Patterns of deliveries in a Brazilian birth cohort: almost universal cesarean sections for the better-off
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| Format: | Artículo científico |
| Language: | en |
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Universidade de São Paulo
2011
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| author | Aluísio J D Barros |
| author_facet | Aluísio J D Barros |
| contents | Patterns of deliveries in a Brazilian birth cohort: almost universal cesarean sections for the better-off Aluísio J D Barros Iná S Santos Alicia Matijasevich Marlos Rodrigues Domingues Mariângela Silveira Fernando C Barros Cesar G Victora Salud trends Obstetrics Parturition Perinatal Care Cohort Studies OBJECTIVE: To describe the patterns of deliveries in a birth cohort and to compare vaginal and cesarean section deliveries.METHODS: All children born to mothers from the urban area of Pelotas, Brazil, in 2004, were recruited for a birth cohort study. Mothers were contacted and interviewed during their hospital stay when extensive information on the gestation, the birth and the newborn, along with maternal health history and family characteristics was collected. Maternal characteristics and childbirth care financing - either private or public healthcare (SUS) patients - were the main factors investigated along with a description of C-sections distribution according to day of the week and delivery time. Standard descriptive techniques, Χ2 tests for comparing proportions and Poisson regression to explore the independent effect of C-section predictors were the methods used.RESULTS: The overall C-section rate was 45%, 36% among SUS and 81% among private patients, where 35% of C-sections were reported elective. C-sections were more frequent on Tuesdays and Wednesdays, reducing by about a third on Sundays, while normal deliveries had a uniform distribution along the week. Delivery time for C-sections was markedly different among public and private patients. Maternal schooling was positively associated with C-section among SUS patients, but not among private patients.CONCLUSIONS: C-sections were almost universal among the wealthier mothers, and strongly related to maternal education among SUS patients. The patterns we describe are compatible with the idea that C-sections are largely done to suit the doctor's schedule. Drastic action is called for to change the current situation. 2011 artículo científico 0034-8910 https://www.redalyc.org/articulo.oa?id=67240192001 po en http://www.redalyc.org/revista.oa?id=672 Revista de Saúde Pública application/pdf Universidade de São Paulo Revista de Saúde Pública (Brasil) Num.4 Vol.45 |
| format | Artículo científico |
| id | redalyc_67240192001 |
| institution | Redalyc |
| language | en |
| publishDate | 2011 |
| publisher | Universidade de São Paulo |
| spellingShingle | Patterns of deliveries in a Brazilian birth cohort: almost universal cesarean sections for the better-off Aluísio J D Barros Salud trends Obstetrics Parturition Perinatal Care Cohort Studies Patterns of deliveries in a Brazilian birth cohort: almost universal cesarean sections for the better-off Aluísio J D Barros Iná S Santos Alicia Matijasevich Marlos Rodrigues Domingues Mariângela Silveira Fernando C Barros Cesar G Victora Salud trends Obstetrics Parturition Perinatal Care Cohort Studies OBJECTIVE: To describe the patterns of deliveries in a birth cohort and to compare vaginal and cesarean section deliveries.METHODS: All children born to mothers from the urban area of Pelotas, Brazil, in 2004, were recruited for a birth cohort study. Mothers were contacted and interviewed during their hospital stay when extensive information on the gestation, the birth and the newborn, along with maternal health history and family characteristics was collected. Maternal characteristics and childbirth care financing - either private or public healthcare (SUS) patients - were the main factors investigated along with a description of C-sections distribution according to day of the week and delivery time. Standard descriptive techniques, Χ2 tests for comparing proportions and Poisson regression to explore the independent effect of C-section predictors were the methods used.RESULTS: The overall C-section rate was 45%, 36% among SUS and 81% among private patients, where 35% of C-sections were reported elective. C-sections were more frequent on Tuesdays and Wednesdays, reducing by about a third on Sundays, while normal deliveries had a uniform distribution along the week. Delivery time for C-sections was markedly different among public and private patients. Maternal schooling was positively associated with C-section among SUS patients, but not among private patients.CONCLUSIONS: C-sections were almost universal among the wealthier mothers, and strongly related to maternal education among SUS patients. The patterns we describe are compatible with the idea that C-sections are largely done to suit the doctor's schedule. Drastic action is called for to change the current situation. 2011 artículo científico 0034-8910 https://www.redalyc.org/articulo.oa?id=67240192001 po en http://www.redalyc.org/revista.oa?id=672 Revista de Saúde Pública application/pdf Universidade de São Paulo Revista de Saúde Pública (Brasil) Num.4 Vol.45 |
| title | Patterns of deliveries in a Brazilian birth cohort: almost universal cesarean sections for the better-off |
| topic | Salud trends Obstetrics Parturition Perinatal Care Cohort Studies |
| url | https://www.redalyc.org/articulo.oa?id=67240192001 |