Cargando…
Clinical practice outcomes and differential results in maternal and neonatal morbidity among pregnant women in Spain who are candidates for a normal birth: a cross-sectional study
OBJECTIVE: To determine the percentage of pregnant women who are potential candidates for a normal birth in the region of Cantabria, Spain. Also, to compare the main clinical practice outcome indicators and the rates of maternal and neonatal morbidity among the group of candidate women versus non-ca...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701598/ https://www.ncbi.nlm.nih.gov/pubmed/31420385 http://dx.doi.org/10.1136/bmjopen-2018-026899 |
_version_ | 1783445077392097280 |
---|---|
author | Casteleiro, Ana Santibanez, M Paras-Bravo, Paula Pellico-Lopez, Amada Paz-Zulueta, María |
author_facet | Casteleiro, Ana Santibanez, M Paras-Bravo, Paula Pellico-Lopez, Amada Paz-Zulueta, María |
author_sort | Casteleiro, Ana |
collection | PubMed |
description | OBJECTIVE: To determine the percentage of pregnant women who are potential candidates for a normal birth in the region of Cantabria, Spain. Also, to compare the main clinical practice outcome indicators and the rates of maternal and neonatal morbidity among the group of candidate women versus non-candidates. DESIGN: A cross-sectional study. SETTING: A tertiary Hospital in Cantabria (Northern region of Spain). PARTICIPANTS: The study population comprised the total number of hospital births that took place between 1 January 2014 and 31 December 2014 (n=3315). RESULTS: Secondary registers were accessed to review the main indicators of care and the outcome of births. The χ(2) test or the Student’s t-test were used to compare both groups for the categorical and continuous variables, respectively. In total, 1863 births (56.20%) were candidates for applying the strategy of care for a normal birth. In 50.86% of these candidate births, an episiotomy was performed, compared with 60.96% in the group of non-candidates (p<0.001). Regarding caesarean sections, these were carried out in 19.32% of the candidate births, compared with 26.79% of non-candidate births (p<0.001). Furthermore, there were statistically significant differences between the groups according to the type of birth, the need for instrumental birthing methods, the existence of perineal tears, Apgar scores and the requirement for the infant to be admitted to the neonatal intensive care unit. CONCLUSIONS: Our results suggest a differential clinical practice, in line with the recommendations of the Clinical Practice Guidelines for Care of Normal Birth. Nonetheless, improvements are necessary regarding the care provided to women and infants, as the percentages of episiotomies and caesarean sections are still high when compared with current standards and compared with other reports. |
format | Online Article Text |
id | pubmed-6701598 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-67015982019-09-02 Clinical practice outcomes and differential results in maternal and neonatal morbidity among pregnant women in Spain who are candidates for a normal birth: a cross-sectional study Casteleiro, Ana Santibanez, M Paras-Bravo, Paula Pellico-Lopez, Amada Paz-Zulueta, María BMJ Open Obstetrics and Gynaecology OBJECTIVE: To determine the percentage of pregnant women who are potential candidates for a normal birth in the region of Cantabria, Spain. Also, to compare the main clinical practice outcome indicators and the rates of maternal and neonatal morbidity among the group of candidate women versus non-candidates. DESIGN: A cross-sectional study. SETTING: A tertiary Hospital in Cantabria (Northern region of Spain). PARTICIPANTS: The study population comprised the total number of hospital births that took place between 1 January 2014 and 31 December 2014 (n=3315). RESULTS: Secondary registers were accessed to review the main indicators of care and the outcome of births. The χ(2) test or the Student’s t-test were used to compare both groups for the categorical and continuous variables, respectively. In total, 1863 births (56.20%) were candidates for applying the strategy of care for a normal birth. In 50.86% of these candidate births, an episiotomy was performed, compared with 60.96% in the group of non-candidates (p<0.001). Regarding caesarean sections, these were carried out in 19.32% of the candidate births, compared with 26.79% of non-candidate births (p<0.001). Furthermore, there were statistically significant differences between the groups according to the type of birth, the need for instrumental birthing methods, the existence of perineal tears, Apgar scores and the requirement for the infant to be admitted to the neonatal intensive care unit. CONCLUSIONS: Our results suggest a differential clinical practice, in line with the recommendations of the Clinical Practice Guidelines for Care of Normal Birth. Nonetheless, improvements are necessary regarding the care provided to women and infants, as the percentages of episiotomies and caesarean sections are still high when compared with current standards and compared with other reports. BMJ Publishing Group 2019-08-15 /pmc/articles/PMC6701598/ /pubmed/31420385 http://dx.doi.org/10.1136/bmjopen-2018-026899 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Obstetrics and Gynaecology Casteleiro, Ana Santibanez, M Paras-Bravo, Paula Pellico-Lopez, Amada Paz-Zulueta, María Clinical practice outcomes and differential results in maternal and neonatal morbidity among pregnant women in Spain who are candidates for a normal birth: a cross-sectional study |
title | Clinical practice outcomes and differential results in maternal and neonatal morbidity among pregnant women in Spain who are candidates for a normal birth: a cross-sectional study |
title_full | Clinical practice outcomes and differential results in maternal and neonatal morbidity among pregnant women in Spain who are candidates for a normal birth: a cross-sectional study |
title_fullStr | Clinical practice outcomes and differential results in maternal and neonatal morbidity among pregnant women in Spain who are candidates for a normal birth: a cross-sectional study |
title_full_unstemmed | Clinical practice outcomes and differential results in maternal and neonatal morbidity among pregnant women in Spain who are candidates for a normal birth: a cross-sectional study |
title_short | Clinical practice outcomes and differential results in maternal and neonatal morbidity among pregnant women in Spain who are candidates for a normal birth: a cross-sectional study |
title_sort | clinical practice outcomes and differential results in maternal and neonatal morbidity among pregnant women in spain who are candidates for a normal birth: a cross-sectional study |
topic | Obstetrics and Gynaecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701598/ https://www.ncbi.nlm.nih.gov/pubmed/31420385 http://dx.doi.org/10.1136/bmjopen-2018-026899 |
work_keys_str_mv | AT casteleiroana clinicalpracticeoutcomesanddifferentialresultsinmaternalandneonatalmorbidityamongpregnantwomeninspainwhoarecandidatesforanormalbirthacrosssectionalstudy AT santibanezm clinicalpracticeoutcomesanddifferentialresultsinmaternalandneonatalmorbidityamongpregnantwomeninspainwhoarecandidatesforanormalbirthacrosssectionalstudy AT parasbravopaula clinicalpracticeoutcomesanddifferentialresultsinmaternalandneonatalmorbidityamongpregnantwomeninspainwhoarecandidatesforanormalbirthacrosssectionalstudy AT pellicolopezamada clinicalpracticeoutcomesanddifferentialresultsinmaternalandneonatalmorbidityamongpregnantwomeninspainwhoarecandidatesforanormalbirthacrosssectionalstudy AT pazzuluetamaria clinicalpracticeoutcomesanddifferentialresultsinmaternalandneonatalmorbidityamongpregnantwomeninspainwhoarecandidatesforanormalbirthacrosssectionalstudy |