“…The elective cesarean section odds were higher among women who performed their prenatal care in private services; almost all the elective cesarean sections took place in a private maternity, thus indicating the relevance of social factors in the definition of a procedure (vaginal delivery or surgical) that should be strictly conducted because of the reasons associated with healthdisease process. This kind of delivery is done after being scheduled, even before the beginning of labor, and has been associated with higher perinatal risk, because it can be performed at a moment when the fetus is not very ready to born 21 . Therefore, this is a rare situation in the country, where the most privileged population, based on a socioeconomic point of view, is more exposed to a health risk factor: the elective cesarean section.…”