioninbrazilianprivatehospitalsoncaresafetymeasuresandadverseoutcomes AT marcosnakamurapereira impactofanintrapartumcarequalityimprovementinterventioninbrazilianprivatehospitalsoncaresafetymeasuresandadverseoutcomes AT fernandomaiapeixotofilho impactofanintrapartumcarequalityimprovementinterventioninbrazilianprivatehospitalsoncaresafetymeasuresandadverseoutcomes AT mariadocarmoleal impactofanintrapartumcarequalityimprovementinterventioninbrazilianprivatehospitalsoncaresafetymeasuresandadverseoutcomes |