{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T07:36:26Z","timestamp":1765438586759,"version":"3.40.5"},"reference-count":43,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,8,21]],"date-time":"2019-08-21T00:00:00Z","timestamp":1566345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The promotion of a positive birth experience has been a main goal of the World Health Organization\u2019s (WHO) recent work on improving maternity care. The purpose of this study was to assess the cesarean rates, the prevalence of birth practices, perinatal outcomes, and maternal satisfaction, in women involved with the respectful maternity care (RMC) support groups in Sao Paulo, Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a cross\u2010sectional study of women with low\u2010risk pregnancies who were assisted by professionals recommended by the RMC groups. An online questionnaire was administered. Variables to assess birth practices were classified as positive, negative, or unspecified according to the WHO guidelines. The Pearson chi\u2010square tests and odds ratios (ORs) with their corresponding 95% confidence intervals (CIs) were computed to assess differences between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five\u2010hundred and eighty women completed the questionnaire. The cesarean rate was 14.7%, and the operative vaginal birth rate was 9.5%. The VBAC rate was 87.1%, and there was no significant difference in risk for cesarean between women with or without a prior cesarean. Of all women, 83.1% had a midwife's assistance and 75.5% hired a doula; 81.4% gave birth in a nonlithotomic position. The practices of enema, fasting and episiotomy were all under 2%. All 5\u2010minute Apgar scores were \u22657. Most (83.1%) women reported having a positive birth experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Woman's engagement with the birth support groups and a transdisciplinary team focused on RMC are key elements to achieve positive perinatal outcomes and high women's satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12448","type":"journal-article","created":{"date-parts":[[2019,8,22]],"date-time":"2019-08-22T02:40:43Z","timestamp":1566441643000},"page":"509-516","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The role of the respectful maternity care model in S\u00e3o Paulo, Brazil: A cross\u2010sectional study"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3773-7597","authenticated-orcid":false,"given":"Juliana","family":"Giordano","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences University of Campinas (UNICAMP) Campinas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4335-0337","authenticated-orcid":false,"given":"Fernanda G.","family":"Surita","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences University of Campinas (UNICAMP) Campinas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,21]]},"reference":[{"volume-title":"WHO Recommendations: Intrapartum Care for a Positive Childbirth Experience","year":"2018","author":"World Health Organization","key":"e_1_2_6_2_1"},{"volume-title":"Prevention and Elimination of Disrespect and Abuse during Childbirth","year":"2017","author":"WHO","key":"e_1_2_6_3_1"},{"volume-title":"WHO Non Clinical Interventions to Reduce Cesarean","year":"2018","author":"WHO","key":"e_1_2_6_4_1"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.16281"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13156"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15015"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0148343"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31928-7"},{"key":"e_1_2_6_10_1","unstructured":"Prefeitura da Cidade de S\u00e3o Paulo.Munic\u00edpio estimula a realiza\u00e7\u00e3o do parto humanizado na Rede Municipal de Sa\u00fade | Secretaria Municipal da Sa\u00fade | Prefeitura da Cidade de S\u00e3o Paulo: Prefeitura da Cidade de S\u00e3o Paulo;2016.http:\/\/www.prefeitura.sp.gov.br\/cidade\/secretarias\/saude\/noticias\/?p=219826. 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