title: Comparison of childbirth care models in public hospitals, Brazil.
abstract: OBJECTIVE
  To compare collaborative and traditional childbirth care models.
  
  
  METHODS
  Cross-sectional study with 655 primiparous women in four public health system hospitals in Belo Horizonte, MG, Southeastern Brazil, in 2011 (333 women for the collaborative model and 322 for the traditional model, including those with induced or premature labor). Data were collected using interviews and medical records. The Chi-square test was used to compare the outcomes and multivariate logistic regression to determine the association between the model and the interventions used.
  
  
  RESULTS
  Paid work and schooling showed significant differences in distribution between the models. Oxytocin (50.2% collaborative model and 65.5% traditional model; p < 0.001), amniotomy (54.3% collaborative model and 65.9% traditional model; p = 0.012) and episiotomy (collaborative model 16.1% and traditional model 85.2%; p < 0.001) were less used in the collaborative model with increased application of non-pharmacological pain relief (85.0% collaborative model and 78.9% traditional model; p = 0.042). The association between the collaborative model and the reduction in the use of oxytocin, artificial rupture of membranes and episiotomy remained after adjustment for confounding. The care model was not associated with complications in newborns or mothers neither with the use of spinal or epidural analgesia.
  
  
  CONCLUSIONS
  The results suggest that collaborative model may reduce interventions performed in labor care with similar perinatal outcomes.
authors.affiliation: Departamento de Enfermagem, Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil.
authors.forename: Sibylle Emilie
authors.initials: SE
authors.lastname: Vogt
authors.affiliation: Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Kátia Silveira da
authors.initials: KS
authors.lastname: Silva
authors.affiliation: Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Marcos Augusto Bastos
authors.initials: MA
authors.lastname: Dias
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008880:Midwifery; D009721:Nurse Midwives; D010043:Outcome and Process Assessment, Health Care; D018743:Perinatal Care / Q000379:methods*; D019555:Physician-Nurse Relations; D012307:Risk Factors; D012959:Socioeconomic Factors; D055815:Young Adult