{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T06:25:14Z","timestamp":1785133514691,"version":"3.55.0"},"reference-count":55,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T00:00:00Z","timestamp":1631145600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T00:00:00Z","timestamp":1631145600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Obstetric interventions performed during delivery do not reflect improvements in obstetric care. Several practices routinely performed during childbirth, without any scientific evidence or basis - such as Kristeller maneuver, routine episiotomy, and movement or feeding restriction - reflect a disrespectful assistance reality that, unfortunately, remains in place in Brazil. The aims of the current study are to assess the coexistence and prevalence of obstetric interventions in maternity hospitals in Belo Horizonte City, based on the Grade of Membership (GoM) method, as well as to investigate sociodemographic and obstetric factors associated with coexistence profiles generated by it.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Observational study, based on a cross-sectional design, carried out with data deriving from the study \u201cNascer em Belo Horizonte: Inqu\u00e9rito sobre o Parto e Nascimento\u201d (Born in Belo Horizonte: Survey on Childbirth and Birth). The herein investigated interventions comprised practices that are clearly useful and should be encouraged; practices that are clearly harmful or ineffective and should be eliminated; and practices that are inappropriately used, in contrast to the ones recommended by the World Health Organization. The analyzed interventions comprised: providing food to parturient women, allowing them to have freedom to move, use of partogram, adopting non-pharmacological methods for pain relief, enema, perineal shaving, lying patients down for delivery, Kristeller maneuver, amniotomy, oxytocin infusion, analgesia and episiotomy. The current study has used GoM to identify the coexistence of the adopted obstetric interventions. Variables such as age, schooling, skin color, primigravida, place-of\u2013delivery financing, number of prenatal consultations, gestational age at delivery, presence of obstetric nurse at delivery time, paid work and presence of companion during delivery were taken into consideration at the time to build patients\u2019 profile.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Results have highlighted two antagonistic obstetric profiles, namely: profile 1 comprised parturient women who were offered diet, freedom to move, use of partogram, using non-pharmacological methods for pain relief, giving birth in lying position, patients who were not subjected to Kristeller maneuver, episiotomy or amniotomy, women did not receive oxytocin infusion, and analgesia using. Profile 2, in its turn, comprised parturient women who were not offered diet, who were not allowed to have freedom to move, as well as who did not use the partograph or who were subjected to non-pharmacological methods for pain relief. They were subjected to enema, perineal shaving, Kristeller maneuver, amniotomy and oxytocin infusion. In addition, they underwent analgesia and episiotomy. This outcome emphasizes the persistence of an obstetric care model that is not based on scientific evidence. Based on the analysis of factors that influenced the coexistence of obstetric interventions, the presence of obstetric nurses in the healthcare practice has reduced the likelihood of parturient women to belong to profile 2. In addition, childbirth events that took place in public institutions have reduced the likelihood of parturient women to belong to profile 2.