Table 1.
Maternal variables of primiparous women assisted during labor in public hospitals, Brazil, 2011–2012 (N = 2487)
| Mode of delivery | ||||||
|---|---|---|---|---|---|---|
| Cesarean during labor | Vaginal delivery | p value * | ||||
| N | % | N | % | |||
| Sociodemographic variables | ||||||
| Maternal age (years) | 12–19 | 144 | 10.7 | 1198 | 89.3 | 0.372 |
| 20–34 | 180 | 12.5 | 1264 | 87.5 | ||
| ≥35 | 3 | 10.7 | 25 | 89.3 | ||
| Self-reported skin color | White | 69 | 10.4 | 595 | 89.6 | 0.415 |
| Black | 27 | 9.2 | 267 | 90.8 | ||
| Brown | 223 | 12.4 | 1569 | 87.6 | ||
| Schooling level | 0–7 years | 81 | 11.1 | 650 | 88.9 | 0.753 |
| 8–10 years | 98 | 10.9 | 803 | 89.1 | ||
| 11–14 years | 141 | 12.5 | 984 | 87.5 | ||
| 15 or more | 6 | 11.5 | 46 | 88.5 | ||
| Paid Work | Yes | 89 | 12.1 | 649 | 87.9 | 0.728 |
| No | 237 | 11.4 | 1836 | 88.6 | ||
| Relationship status | Not living with partner | 83 | 10.5 | 708 | 89.5 | 0.421 |
| Living with partner | 243 | 12.0 | 1777 | 88.0 | ||
| Macro region of Brazil | North | 50 | 14.0 | 308 | 86.0 | 0.037 |
| Northeast | 147 | 13.9 | 913 | 86.1 | ||
| South | 29 | 15.3 | 161 | 84.7 | ||
| Southeast | 69 | 6.7 | 960 | 93.3 | ||
| Midwest | 33 | 18.6 | 144 | 81.4 | ||
| Pregnancy characteristics, use of ANC, and childbirth care services | ||||||
| Adequacy of ANC | Inadequate | 307 | 11.8 | 2305 | 88.2 | 0.590 |
| Adequate | 20 | 9.9 | 182 | 90.1 | ||
| Clinical or obstetrical conditions potentially associated with obstetric emergencies before childbirth | Yes | 85 | 22.8 | 288 | 77.2 | <0.001 |
| No | 242 | 9.9 | 2199 | 90.1 | ||
| Women assisted at the linkage maternity | Yes | 141 | 12.6 | 980 | 87.4 | 0.893 |
| No | 41 | 12.2 | 294 | 87.8 | ||
| Search for childbirth care services before hospital admission | Yes | 76 | 13.9 | 470 | 86.1 | 0.134 |
| No | 250 | 11.0 | 2016 | 89.0 | ||
| Prenatal counseling favorable for vaginal delivery | Yes | 175 | 8.6 | 1854 | 91.4 | <0.001 |
| No | 152 | 19.4 | 633 | 80.6 | ||
| Decision on the type of delivery at the end of pregnancy | No | 167 | 17.5 | 790 | 82.5 | <0.001 |
| Yes, vaginal | 100 | 5.9 | 1608 | 94.1 | ||
| Yes, cesarean | 58 | 45.7 | 69 | 54.3 | ||
| Labor and mode of delivery variables | ||||||
| Type of labor | Spontaneous | 306 | 13.2 | 2018 | 86.8 | <0.001 |
| Induced | 21 | 4.3 | 468 | 95.7 | ||
| Same professional provided assistance during ANC and childbirth | Yes | 12 | 22.2 | 42 | 77.8 | 0.152 |
| No | 313 | 11.4 | 2442 | 88.6 | ||
| Cervical dilation at admission | ≥4 cm | 171 | 9.7 | 1584 | 90.3 | 0.017 |
| <4 cm | 156 | 14.7 | 902 | 85.3 | ||
| Use of any of the good practices during labor | Yes | 207 | 8.7 | 2185 | 91.3 | <0.001 |
| No | 120 | 28.5 | 301 | 71.5 | ||
| Use of a venous catheter | Yes | 233 | 12.3 | 1656 | 87.7 | 0.507 |
| No | 94 | 10.5 | 800 | 89.5 | ||
| Use of spinal or epidural analgesia | Yes | 79 | 30.4 | 181 | 69.6 | <0.001 |
| No | 249 | 9.9 | 2276 | 90.1 | ||
| Presence of at least one obstetric nurse during assistance with labor | Yes | 30 | 6.4 | 442 | 93.6 | 0.003 |
| No | 276 | 13.5 | 1774 | 86.5 | ||
| Total | 327 | 11.6 | 2487 | 88.4 | ||
* Chi-square of Pearson was used for analysis