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Cesarean section on demand: a population-based study in Southern Brazil

Cesar, Juraci Almeida ; Sauer, Jessica Pereira ; Carlotto, Kharen ; Montagner, Maria Emília ; Mendoza-Sassi, Raul Andrés

Revista brasileira de saúde materno infantil = Brazilian journal of mother and child health, 2017-03, Vol.17 (1), p.99-105

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  • Title:
    Cesarean section on demand: a population-based study in Southern Brazil
  • Author: Cesar, Juraci Almeida ; Sauer, Jessica Pereira ; Carlotto, Kharen ; Montagner, Maria Emília ; Mendoza-Sassi, Raul Andrés
  • Subjects: PEDIATRICS ; Parto ; Pré-natal ; Saúde da mulher ; Cesariana
  • Is Part Of: Revista brasileira de saúde materno infantil = Brazilian journal of mother and child health, 2017-03, Vol.17 (1), p.99-105
  • Description: Abstract Objectives: to measure the prevalence and identify factors associated to the occurrence of cesarean section on demand in the municipality of Rio Grande, RS. Methods: all births that occurred in the two maternities between 01/01 to 12/31/2007, mothers who lived in the municipality were questioned on demographic and maternal reproductive characteristics, family socioeconomic level and health care received during pregnancy and childbirth. The outcome was constituted by cesarean section on demand, in other words, the request was from the parturient. In the analysis, Poisson regression was used with robust adjustment of the variance. The effect measurement used was the prevalence ratios (PR). Results: among the 2,557 parturients included in this study, 51.6% (CI95%:49.6%-53.5%) were submitted to cesarean sections, and 10.7% (CI95%:9.0%-12.4%) were on demand. After the adjustment based on previous hierarchical model, the variables showed significantly the association to the outcomes which were maternal schooling, household income, type of hospitalization (public or private) and being attended by the same physician throughout the prenatal period. Conclusions: the PR obtained show that the probability of occurrence of cesarean section on demand was substantially higher among the mothers who presented the lowest risk of complications during pregnancy and childbirth. Resumo Objetivos: medir a prevalência e identificar fatores associados a ocorrência de cesarianas a pedido no município de Rio Grande, RS. Métodos: para todos os nascimentos ocorridos nas duas maternidades do município entre 01/01 a 31/12/2007, cujas mães residiam no município, foram investigadas características demográficas e reprodutivas maternas, socioeconômicas da família e assistência recebida durante a gestação e o parto. O desfecho foi constituído pela realização de cesariana a pedido, ou seja, por solicitação da parturiente. Na análise utilizou-se regressão de Poisson com ajuste robusto da variância. A medida de efeito utilizada foi razão de prevalências (RP). Resultados: dentre as 2.557 parturientes incluídas no estudo, 51,6% (IC95%:49,6%-53,5%) foram submetidas à cesariana, sendo 10,7% (IC95%:9,0%-12,4%) a pedido. Após ajuste obedecendo modelo hierárquico prévio, mostraram-se significativamente associadas ao desfecho as variáveis escolaridade materna, renda familiar, tipo de internação (público ou privada) e ter sido atendida pelo mesmo médico durante todo o pré-natal. Conclusões: as RP obtidas mostram que a probabilidade de ocorrência de cesariana a pedido foi substancialmente maior entre mães que apresentam os menores riscos de complicações durante a gravidez e o parto.
  • Publisher: Instituto de Medicina Integral Prof. Fernando Figueira
  • Language: English
    Portuguese
  • Identifier: ISSN: 1519-3829
    ISSN: 1806-9304
    EISSN: 1519-3829
    DOI: 10.1590/1806-93042017000100006
  • Source: SciELO
    Directory of Open Access Journals

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