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion(s)<\/jats:title>\n                <jats:p>Based on the analysis of factors that influenced the coexistence of obstetric interventions, financing the hospital for childbirth has increased the likelihood of parturient women to belong to profile 2. However, the likelihood of parturient women to belong to profile 2 has decreased when hospitals had an active obstetric nurse at the delivery room. The current study has contributed to discussions about obstetric interventions, as well as to improve childbirth assistance models. In addition, it has emphasized the need of developing strategies focused on adherence to, and implementation of, assistance models based on scientific evidence.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12884-021-04092-x","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T16:04:46Z","timestamp":1631203486000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Coexistence and prevalence of obstetric interventions: an analysis based on the grade of membership"],"prefix":"10.1186","volume":"21","author":[{"given":"Karina Cristina Rouwe","family":"de Souza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thales Philipe Rodrigues","family":"da Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Kelve de Castro","family":"Damasceno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna Figueiredo","family":"Manzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kleyde Ventura de","family":"Souza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Margarida Leit\u00e3o","family":"Filipe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda Penido","family":"Matozinhos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,9,9]]},"reference":[{"key":"4092_CR1","doi-asserted-by":"publisher","unstructured":"SiQueira prado danieLa, barboSa mendeS roSemar, Queiroz gurgeL roSana, danieL de carvaLho barreto iKaro, daiana bezerra F, cipoLotti roSana, et al. Practices and obstetric interventions in women from a state in the northeast of brazil rev aSSoc med braS Practices and obstetric interventions in women from a state in the Northeast of Brazil. 2017;63(12):1039\u201348. Available at: https:\/\/doi.org\/10.1590\/1806-9282.63.12.1039","DOI":"10.1590\/1806-9282.63.12.1039"},{"key":"4092_CR2","unstructured":"Gomes SC, Teodoro LPP, Pinto AGA, Oliveira DR de;, Quirino G da S, Pinheiro AKB. Renascimento do parto: refl ex\u00f5es sobre a medicaliza\u00e7\u00e3o da aten\u00e7\u00e3o obst\u00e9trica no Brasil. Rev Bras Enferm [Internet]. 2018;71(5):2594\u20138. Available at: http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0034-71672018000502594&lng=pt&nrm=iso&tlng=pt"},{"key":"4092_CR3","doi-asserted-by":"crossref","unstructured":"Lazzerini M, Valente EP, Covi B, Semenzato C, Ciuch M. Use of WHO standards to improve quality of maternal and newborn hospital care: a study collecting both mothers\u2019 and staff perspective in a tertiary care hospital in Italy. BMJ Open Qual [Internet]. 1 de fevereiro de 2019;8(1):e000525. Available at: http:\/\/bmjopenquality.bmj.com\/content\/8\/1\/e000525.abstract","DOI":"10.1136\/bmjoq-2018-000525"},{"key":"4092_CR4","doi-asserted-by":"crossref","unstructured":"Leal M do C, Bittencourt S de A, Esteves-Pereira AP, Ayres BV da S, Silva LBRA de A, Thomaz EBAF, et al. Avan\u00e7os na assist\u00eancia ao parto no Brasil: resultados preliminares de dois estudos avaliativos. Cad Saude Publica. 2019;35(7):e00223018.","DOI":"10.1590\/0102-311x00223018"},{"issue":"SUPPL1","key":"4092_CR5","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1590\/0102-311X00105113","volume":"30","author":"RMSM Domingues","year":"2014","unstructured":"Domingues RMSM, Dias MAB, Nakamura-Pereira M, Torres JA, d\u2019Orsi E, Pereira APE, et al. Processo de decis\u00e3o pelo tipo de parto no Brasil: Da prefer\u00eancia inicial das mulheres \u00e0 via de parto final. Cad Saude Publica. 