This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database.

To describe types of delivery and existing variations in the use rates of different childbirth-related procedures, and study the variability existing among Autonomous Regions (Comunidades Autónomas), provinces and types of Spanish hospitals from 2001 to 2006.
To conduct a systematic review of the current state of knowledge on the effectiveness and safety of aspects linked to normal delivery in low-risk women, and draw up evidence-based conclusions for their use in clinical practice.

Variability in childbirth
Our results highlight the variability of childbirth care in Spain, in terms not only of time and geography, but also of clinical practice.
Systematic review
The conclusions reflect the scientific evidence available on care of normal childbirth among low-risk women. The methodology used was appropriate and reproducible and could serve as a basis for drawing up clinical practice recommendations that would improve integral care and results, both maternal and neonatal, in normal deliveries.

http://www.inahta.org/Publications/Briefs-Checklist-Impact/2009/4391/