Tendência temporal da via de parto de acordo com a fonte de financiamento

Paris, Gisele Ferreira; Monteschio, Lorenna Vlccentine Coutinho; Oliveira, Rosana Rosseto de; Latorre, Maria do Rosário Dias de Oliveira; Pelloso, Sandra Marisa; Mathias, Thaís Aidar de Freitas

doi:10.1590/so100-720320140005038

Cited by 22 publications

(32 citation statements)

References 11 publications

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“…Over time, Caesarean sections have stopped representing a method to improve perinatal outcomes and have become a consumer product, to such an extent that the rates are the lowest among the poorest women and increase as the rate at which the purchasing power of the population increases (7,11) . This may partly explain the difference in the prevalence between the public (55.5%) and private sectors (93.8%).…”

Section: Discussionmentioning

confidence: 99%

“…High gestational risk attributed to pregnant women with complications or preexisting factors is associated with a higher incidence of Caesarean section, although the intervention is not necessary in all cases (11,17) . Despite governmental efforts in developing prevention measures for unnecessary Caesarean delivery, the actions instituted to date have been ineffective in stopping the rising trends, both in the SUS and in the private system (4,7) . The most recent Normative Resolution of the National Health Agency (ANS) (number 368/2015), ensures greater transparency in the practices of hospitals and doctors within the private healthcare and can help reduce rates (25) .…”

Section: Discussionmentioning

confidence: 99%

“…In 2013, 63.5% of deliveries were Caesarean sections, and in Maringa (a medium-sized municipality of Paraná), an alarming rate of 79.8% was recorded in the same period (6) . In 2012, 56.6% of births carried out in the Unified Healthcare System (SUS) in Maringa were Caesarean sections; and in the private system, the Caesarean section delivery rate was 97.7% (7) , highlighting the discrepancy between what is proposed by WHO and the current situation of surgical deliveries in this municipality, as well as the difference between the accessible care models.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated to Caesarean delivery in public and private health care systems

Oliveira

Melo

Novaes

et al. 2016

Rev. esc. enferm. USP

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Objective:Identifying factors associated to Caesarean sections among the residents of Maringá-PR, according to the financing source for delivery. Methods: A crosssectional study with data from 920 postpartum women interviewed between October 2013 and February 2014. Association analysis was performed by logistic regression. Results: Caesarean section rates were 55.5% in the Unified Healthcare System (SUS) and 93.8% in the private system. Factors associated with Caesarean section in the SUS were: previous Caesarean section (OR=8.9; CI=4.6-16.9), desire for Caesarean section early in pregnancy (OR=2.0; CI=1.1-3.6), pregestational overweight/obesity (OR=1.8; CI=1.1-2.8), and per capita family income higher than one minimum wage (OR=2.1; CI=1.3-3.4). In the private system, desire for Caesarean section early in pregnancy (OR=25.3) and a previous Caesarean section (OR=11.3) were strongly associated to its performance. Conclusion: It is necessary to properly orientate all pregnant women who desire a Caesarean delivery, from both the SUS and the private system, about the inherent risks of the surgical procedure without indication. In the public health sector, guidelines should be focused on pregnant women with previous Caesarean delivery, with a per capita income higher than one minimum wage and those who are overweight or obese, as these women are more likely to have a Caesarean section.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors associated to Caesarean delivery in public and private health care systems

Oliveira

Melo

Novaes

et al. 2016

Rev. esc. enferm. USP

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“…5,6 Normal childbirth is considered a physiological event that requires support, evaluation and surveillance. Evidences indicate that to intervene in this process it should be justified as a valid reason.…”

Section: Introductionmentioning

confidence: 99%

Factors associated to the type of childbirth in public and private hospitals in Brazil

Guimarães

Silva

Dutra

et al. 2017

Rev. Bras. Saude Mater. Infant.

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“…No país, dependendo do município e do tipo de financiamento analisados, a proporção de cesarianas supera 90% dos partos, com crescimento constante ao longo dos últimos anos 11 . O temor materno em relação à dor e ao trabalho de parto, a preocupação parental com o bemestar fetal, eventuais experiências negativas com partos anteriores e a conveniência de se agendar o parto são alguns dos motivos apontados como determinantes da alta incidência de cesarianas 12 .…”

Section: Introductionunclassified

Parto normal ou cesárea: a influência do tipo de parto desejado na satisfação materna quanto à assistência hospitalar ao nascimento

Bacha

Grassiotto

Cacique

et al. 2017

RAS

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RESUMOO estudo objetivou avaliar a satisfação materna quanto à assistência hospitalar ao parto considerando-se o tipo de parto desejado e o realizado. Tratou-se de estudo descritivo, de corte transversal, com abordagem quantitativa e amostragem por conveniência em um hospital de ensino, em Campinas, São Paulo. 181 puérperas responderam, durante a internação, questionário contendo 18 questões. Pacientes internadas por mais dias apresentavam maior insatisfação para todos os domínios avaliados. Pacientes com menor nível socioeconômico estavam mais insatisfeitas com o parto. No comparativo entre parto desejado e realizado, os grupos mais insatisfeitos eram os de mulheres cuja via de parto desejada foi diferente da realizada: mulheres que desejavam um parto normal e tiveram

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Tendência temporal da via de parto de acordo com a fonte de financiamento

Cited by 22 publications

References 11 publications

Factors associated to Caesarean delivery in public and private health care systems

Factors associated to Caesarean delivery in public and private health care systems

Factors associated to the type of childbirth in public and private hospitals in Brazil

Parto normal ou cesárea: a influência do tipo de parto desejado na satisfação materna quanto à assistência hospitalar ao nascimento

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