2014;30(SUPPL1):101\u201316.","journal-title":"Cad Saude Publica"},{"issue":"1","key":"4092_CR6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12884-018-2054-0","volume":"18","author":"KY \u00c7alik","year":"2018","unstructured":"\u00c7alik KY, Karabulutlu \u00d6, Yavuz C. First do no harm - Interventions during labor and maternal satisfaction: A descriptive cross-sectional study. BMC Pregnancy Childbirth. 2018;18(1):1\u201310.","journal-title":"BMC Pregnancy Childbirth"},{"key":"4092_CR7","doi-asserted-by":"crossref","unstructured":"Govindaswami B, Jegatheesan P, Nudelman M, Narasimhan SR. Prevention of Prematurity: Advances and Opportunities. Clin Perinatol [Internet]. 2018;45(3):579\u201395. Available at: https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0095510818313721","DOI":"10.1016\/j.clp.2018.05.013"},{"issue":"5","key":"4092_CR8","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1016\/S1701-2163(15)30934-8","volume":"35","author":"M Rossignol","year":"2013","unstructured":"Rossignol M, Moutquin JM, Boughrassa F, B\u00e9dard MJ, Chaillet N, Charest C, et al. Preventable Obstetrical Interventions: How Many Caesarean Sections Can Be Prevented in Canada? J Obstet Gynaecol Canada. 2013;35(5):434\u201343.","journal-title":"J Obstet Gynaecol Canada"},{"key":"4092_CR9","doi-asserted-by":"publisher","unstructured":"WHO. Care in normal birth: a pratical guide. maternal and newborn health\/ safe motherhood unit [Internet]. Vol.\u00a05, BMC Public Health. 1996. p.\u00a01\u201357. Available at: https:\/\/ejournal.poltektegal.ac.id\/index.php\/siklus\/article\/view\/298http:\/\/repositorio.unan.edu.ni\/2986\/1\/5624.pdfhttps:\/\/doi.org\/10.1016\/j.jana.2015.10.005http:\/\/www.biomedcentral.com\/1471-2458\/12\/58http:\/\/ovidsp.ovid.com\/ovidweb.cgi?T=JS&P","DOI":"10.1016\/j.jana.2015.10.005"},{"key":"4092_CR10","unstructured":"WHO. Intrapartum care for a positive childbirth experience [Internet]. 2018. 212 p. Available at: http:\/\/apps.who.int\/iris\/bitstream\/10665\/260178\/1\/9789241550215-eng.pdf?ua=1\u2009%0Ahttp:\/\/www.who.int\/reproductivehealth\/publications\/intrapartum-care-guidelines\/en\/"},{"key":"4092_CR11","doi-asserted-by":"crossref","unstructured":"Mena-Tudela D, Iglesias-Cas\u00e1s S, Gonz\u00e1lez-Chord\u00e1 VM, Cervera-Gasch \u00c1, Andreu-Pej\u00f3 L, Valero-Chilleron MJ. Obstetric Violence in Spain (Part II): Interventionism and Medicalization during Birth. Vol.\u00a018, International Journal of Environmental Research and Public Health. 2021.","DOI":"10.3390\/ijerph18073359"},{"key":"4092_CR12","doi-asserted-by":"crossref","unstructured":"Dahlen HG, Tracy S, Tracy M, Bisits A, Brown C, Thornton C. Rates of obstetric intervention among low-risk women giving birth in private and public hospitals in NSW: A population-based descriptive study. BMJ Open. 2012;2(5).","DOI":"10.1136\/bmjopen-2012-001723"},{"key":"4092_CR13","doi-asserted-by":"crossref","unstructured":"Leal M do C, Pereira APE, Domingues RMSM, Filha MMT, Dias MAB, Nakamura-Pereira M, et al. Interven\u00e7\u00f5es obst\u00e9tricas durante o trabalho de parto e parto em mulheres Brasileiras de risco habitual. Cad Saude Publica. 2014;30(SUPPL1):17\u201332.","DOI":"10.1590\/0102-311X00151513"},{"key":"4092_CR14","doi-asserted-by":"publisher","unstructured":"Masuda C, Ferolin SK, Masuda K, Smith C, Matsui M. Evidence-based intrapartum practice and its associated factors at a tertiary teaching hospital in the Philippines, a descriptive mixed-methods study. BMC Pregnancy Childbirth [Internet]. 2020;20(1):78. Available at: https:\/\/doi.org\/10.1186\/s12884-020-2778-5","DOI":"10.1186\/s12884-020-2778-5"},{"key":"4092_CR15","unstructured":"Brasil M da S. Aten\u00e7\u00e3o ao pr\u00e9 natal de baixo risco. 2012. 318 p."},{"key":"4092_CR16","doi-asserted-by":"crossref","unstructured":"Leal M do C, Esteves-Pereira AP, Vilela ME de A, Alves MTSS de B e, Neri MA, Queiroz RC de S, et al. Redu\u00e7\u00e3o das iniquidades sociais no acesso \u00e0s tecnologias apropriadas ao parto na Rede Cegonha. Cien Saude Colet. 