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Obstetric interventions in two groups of hospitals in Catalonia: A cross-sectional study

Escuriet, Ramón; Pueyo, María; Biescas, Herminia; Colls, Cristina; Espiga, Isabel; White, Joanna; Espada, Xavi; Fusté, Josep; Ortún, Vicente

Authors

Ramón Escuriet

María Pueyo

Herminia Biescas

Cristina Colls

Isabel Espiga

Jo White Jo.White@uwe.ac.uk
Senior Research Fellow in Public Involvement

Xavi Espada

Josep Fusté

Vicente Ortún



Abstract

Background: Childbirth assistance in highly technological settings and existing variability in the interventions performed are cause for concern. In recent years, numerous recommendations have been made concerning the importance of the physiological process during birth. In Spain and Catalonia, work has been carried out to implement evidence-based practices for childbirth and to reduce unnecessary interventions. To identify obstetric intervention rates among all births, determine whether there are differences in interventions among full-term single births taking place in different hospitals according to type of funding and volume of births attended to, and to ascertain whether there is an association between caesarean section or instrumental birth rates and type of funding, the volume of births attended to and women's age. Methods: Cross-sectional study, taking the hospital as the unit of analysis, obstetric interventions as dependent variables, and type of funding, volume of births attended to and maternal age as explanatory variables. The analysis was performed in three phases considering all births reported in the MBDS Catalonia 2011 (7,8570 births), full-term single births and births coded as normal. Results: The overall caesarean section rate in Catalonia is 27.55% (CI 27.23 to 27.86). There is a significant difference in caesarean section rates between public and private hospitals in all strata. Both public and private hospitals with a lower volume of births have higher obstetric intervention rates than other hospitals (49.43%, CI 48.04 to 50.81). Conclusions: In hospitals in Catalonia, both the type of funding and volume of births attended to have a significant effect on the incidence of caesarean section, and type of funding is associated with the use of instruments during delivery. © 2014 Escuriet et al.; licensee BioMed Central Ltd.

Journal Article Type Article
Publication Date Apr 15, 2014
Journal BMC Pregnancy and Childbirth
Electronic ISSN 1471-2393
Publisher BMC
Peer Reviewed Peer Reviewed
Volume 14
Issue 1
Pages 143
APA6 Citation Escuriet, R., Pueyo, M., Biescas, H., Colls, C., Espiga, I., White, J., …Ortún, V. (2014). Obstetric interventions in two groups of hospitals in Catalonia: A cross-sectional study. BMC Pregnancy and Childbirth, 14(1), 143. https://doi.org/10.1186/1471-2393-14-143
DOI https://doi.org/10.1186/1471-2393-14-143
Keywords obstetric intervention, caesarean section, variability, hospital birth
Publisher URL http://dx.doi.org/10.1186/1471-2393-14-143

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