{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:45:16Z","timestamp":1785822316789,"version":"3.56.0"},"reference-count":36,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The comprehensive birth model (CBM) seeks to promote humanized care, maternal autonomy, and emotional bonding. However, its application in high\u2010complexity hospitals presents inconsistencies depending on the mode of delivery. The aim of the present study was to evaluate postpartum women's experience with the CBM and identify quality perception differences based on the mode of delivery in a Chilean high\u2010complexity public hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A concurrent exploratory mixed\u2010methods study (QUAN + QUAL) was conducted at a high\u2010complexity reference hospital in Vi\u00f1a del Mar, Chile. The quantitative phase included 345 postpartum women (184 vaginal births, 158 cesarean sections and 3 forceps) who completed the BMSP2 scale; data were analyzed using Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test, rank\u2010biserial correlation () for effect size, and robust linear regression (Huber's M\u2010estimator). The qualitative phase involved a different cohort of 26 postpartum women participating in in\u2010depth interviews analyzed via thematic analysis, validated with Cohen's kappa (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.86; 95% confidence interval [CI]: 0.78\u20130.92). Integration followed GRAMMS guidelines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Women reported high overall satisfaction, particularly in relational care. However, cesarean sections yielded significantly lower scores in self\u2010care and comfort (), and mother\u2013child contact (). Interviews suggested perceived discontinuities in autonomy, comfort, and early bonding within surgical care contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CBM implementation demonstrates positive relational care experiences but also suggests the presence of structural and operational challenges within cesarean care processes. Midwifery leaders and managers should prioritize the standardization of humanization strategies in surgical settings to support early post\u2010cesarean bonding and promote continuity of relational care throughout the postpartum period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71282","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:00:07Z","timestamp":1785819607000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experience of postpartum women with the care received under the comprehensive birth model: A mixed\u2010methods study in a high\u2010complexity public hospital in Chile"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6989-8697","authenticated-orcid":false,"given":"Maria Antonieta","family":"Silva\u2010Mu\u00f1oz","sequence":"first","affiliation":[{"name":"School of Midwifery (Escuela de Obstetricia y Puericultura) Universidad de Valpara\u00edso  Vi\u00f1a del Mar Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2144-7146","authenticated-orcid":false,"given":"Cristian","family":"Carre\u00f1o\u2010Le\u00f3n","sequence":"additional","affiliation":[{"name":"School of Midwifery (Escuela de Obstetricia y Puericultura) Universidad de Valpara\u00edso  Vi\u00f1a del Mar Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1766-6836","authenticated-orcid":false,"given":"Claudia","family":"Vilches\u2010Arredondo","sequence":"additional","affiliation":[{"name":"School of Midwifery (Escuela de Obstetricia y Puericultura) Universidad de Valpara\u00edso  Vi\u00f1a del Mar Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7056-538X","authenticated-orcid":false,"given":"Jenny","family":"Z\u00e1rate\u2010Mesa","sequence":"additional","affiliation":[{"name":"Dr. Gustavo Fricke Hospital  Vi\u00f1a del Mar Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4007-1095","authenticated-orcid":false,"given":"Jonathan","family":"G\u00e1lvez\u2010Arancibia","sequence":"additional","affiliation":[{"name":"Dr. Gustavo Fricke Hospital  Vi\u00f1a del Mar Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9611-7177","authenticated-orcid":false,"given":"Alejandra","family":"Figueroa\u2010Ca\u00f1ete","sequence":"additional","affiliation":[{"name":"Dr. Gustavo Fricke Hospital  Vi\u00f1a del Mar Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"WHO Recommendations: Intrapartum Care for a Positive Childbirth Experience","author":"Pan American Health Organization","year":"2019"},{"key":"e_1_2_10_3_1","volume-title":"Respectful Maternity 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