2021;26(3):823\u201335.","DOI":"10.1590\/1413-81232021263.06642020"},{"key":"4092_CR17","doi-asserted-by":"publisher","unstructured":"Leite TH, Pereira APE, Leal M do C, da Silva AAM. Disrespect and abuse towards women during childbirth and postpartum depression: findings from Birth in Brazil Study. J Affect Disord [Internet]. 2020;273(March):391\u2013401. Available at: https:\/\/doi.org\/10.1016\/j.jad.2020.04.052","DOI":"10.1016\/j.jad.2020.04.052"},{"issue":"2","key":"4092_CR18","doi-asserted-by":"publisher","first-page":"250","DOI":"10.15448\/1984-7289.2015.2.17899","volume":"15","author":"SS Mendon\u00e7a","year":"2015","unstructured":"Mendon\u00e7a SS. Modelos de assist\u00eancia obst\u00e9trica concorrentes e ativismo pela humaniza\u00e7\u00e3o do parto. Civ - Rev Ci\u00eancias Sociais. 2015;15(2):250.","journal-title":"Civ - Rev Ci\u00eancias Sociais"},{"issue":"8","key":"4092_CR19","doi-asserted-by":"publisher","first-page":"2811","DOI":"10.1590\/1413-81232018248.30102017","volume":"24","author":"S Lansky","year":"2019","unstructured":"Lansky S, De Souza KV, De Morais Peixoto ER, Oliveira BJ, Diniz CSG, Vieira NF, et al. Obstetric violence: influences of the senses of birth exhibition in pregnant women childbirth experience. Cienc e Saude Coletiva. 2019;24(8):2811\u201324.","journal-title":"Cienc e Saude Coletiva"},{"key":"4092_CR20","doi-asserted-by":"crossref","unstructured":"Vasconcellos MTL, Silva NPL do, Pereira EAP, Schilithz AOC, de Souza Junior BPR, Szwarcwald CL. Desenho da amostra nascer no Brasil: Pesquisa nacional sobre parto e nascimento. Cad Saude Publica. 2014;30(SUPPL1):49\u201358.","DOI":"10.1590\/0102-311X00176013"},{"key":"4092_CR21","unstructured":"Guedes GR. Grade of Membership. UFMG, organizador. Belo Horizonte; 2016. 138 p."},{"key":"4092_CR22","unstructured":"Santos PJAJC. A heterogeneidade da vulnerabilidade social das juventudes: uma perspectiva emp\u00edrica atrav\u00e9s do m\u00e9todo Grade of Membership. Media\u00e7\u00f5es Revista de Ci\u00eancias Sociais. 2013;20."},{"key":"4092_CR23","doi-asserted-by":"crossref","unstructured":"Sawyer DO, Leite I da C, Alexandrino R. Perfis de utiliza\u00e7\u00e3o de servi\u00e7os de sa\u00fade no Brasil. Cien Saude Colet. 2002;7(4):757\u201376.","DOI":"10.1590\/S1413-81232002000400012"},{"issue":"1\u20132","key":"4092_CR24","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/0304-4076(91)90094-T","volume":"50","author":"KG Manton","year":"1991","unstructured":"Manton KG, Woodbury MA, Stallard E. Statistical and measurement issues in assessing the welfare status of aged individuals and populations. J Econom. 1991;50(1\u20132):151\u201381.","journal-title":"J Econom"},{"issue":"6","key":"4092_CR25","doi-asserted-by":"publisher","first-page":"992","DOI":"10.1590\/S0034-89102008000600003","volume":"42","author":"LMS Coutinho","year":"2008","unstructured":"Coutinho LMS, Scazufca M, Menezes PR. Methods for estimating prevalence ratios in cross-sectional studies. Rev Saude Publica. 2008;42(6):992\u20138.","journal-title":"Rev Saude Publica"},{"key":"4092_CR26","doi-asserted-by":"publisher","unstructured":"Lavender T, Bernitz S. Use of the partograph - Current thinking. Best Pract Res Clin Obstet Gynaecol [Internet]. 2020;67:33\u201343. Available at: https:\/\/doi.org\/10.1016\/j.bpobgyn.2020.03.010","DOI":"10.1016\/j.bpobgyn.2020.03.010"},{"key":"4092_CR27","first-page":"8","volume":"2013","author":"M Singata","year":"2013","unstructured":"Singata M, Tranmer J, Gyte GML. Restricting oral fluid and food intake during labour. Cochrane Database Syst Rev. 2013;2013(8).","journal-title":"Cochrane Database Syst Rev"},{"key":"4092_CR28","doi-asserted-by":"publisher","unstructured":"Mascarenhas VH, Mascarenhas A, Lima TR, Mendes Dantas E Silva F, Nna Dos F, Negreiros S, et al. Evid\u00eancias cient\u00edfi cas sobre m\u00e9todos n\u00e3o farmacol\u00f3gicos para al\u00edvio a dor do parto Scientifi c evidence on non-pharmacological methods for relief of labor pain Evidencias cient\u00edfi cas sobre m\u00e9todos no farmacol\u00f3gicos para aliviar el dolor de parto Autor c. Acta Paul Enferm [Internet]. 