Introduction: Worldwide there is a need to reduce the use of excessive technology during childbirth. Consequently, there is an interest to develop respectful and personalized models of care. Chile has one of the highest C-section rates in the region, many of which are not needed. A FONDEF project developed and tested a comprehensive health care model in childbirth (MASIP), considering active participation of women and families and less unneeded clinical interventions. Objective: to evaluate the effectiveness of MASIP in comparison with standard care. Methods: a randomized controlled experiment was conducted in one public hospital in Santiago Chile. Two arms were compared: MASIP vs. standard care. Low obstetric risk women were included. Variables of interest included quality and safety measures. Results: MASIP had better quality results, such as maternal wellbeing and less clinical interventions. During the study c-section was lower in both arms in comparison to a historical record of the same population. Safety outcomes were similar in both arms. Conclusion: MASIP is as safe as the standard care but it has better quality of care. Interventions to improve users' satisfaction and experience should consider the components of MASIP.
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