{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T06:04:56Z","timestamp":1789884296213,"version":"4.0.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,2,13]],"date-time":"2019-02-13T00:00:00Z","timestamp":1550016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009647","name":"Ministry of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009647","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011893","name":"Pan American Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011893","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To increase knowledge and promote cultural change toward valuing normal birth, and to lower rates of cesarean and unnecessary interventions during childbirth in Brazil via the Senses of Birth (SoB) exhibition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The SoB intervention targeted 22\u00a0621 participants in three Brazilian cities in 2015. The effects of the exhibition in knowledge, perceptions, and preferences regarding childbirth were analyzed in a multi\u2010method study. Pre\u2010 and post\u2010exhibition survey responses of 17\u00a0501 (77.0%) visitors, 1947 (8.6%) non\u2010pregnant women, and all pregnant women (n=1287) were collected at the exhibition. A follow\u2010up survey was completed by 555 (43.0%) postpartum women who had participated at SoB while pregnant. Univariate analyses were used to compare before and after changes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a significant increase in knowledge about normal birth, varying from 10.0% to 25.0% among general visitors (<jats:italic>P<\/jats:italic>&lt;0.001) and 27.3% to 42.0% among pregnant women (<jats:italic>P<\/jats:italic>&lt;0.001). Perceptions and preferences for normal birth also changed, reaching 83.0% of general visitors and 87.4% of pregnant women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SoB was found to effectively improve knowledge about and preference for normal birth. Scaling\u2010up the intervention might contribute to cultural change toward valuing normal birth, and might decrease the rate of unnecessary cesarean and premature birth in Brazil.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12765","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T14:12:49Z","timestamp":1548339169000},"page":"91-100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["The Senses of Birth intervention to decrease cesarean and prematurity rates in Brazil"],"prefix":"10.1002","volume":"145","author":[{"given":"S\u00f4nia","family":"Lansky","sequence":"first","affiliation":[{"name":"Department of Health  Belo Horizonte City Hall Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardo J.","family":"Oliveira","sequence":"additional","affiliation":[{"name":"School of Education Universidade Federal de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliane R.M.","family":"Peixoto","sequence":"additional","affiliation":[{"name":"School of Medicine Universidade Federal de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kleyde V.","family":"Souza","sequence":"additional","affiliation":[{"name":"School of Nursing Universidade Federal de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u00edsa M.M.","family":"Fernandes","sequence":"additional","affiliation":[{"name":"School of Public Health State University of New York at Albany  Albany NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Am\u00e9lia A.L.","family":"Friche","sequence":"additional","affiliation":[{"name":"School of Nursing Universidade Federal de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-016-0228-7"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0153396"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7343.942"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60055-X"},{"key":"e_1_2_8_6_1","first-page":"436","article-title":"Appropriate technology for birth","volume":"2","author":"World Health Organization (WHO)","year":"1985","journal-title":"Lancet"},{"key":"e_1_2_8_7_1","unstructured":"World Health Organization.WHO Statement on Caesarean Section Rates. 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