2019;32(3):350\u20137. Available at: https:\/\/doi.org\/10.1590\/1982-","DOI":"10.1590\/1982-"},{"key":"4092_CR29","doi-asserted-by":"crossref","unstructured":"Dokmak F, Michalek IM, Boulvain M, Desseauve D. Squatting position in the second stage of labor: A systematic review and meta-analysis. Vol.\u00a0254, European Journal of Obstetrics and Gynecology and Reproductive Biology. Elsevier Ireland Ltd; 2020. p.\u00a0147\u201352.","DOI":"10.1016\/j.ejogrb.2020.09.015"},{"key":"4092_CR30","first-page":"2","volume":"2017","author":"JK Gupta","year":"2017","unstructured":"Gupta JK, Sood A, Hofmeyr GJ VJ. Position in the second stage of labour for women with epidural anaesthesia. Cochrane Database Syst Rev. 2017;2017(2).","journal-title":"Cochrane Database Syst Rev"},{"key":"4092_CR31","doi-asserted-by":"publisher","unstructured":"Thomson G, Feeley C, Moran VH, Downe S, Oladapo OT. Women\u2019s experiences of pharmacological and non-pharmacological pain relief methods for labour and childbirth: a qualitative systematic review. Available at: https:\/\/doi.org\/10.1186\/s12978-019-0735-4","DOI":"10.1186\/s12978-019-0735-4"},{"issue":"2","key":"4092_CR32","first-page":"1","volume":"45","author":"N Becerra-Chauca","year":"2019","unstructured":"Becerra-Chauca N, Failoc-Rojas VE. Kristeller maneuver, physical and ethical consequences according to its central characters. Rev Cuba Obstet y Ginecol. 2019;45(2):1\u201313.","journal-title":"Rev Cuba Obstet y Ginecol"},{"key":"4092_CR33","doi-asserted-by":"publisher","unstructured":"Reveiz L, Gait\u00e1n HG, Cuervo LG. Enemas during labour. In: Reveiz L, organizador. Cochrane Database of Systematic Reviews [Internet]. Chichester, UK: John Wiley & Sons, Ltd; 2013 [citado 26 de abril de 2021]. Available at: https:\/\/doi.org\/10.1002\/14651858.CD000330.pub4","DOI":"10.1002\/14651858.CD000330.pub4"},{"key":"4092_CR34","doi-asserted-by":"publisher","unstructured":"Basevi V, Lavender T. Routine perineal shaving on admission in labour. Cochrane Database Syst Rev [Internet]. 14 de novembro de 2014 [citado 26 de abril de 2021];(11). Available at: https:\/\/doi.org\/10.1002\/14651858.CD001236.pub2","DOI":"10.1002\/14651858.CD001236.pub2"},{"key":"4092_CR35","doi-asserted-by":"crossref","unstructured":"Smyth RMD, Alldred SK, Markham C. Amniotomy for shortening spontaneous labour. Cochrane Database Syst Rev. 2013;2013(1).","DOI":"10.1002\/14651858.CD006167.pub3"},{"issue":"9","key":"4092_CR36","doi-asserted-by":"publisher","first-page":"1187","DOI":"10.1111\/aogs.13629","volume":"98","author":"R Dalbye","year":"2019","unstructured":"Dalbye R, Bernitz S, Olsen IC, Zhang J, Eggeb\u00f8 TM, Rozsa D, et al. The Labor Progression Study: The use of oxytocin augmentation during labor following Zhang\u2019s guideline and the WHO partograph in a cluster randomized trial. Acta Obstet Gynecol Scand. 2019;98(9):1187\u201394.","journal-title":"Acta Obstet Gynecol Scand"},{"key":"4092_CR37","doi-asserted-by":"crossref","unstructured":"Nucci Mariana;Nakano Andreza Rodrigues;teixeira Luiz Ant\u00f4nio. Ocitocina Sintetica e a acelera\u00e7\u00e3o do parto: reflex\u00f5es sobre. dezembro de 2018;979\u201398.","DOI":"10.1590\/s0104-59702018000500006"},{"key":"4092_CR38","doi-asserted-by":"publisher","unstructured":"Sng BL, Leong WL, Zeng Y, Siddiqui FJ, Assam PN, Lim Y, et al. Early versus late initiation of epidural analgesia for labour. Cochrane Database Syst Rev [Internet]. 