“…For example, to the item "I promote the skin to skin contact between mother and newborn, during the first half hour of birth" the higher the score, the higher the adherence but for items that have reverse score (that is, "routine episiotomy is held in this service") the higher score the worst is adherence. The instrument has 22 items with reverse scores (1,5,6,7,8,11,14,17,18,27,28,29,30, 31, 32, 33, 39, 41, 44, 48, 49, 50).…”