IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i5p894-d213172.html
   My bibliography  Save this article

Evidence-based Birth Attendance in Spain: Private versus Public Centers

Author

Listed:
  • Antonio Hernández-Martínez

    (Mancha-Centro Hospital, Alcázar de San Juan, 13600 Ciudad Real, Spain)

  • Juan Miguel Martínez-Galiano

    (Department of Nursing, University of Jaén, Campus de Las Lagunillas s/n, Building B3 Office 266, 23071 Jaén, Spain
    Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain)

  • Julián Rodríguez-Almagro

    (Department of Nursing, University of Castilla la Mancha, 13071 Ciudad Real, Spain)

  • Miguel Delgado-Rodríguez

    (Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
    Division of Preventive Medicine and Public Health, University of Jaen, 23071 Jaen, Spain)

  • Juan Gómez-Salgado

    (Department of Nursing, Faculty of Nursing, University of Huelva, 21071 Huelva, Spain
    Espíritu Santo University, Guayaquil 092301, Ecuador)

Abstract

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 cesarean section (aOR: 1.77; 95% CI: 1.33–2.37) than in public hospitals. No differences were found in hospitalization times among women giving birth in public and private centers ( p > 0.05). The World Health Organization birth attendance recommendations are more strictly followed in public hospitals than in private settings.

Suggested Citation

  • Antonio Hernández-Martínez & Juan Miguel Martínez-Galiano & Julián Rodríguez-Almagro & Miguel Delgado-Rodríguez & Juan Gómez-Salgado, 2019. "Evidence-based Birth Attendance in Spain: Private versus Public Centers," IJERPH, MDPI, vol. 16(5), pages 1-12, March.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:894-:d:213172
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/5/894/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/16/5/894/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:894-:d:213172. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.