9 de outubro de 2014 [citado 26 de abril de 2021];(10). Available at: https:\/\/doi.org\/10.1002\/14651858.CD007238.pub2","DOI":"10.1002\/14651858.CD007238.pub2"},{"key":"4092_CR39","doi-asserted-by":"publisher","unstructured":"Nanji JA, Carvalho B. Pain management during labor and vaginal birth. Best Pract Res Clin Obstet Gynaecol [Internet]. 2020;67:100\u201312. Available at: https:\/\/doi.org\/10.1016\/j.bpobgyn.2020.03.002","DOI":"10.1016\/j.bpobgyn.2020.03.002"},{"issue":"1","key":"4092_CR40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12978-016-0263-4","volume":"14","author":"MM Amorim","year":"2017","unstructured":"Amorim MM, Coutinho IC, Melo I, Katz L. Selective episiotomy vs. implementation of a non-episiotomy protocol: A randomized clinical trial. Reprod Health. 2017;14(1):1\u201310.","journal-title":"Reprod Health"},{"key":"4092_CR41","doi-asserted-by":"crossref","unstructured":"Jiang H, Qian X, Carroli G, Garner P. Selective versus routine use of episiotomy for vaginal birth. Cochrane Database Syst Rev. 2017;2017(2).","DOI":"10.1002\/14651858.CD000081.pub3"},{"key":"4092_CR42","doi-asserted-by":"crossref","unstructured":"Lopes GDC, Gon\u00e7alves A de C, Gouveia HG, Armellini CJ. Attention to childbirth and delivery in a university hospital: Comparison of practices developed after network stork. Rev Lat Am Enfermagem. 2019;27.","DOI":"10.1590\/1518-8345.2643-3139"},{"key":"4092_CR43","doi-asserted-by":"publisher","unstructured":"Jha P, Larsson M, Christensson K, Svanberg AS. Fear of childbirth and depressive symptoms among postnatal women: A cross-sectional survey from Chhattisgarh, India. Women and Birth [Internet]. 2018;31(2):e122\u201333. Available at: https:\/\/doi.org\/10.1016\/j.wombi.2017.07.003","DOI":"10.1016\/j.wombi.2017.07.003"},{"key":"4092_CR44","doi-asserted-by":"crossref","unstructured":"Moura NA dos S, Holanda VR de, Albuquerque GPM de, Castro JF de L, Silva HR de L, Rocha EPG da. Analysis of practices in childbirth and postpartum hospital care. Rev Rene. 2020;21:e43671.","DOI":"10.15253\/2175-6783.20202143671"},{"issue":"5","key":"4092_CR45","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1016\/j.gaceta.2018.02.004","volume":"33","author":"M Benet","year":"2019","unstructured":"Benet M, Escuriet R, Alcaraz-quevedo M, Ezquerra S, Pla M. Alcance de la implementaci\u00f3n en Catalu na. Gac Sanit. 2019;33(5):472\u20139.","journal-title":"Gac Sanit"},{"key":"4092_CR46","doi-asserted-by":"crossref","unstructured":"Ritter SK, Gon\u00e7alves A de C, Gouveia HG. Pr\u00e1ticas assistenciais em partos de risco habitual assistidos por enfermeiras obst\u00e9tricas. Acta Paul Enferm. 2020;33:1\u20138.","DOI":"10.37689\/acta-ape\/2020AO0284"},{"key":"4092_CR47","unstructured":"Reis, Carlos S\u00e9rgio Corr\u00eaa dos; Souza, Danielle de Oliveira Miranda de; Nogueira, Maria de F\u00e1tima Hasek; Progianti, Jane M\u00e1rcia; Vargens OM da C. An\u00e1lise de partos acompanhados por enfermeiras obst\u00e9tricas na perspectiva da humaniza\u00e7\u00e3o do parto e nascimento. Revista de Pesquisa Cuidado \u00e9 Fundamental Online. 201AD;4(1):4972-4979-."},{"key":"4092_CR48","doi-asserted-by":"crossref","unstructured":"Souter V, Nethery E, Kopas M Lou, Wurz H, Sitcov K, Caughey AB. Comparison of Midwifery and Obstetric Care in Low-Risk Hospital Births. Obstet Gynecol [Internet]. 