Variations in cesarean and repeated cesarean section rates in Brazil according to gestational age at birth and type of hospital

Dias, Barbara Almeida Soares; Leal, María do Carmo; Pereira, Ana Paula Esteves; Nakamura‐Pereira, Marcos

doi:10.1590/0102-311xen073621

Cited by 6 publications

(2 citation statements)

References 36 publications

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“…In 2019, Brazil ranked second in the world for cesarean sections, maintaining an average of 56,3% of deliveries while the world average is 15%. (5). Brazil also fails to breastfeed, with only 36% of children able to be breastfed for up to 6 months.…”

Section: Importance Of Probiotics In Pregnant Womenmentioning

confidence: 99%

Probiotics in pregnancy

C.¹,

Gisele²,

B.³

2023

World J. Bio. Pharm. Health Sci.

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Currently, the use of probiotics as well as prebiotics and symbiotics permeate the medical and lay literature. Although not all functions of probiotics are known yet, their role in maintaining human health is undeniable. Particularly during pregnancy, one of the greatest legacies that a pregnant woman can leave for the fetus and subsequent newborn is good microbiota. This article aims to bring the main implications of the maternal microbiome on child health.

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Section: Importance Of Probiotics In Pregnant Womenmentioning

confidence: 99%

Probiotics in pregnancy

C.¹,

Gisele²,

B.³

2023

World J. Bio. Pharm. Health Sci.

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“…The situation is even more alarming in Bangladesh, where among the 50% of deliveries that take place in medical facilities, almost two-thirds are in private care facilities, where the CS ratio is 83% [ 8 ]. Brazil is known to have one of the highest rate of CS in the world, with the CS ratio over 80% in private care hospitals in central-west Brazil and more than 95% in hospitals in southern Brazil [ 9 , 10 ]. One of the reasons for that situation, mentioned by the Brazilian authors, is the problem of ‘defensive medicine’ and CS performed by obstetricians who want to avoid lawsuits [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Does Obesity Influence Women’s Decision Making about the Mode of Delivery?

Różańska-Walędziak

2022

JCM

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Introduction: The ratio of cesarean deliveries (CDs) has been increasing worldwide, with a growing problem of cesarean delivery on maternal request (CDMR) and an alarmingly increasing rate of CD in the private sector. There are numerous factors influencing women’s preferences for the mode of delivery and their opinion about shared decision making (SDM). Material and method: The study was designed as an online survey, filled in by 1040 women. The questionnaire included questions about women’s preferences for the mode of delivery, their opinions about CDMR and the process of decision making regarding the mode of delivery. Results: There were no statistically significant differences found between women with a BMI ≤ 25 kg/m2 and >25 kg/m2, nor with a BMI ≤ 30 kg/m2 and >30 kg/m2, on the subject of the preferred method of delivery, and the opinion regarding SDM and CDMR without medical indications. More than 85% of women in all groups, who preferred CD as the mode of delivery, wanted to have CDMR. Conclusion: We have not found obesity and overweight to be a factor influencing women’s preferred mode of delivery, their opinion about SDM and their preference for CDMR without medical indications. However, the sample size of women with morbid obesity with a BMI ≥ 35 kg/m2 was too small for the results to be considered significant in this group, and it will therefore be subject to further studies.

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Bronchopulmonary dysplasia: temporal trend from 2010 to 2019 in the Brazilian Network on Neonatal Research

Stolz,

Costa-Nobre,

Sanudo

et al. 2023

Arch Dis Child Fetal Neonatal Ed

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ObjectiveTo evaluate the temporal trend of bronchopulmonary dysplasia (BPD) in preterm infants who survived to at least 36 weeks’ post-menstrual age (PMA) and BPD or death at 36 weeks’ PMA, and to analyse variables associated with both outcomes.DesignRetrospective cohort with data retrieved from an ongoing national registry.Setting19 Brazilian university public hospitals.PatientsInfants born between 2010 and 2019 with 23–31 weeks and birth weight 400–1499 g.Main outcome measuresTemporal trend was evaluated by Prais-Winsten model and variables associated with BPD in survivors or BPD or death were analysed by logistic regression.ResultsOf the 11 128 included infants, BPD in survivors occurred in 22%, being constant over time (annual per cent change (APC): −0.80%; 95% CI: −2.59%; 1.03%) and BPD or death in 45%, decreasing over time (APC: −1.05%; 95% CI: −1.67%; −0.43%). Being male, small for gestational age, presenting with respiratory distress syndrome, air leaks, needing longer duration of mechanical ventilation, presenting with treated patent ductus arteriosus and late-onset sepsis were associated with an increase in the chance of BPD. For the outcome BPD or death, maternal bleeding, multiple gestation, 5-minute Apgar <7, late-onset sepsis, necrotising enterocolitis and intraventricular haemorrhage were added to the variables reported above as increasing the chance of the outcome.ConclusionThe frequency of BPD in survivors was constant and BPD or death decreased by 1.05% at each study year. These results show some improvement in perinatal care in Brazilian units which resulted in a reduction of BPD or death, but further improvements are still needed to reduce BPD in survivors.

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Variations in cesarean and repeated cesarean section rates in Brazil according to gestational age at birth and type of hospital

Cited by 6 publications

References 36 publications

Probiotics in pregnancy

Probiotics in pregnancy

Does Obesity Influence Women’s Decision Making about the Mode of Delivery?

Bronchopulmonary dysplasia: temporal trend from 2010 to 2019 in the Brazilian Network on Neonatal Research

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