Parto cesáreo: quem o deseja? Em quais circunstâncias?

Abstract

Brazil has extremely high cesarean rates. Among related factors, it has been suggested that a "culture of cesarean childbirth" (or a preference for this type of delivery) exists among Brazilian women. Our study investigates this notion. Data were collected from September 1998 to March 1999 in two maternity hospitals in Rio de Janeiro Interviews were conducted and hospital records analyzed for a random representative sample of 909 women who had just given birth (454 vaginal deliveries and 455 cesareans). In the interviews, when asked if they had wanted to have a cesarean, 75.5% replied in the negative, thus indicating that these women cannot be considered as adhering to a "culture of cesarean sections" The main complaints against cesareans were: slower and more difficult recovery (39.2%) and greater pain and suffering (26.8%). However, 17% of the sample had at some point requested a cesarean, 75% of whom during labor. Analysis revealed that the request for a cesarean section is directly proportional to time between admission to the hospital and delivery. This suggests that (in addition to being the usual means of access to tubal ligation) the actual circumstances of birthing are important factors in Brazilian women s requests for cesarean sections.

Adjustment disorders in the postpartum resulting from childbirth: a descriptive and exploratory study

“…In this respect, it is noteworthy that the prevalence rate (51%) is in a proportion almost two and half times greater than the rate of 15% indicated by the World Health Organization (WHO) for any country (15,16) . Still, according to several authors (8,(15)(16)(17) the unnecessary high level of cesarean increases the risk of complications for mother and baby, whether in terms of physical or psychosocial aspects.…”

A Decisão Pela via De Parto No Brasil: Temas E Tendências Na Produção Da Saúde Coletiva

“…The 28 publications [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][38][39][40][41][42][43][44][45][46][47][48] having"decision", "choice", or "preference" for the route of delivery as central category were selected for analysis, as presented in Table 1, and used as written sources. Although one of the filtered studies was not an article, but an editorial, 34 it was included in the analysis, since it belongs to important authors in this field who have other publications on the subject being analyzed in the present review.…”

“…[17][18][19] Another set of studies, discuss more sociological and anthropological concerns, such as the "decision", "choice", "preference" or "opinion" of women and professionals regarding the route of delivery. [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] Most studies point to the preference of women for the vaginal delivery in the initial phases of pregnancy, which contrasts with the growing number of cesarean deliveries in Brazil. In contrast, studies with professionals reveal their belief in the female preference for cesarean delivery and in the safety of the surgery.…”

Expectations of pregnant women and partners concerning their participation in humanized births

“…where women belonging to urban intellectualized segments of the population seek, through preparatory courses, to learn how to deliver a baby (13)(14) . women's rights as institutional guidelines (14) .…”

“…women's rights as institutional guidelines (14) . However, we observed through dialoguing with these women and their companions, that these recommendations are not totally established for the final consumer, which contributes to perpetuating inequalities in obstetrical care and characterizes maternity as a phenomenon marked by social, racial and ethnic inequalities (15) .…”