2019;134(5). Available at: https:\/\/journals.lww.com\/greenjournal\/Fulltext\/2019\/11000\/Comparison_of_Midwifery_and_Obstetric_Care_in.20.aspx","DOI":"10.1097\/AOG.0000000000003521"},{"key":"4092_CR49","doi-asserted-by":"crossref","unstructured":"Silva TPR da, Dumont-Pena \u00c9, Sousa AMM, Amorim T, Tavares LC, Nascimento DC di P, et al. Obstetric Nursing in best practices of labor and delivery care. Rev Bras Enferm [Internet]. dezembro de 2019 [citado 27 de abril de 2021];72(suppl 3):235\u201342. Available at: http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0034-71672019000900235&tlng=en","DOI":"10.1590\/0034-7167-2018-0561"},{"key":"4092_CR50","unstructured":"Brasil. Regulamenta a Lei no 7.498 sobre o exerc\u00edcio da enfermagem, e d\u00e1 outras provid\u00eancias [Internet]. Available at: http:\/\/www.planalto.gov.br\/ccivil_03\/decreto\/1980-1989\/d94406.htm"},{"key":"4092_CR51","unstructured":"Brasil. Resolu\u00e7\u00e3o Normativa no 398, de 5 de fevereiro de 2016. Disp\u00f5e sobre a Obrigatoriedade de Credenciamento de Enfermeiros Obst\u00e9tricos e Obstetrizes por Operadoras de Planos Privados de Assist\u00eancia \u00e0 Sa\u00fade e Hospitais que Constituem suas Redes e sobre a Obrig. 2016."},{"key":"4092_CR52","doi-asserted-by":"crossref","unstructured":"Ferreira J\u00fanior AR, Brand\u00e3o LC dos S, Teixeira AC de MF, Cardoso AMR. Potencialidades e limita\u00e7\u00f5es da atua\u00e7\u00e3o do enfermeiro no Centro Parto Normal. Esc Anna Nery. 2021;25(2):1\u20138.","DOI":"10.1590\/2177-9465-ean-2020-0080"},{"key":"4092_CR53","doi-asserted-by":"crossref","unstructured":"Amaral R da CS, Alves VH, Pereira AV, Rodrigues DP, Silva LA da, Marchiori GRS. The insertion of the nurse midwife in delivery and birth: obstacles in a teaching hospital in the Rio de Janeiro state. Esc Anna Nery. 2019;23(1):1\u201310.","DOI":"10.1590\/2177-9465-ean-2018-0218"},{"key":"4092_CR54","doi-asserted-by":"crossref","unstructured":"Clesse C; Lighezzolo- Alnot J; de Lavergne S; Hamlin SM. Factors related to episiotomy pratice: an evidence- based medicine systematic review. J Obs Gynaecol. 2019;737\u201347.","DOI":"10.1080\/01443615.2019.1581741"},{"key":"4092_CR55","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Pol\u00edticas de Sa\u00fade. \u00c1rea T\u00e9cnica de Sa\u00fade da Mulher. Parto, Aborto e Puerp\u00e9rio: Assist\u00eancia Humanizada \u00e0 Mulher [Internet]. Vol.\u00a013, Revista Brasileira de Ginecologia e Obstetr\u00edcia. 2010. 44\u201355 p. Available at: http:\/\/www.sciencedirect.com\/science\/article\/pii\/S0104423011704055http:\/\/www.revistas.usp.br\/rlae\/article\/view\/2392 http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-72032014000400152&lng=en&nrm=iso &tlng=pt"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-021-04092-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12884-021-04092-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-021-04092-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T16:07:01Z","timestamp":1631203621000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-021-04092-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,9]]},"references-count":55,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["4092"],"URL":"https:\/\/doi.org\/10.1186\/s12884-021-04092-x","relation":{},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,9]]},"assertion":[{"value":"18 March 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 August 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 September 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The project \u201cBorn in Belo Horizonte: Survey on childbirth and birth\u201d was approved by the Research Ethics Committee of Federal University of Minas Gerais (UFMG), under Opinion n. CAAE-0246.0.203.000. All puerperal women and directors of each maternity hospital have signed the Free and Informed Consent Term, according to ethical guidelines described in the National Health Council Resolution n. 466, from December 12, 2012, which addresses research with human beings. All procedures performed in studies involving human participants were in compliance with the ethical standards of the institutional research committee, as well as with the 1964 Helsinki declaration and with its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate in the study"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"618"}}