{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T04:18:44Z","timestamp":1778300324535,"version":"3.51.4"},"reference-count":40,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:p>Objetiva-se comparar a preval\u00eancia de cesariana e desfechos neonatais de dois modelos de aten\u00e7\u00e3o ao parto em hospitais privados brasileiros, utilizando-se dados do estudo Nascer no Brasil, coorte de base hospitalar realizada nos anos 2011\/2012. Foram analisadas 1.664 pu\u00e9rperas e seus conceptos, atendidos em 13 hospitais localizados na Regi\u00e3o Sudeste, divididos em \u201ct\u00edpico\u201d \u2013 modelo de aten\u00e7\u00e3o padr\u00e3o, e \u201cat\u00edpico\u201d \u2013 Hospital Amigo da Crian\u00e7a com equipes de plant\u00e3o e trabalho colaborativo entre enfermeiras obst\u00e9tricas e m\u00e9dicos na aten\u00e7\u00e3o ao parto. A classifica\u00e7\u00e3o de Robson foi adotada para a compara\u00e7\u00e3o das preval\u00eancias de cesariana, que foram menores no hospital at\u00edpico (47,8% vs. 90,8%, p &lt; 0,001). Desfechos positivos relativos ao aleitamento materno foram mais frequentes no hospital at\u00edpico. Eventos neonatais adversos n\u00e3o apresentaram diferen\u00e7a significativa entre os hospitais. A interven\u00e7\u00e3o adotada no hospital at\u00edpico deve ser avaliada em profundidade, uma vez que parece ter reduzido a preval\u00eancia de cesariana e aumentado as boas pr\u00e1ticas de cuidado neonatal.<\/jats:p>","DOI":"10.1590\/0102-311x00129813","type":"journal-article","created":{"date-parts":[[2014,8,20]],"date-time":"2014-08-20T19:04:42Z","timestamp":1408561482000},"page":"S220-S231","source":"Crossref","is-referenced-by-count":44,"title":["Cesariana e resultados neonatais em hospitais privados no Brasil: estudo comparativo de dois diferentes modelos de aten\u00e7\u00e3o perinatal"],"prefix":"10.1590","volume":"30","author":[{"given":"Jacqueline Alves","family":"Torres","sequence":"first","affiliation":[{"name":"Ag\u00eancia Nacional de Sa\u00fade Suplementar,  Brasil; Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]},{"given":"Rosa Maria Soares Madeira","family":"Domingues","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]},{"given":"Jane","family":"Sandall","sequence":"additional","affiliation":[{"name":"King?s College London,  England"}]},{"given":"Zulmira","family":"Hartz","sequence":"additional","affiliation":[{"name":"Universidade Nova de Lisboa,  Portugal"}]},{"given":"Silvana Granado Nogueira da","family":"Gama","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]},{"given":"Mariza Miranda Theme","family":"Filha","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]},{"given":"Arthur Orlando Correa","family":"Schilithz","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]},{"given":"Maria do Carmo","family":"Leal","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1590\/0102-311X00105113","article-title":"Processo de decis\u00e3o 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of private service on the cesarean section rate in public hospital Thailand","volume":"284","author":"Phadungkiatwattana P","year":"2011","journal-title":"Arch Gynecol Obstet"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1111\/j.1523-536X.2012.00547.x","article-title":"Obstetric interventions for low-risk pregnant women in france: do maternity unit characteristics make a difference?","volume":"39","author":"Coulm B","year":"2012","journal-title":"Birth"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.ijgo.2011.07.011","article-title":"A national review of cesarean delivery in Ethiopia","volume":"115","author":"Fesseha N","year":"2011","journal-title":"Int J Gynaecol Obstet"},{"key":"ref7","first-page":"436","article-title":"Appropriate technology for birth","volume":"2","year":"1985","journal-title":"Lancet"},{"key":"ref8","series-title":"Monitoring emergency obstetric care: a 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