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首页> 外文期刊>International Journal of Environmental Research and Public Health >Evidence-based Birth Attendance in Spain: Private versus Public Centers
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Evidence-based Birth Attendance in Spain: Private versus Public Centers

机译：西班牙的循证出勤：私人中心与公共中心

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The type of hospital (public or private) has been associated with the type of clinical practice carried out. The purpose of this study was to determine the association between the type of hospital (public or private) and delivery attendance with practices based on the recommendations by the World Health Organization (WHO). A cross-sectional study with puerperal women ( n = 2906) was conducted in Spain during 2017. The crude Odds Ratios (OR), adjusted (aOR) and their 95% confidence intervals (CI) were calculated through binary logistic regression. For multiparous women in private centers, a higher rate of induced labor was observed (aOR: 1.49; 95% CI: 1.11–2.00), fewer natural methods were used to relieve pain (aOR: 0.51; 95% CI: 0.35–0.73), and increased odds of cesarean section (aOR: 2.50; 95% CI: 1.81–3.46) were found as compared to public hospitals. For primiparous women in private centers, a greater use of the epidural was observed (aOR: 1.57; 95% CI: 1.03–1.40), as well as an increased likelihood of instrumental birth (aOR: 1.53; 95% CI: 1.09–2.15) and of cesarean section (aOR: 1.77; 95% CI: 1.33–2.37) than in public hospitals. No differences were found in hospitalization times among women giving birth in public and private centers ( p 0.05). The World Health Organization birth attendance recommendations are more strictly followed in public hospitals than in private settings.
机译：医院的类型（公立或私立）与所进行的临床实践的类型有关。这项研究的目的是根据世界卫生组织（WHO）的建议确定医院类型（公立或私立）与分娩出勤与实践之间的关联。 2017年在西班牙对产妇（n = 2906）进行了横断面研究。通过二元logistic回归计算粗调的赔率（OR），调整后的（aOR）及其95％置信区间（CI）。对于私人中心的多胎妇女，观察到较高的引产率（aOR：1.49; 95％CI：1.11-2.00），使用较少的自然方法缓解疼痛（aOR：0.51; 95％CI：0.35-0.73）与公立医院相比，发现剖宫产的可能性更高（aOR：2.50; 95％CI：1.81–3.46）。对于私人中心的初产妇女，观察到更多使用硬膜外麻醉（aOR：1.57; 95％CI：1.03-1.40），以及工具性分娩的可能性增加（aOR：1.53; 95％CI：1.09-2.15） ）和剖宫产（aOR：1.77; 95％CI：1.33–2.37）高于公立医院。在公共和私人中心分娩的妇女中，住院时间没有发现差异（p> 0.05）。与私立机构相比，公立医院严格遵守世界卫生组织的出勤建议。

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