Trajetória das mulheres na definição pelo parto cesáreo: estudo de caso em duas unidades do sistema de saúde suplementar do estado do Rio de Janeiro

Abstract

Trajetória das mulheres na definição pelo parto cesáreo: estudo de caso em duas unidades do sistema de saúde suplementar do estado do Rio de Janeiro

Factors associated with high Cesarean deliveries in China and Brazil - A Call for reducing elective surgeries in moving towards Universal Health Coverage

“…In a recent major study conducted in four large cities, 72.3% of women attending the private sector and 79.6% in the public sector, had a preference for VD, but by the last trimester, many of these women changed their preference after repeated interaction with and persuasion by their providers [40] . Similarly, 70% of the women attending the private sector in the State of Rio de Janeiro had a preference for VD, but 90% of them ended having a CD after interaction with their health providers [48] . While changes in preference that occur in the course of pregnancy might be due to unexpected complications, they can also be due to the unbalanced power relationship that exists between patients and physicians which renders the former to submit to the decision of the latter.…”

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.…”

“…29 It is advocated that, in the private sector, the "option" of women for cesarean delivery is a consequence of a type of dialog with the doctor in which there is little motivation towards the vaginal delivery and "guidance" (explicit or not) towards the cesareandelivery. 21,25,[27][28] In a study carried out in the Brazilian Unified Health System (SUS), the authors also concluded that the high rates of cesarean deliveries mainly reflect convenience and lack of training of professionals who, to justify their practice, affirm that women prefer surgery. 31 A study carried out in a teaching hospital with medical students showed how university education and medical residence focus on training caesarian delivery and inculcating the idea of practicality, convenience and safety of the procedure.…”

“…[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.…”

Women's movement defends birth centres in Brazil

“…3 In the private sector, a doctor-centered "routine c-section" model of care was adopted, although research consistently shows that most women want a normal birth. 4 In the absence of any regulation or systematic monitoring of outcomes, over 80% of women in the private sector have c-sections. 1 An editorial in an obstetrics journal declared: "There is no doubt that, even when unnecessary or carrying additional risks for the mother or the baby, elective c-sections are much safer for the obstetrician."…”