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Table 2 Predicted probabilities of all variables in the birth network

From: The effects of a quality improvement project to reduce caesarean sections in selected private hospitals in Brazil

Indicator

Total

Exposed to the PPA model

Standard care group

Significance level1

n

n

% (CI 95%)

n

% (CI 95%)

Governance

      

Training (G1)

 

Management interview

 All

2

     

 Two or less

10

     

Financial bonus (G2)

 

Management interview

 No

8

     

 Yes

4

     

Budget (G3)

 

Management interview

 No

4

     

 Yes

8

     

Participation of women

      

Good practices info (W1)

      

 None

497

292

19.8 (19.1–20.5)

205

20.6 (19.3–21.7)

*

 At least one

1976

1379

80.2 (79.4–80.9)

597

79.4 (78.1–80.6)

 

Final pref (W2)

      

 Vaginal

1468

1171

60.1 (58.9–60.9)

297

59.3 (57.6–60.5)

*

 Caesarean/no preference

1005

500

39.9 (39.1–40.7)

505

40.7 (39.5–41.9)

 

Info PPA (W3)

      

 No

1498

1030

39.8 (39.8–39.4)

468

35.8 (34.5–37.0)

**

 Yes

975

641

60.2 (59.3–61.1)

334

64.2 (62.6–65.5)

 

Women PPA (W4)

      

 No

1310

845

51.9 (51.0–52.8)

465

58.3 (56.9–59.6)

**

 Yes

1163

826

48.1 (47.0–49.1)

337

41.7 (40.6–42.9)

 

Source info (W5)

      

 Hospital/insurance

184

132

11.2 (10.6–11.7)

52

10.6 (9.8–11.3)

*

 Others

2289

1539

88.8 (88.2–89.6)

750

89.4 (88.5–90.1)

 

Freq Act PPA (W6)

 

Management interview

    

 Regular

9

     

 Non regular

3

     

Ant group (W7)

      

 No

1516

1016

60.0 (59.1–60.9)

500

68.3 (66.9–69.2)

**

 Yes

957

655

40.0 (39.0–41.0)

302

31.7 (30.5–33.1)

 

Visit hospital (W8)

      

 No

1097

733

56.3 (55.1–57.1)

364

45.9 (44.6–47.2)

**

 Yes

1376

938

43.7 (42.8–44.7)

438

54.1 (52.9–55.4)

 

Birth plan (W9)

      

 Birth plan

288

215

26.4 (25.5–27.3)

73

18.1 (16.9–19.1)

**

 No birth plan

2185

1456

73.5 (72.7–74.4)

729

81.8 (80.8–82.6)

 

Reorganization of Care

      

Team model (R1)

      

 Hospital staff

972

940

56.2 (55.1–56.9)

32

3.9 (3.4–4.5)

**

 External/hospital staff

266

160

9.6 (9.0–10.0)

106 664

13.4 (12.5–14.1)

 

 External

1235

571

34.1 (33.2–35.0)

 

82.7 (81.6–83.7)

 

Team labor (R2)

      

 Doctor

579

476

23.7 (22.9–24.6)

103

12.0 (11.1–12.7)

**

 Doctor/nurse

556

484

31.2 (30.3–32.0)

72

18.4 (17.3–19.3)

 

 No labor

1338

711

45.1 (44.3–46.0)

627

69.6 (68.3–70.7)

 

Schedule protocol (R3)

 

Management interview

 No

1

     

  > 39 weeks

9

     

  > 40 or 41 weeks

2

     

Scheduled birth (R4)

      

 No

1546

1263

74.8 (74.1–75.6)

519,283

64.4 (63.1–65.5)

**

 Yes

927

408

25.2 (24.3–25.9)

 

35.6 (34.1–36.6)

 

Cervical dilatation (R5)

      

  < 4

238

206

12.3 (10.9–13.5)

32

11.1 (9.8–13.9)

**

  >= 4

897

754

45.2 (44.3–46.0)

143

19.3 (18.0–20.4)

 

 No labor

1338

711

42.5 (41.7–43.6)

627

69.6 (68.3–70.7)

 

Respect birth plan (R6)

      

 Respected

251

191

16.5 (15.7–17.1)

60

11.5 (10.6–12.2)

**

 Not respected/partially

37

24

10.0 (9.25–10.3)

13

6.7 (6.0–7.4)

 

No birth plan

2185

1456

73.5 (72.7–74.2)

729

81.8 (80.8–83.1)

 

Hospital practices (R7)

      

  < 4 recommended

478

380

28.4 (27.5–29.3)

98

15.6 (14.6–16.6)

**

  >= 4 recommended

657

580

26.4 (25.0–27.6)

77

14.8 (13.3–16.3)

 

 No labor

1338

711

45.2 (44.3–46.0)

627

69.6 (68.3–70.7)

 

Monitoring

      

Indicators (M1)

 

Management interview

  <= 4

2

     

  > 4

10

     

Feedback (M2)

 

Management interview

 Each doctor

6

     

 Doctors + Team

3

     

 Doctors + Team + User

3

     

Freq Feedback (M3)

 

Management interview

 No frequency

6

     

 Regular

1

     

 Irregular

3

     

 Not monitor indicators

2

     

Confounders

      

Economic class

      

 A

467

375

18.9 (18.1–19.6)

92

19.2 (17.8–20.0)

NS

 B

1422

904

57.5 (56.6–58.4)

218

57.3 (56.2–58.7)

 

 C/D

584

392

23.5 (22.8–24.4)

192

23.5 (22.3–24.6)

 

Skin colour

      

 White

1541

1102

62.4 (61.4–63.3)

439

62.3 (60.9–63.7)

NS

 Non-white

932

569

37.6 (36.7–38.8)

363

37.7 (36.3–39.3)

 

Risk

      

 No

1887

1296

77.5 (76.8–78.3)

591

73.7 (72.5–74.8)

**

 Yes

586

375

22.5 (21.6–23.2)

211

26.3 (24.9–27.3)

 

Outcome

      

Birth type

      

 Vaginal/forceps

 

699

37.7 (36.7–38.6)

121

24.5 (23.5–25.7)

**

 Caesarean section

 

972

62.3 (60.8–63.8)

681

75.5 (74.2–76.8)

 
  1. 1Significance level: NS = the Bayesian Confidence Interval coincide indicating the effects are equal; ** high significance = the Bayesian Confidence Interval do not intercept indicating the probability of equal effects is small or zero; *low significance = the Bayesian Confidence Interval intercept partially indicating the probability of equal effects is moderate