Unwanted Caesarean Sections Among Public and Private Patients in Brazil: Prospective Study

Potter, Joseph E.; Berquó, Elza; Perpétuo, Ignez Helena Oliva; Leal, Ondina Fachel; Hopkins, Kristine; Souza, Marta Rovery de; Fromiga, Maria Célia De Carvalho

doi:10.1097/00006254-200205000-00006

Cited by 61 publications

(109 citation statements)

References 6 publications

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“…At the same time, cesarean rates have been found to differ across rural and urban settings, as well as to vary by insurance type and hospital type, size, ownership and teaching status (14, 26, 27). Since all divisions encompass a mixture of individuals, communities and hospitals, it is highly likely that several factors contribute to the observed variation in primary cesarean rates across the nine geographic divisions in our study.…”

Section: Discussionmentioning

confidence: 99%

Primary Cesarean Delivery Among Parous Women in the United States, 1990–2003

Ford

Grewal²,

Mikolajczyk³

et al. 2008

Obstetrics &Amp; Gynecology

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Objective To explore trends in primary cesarean delivery rates among parous women with singleton pregnancies in the United States between 1990 and 2003. Methods The analysis used data from national birth files based on U.S. birth certificates between 1990 and 2003. The primary cesarean delivery rate was defined as the number of primary cesarean deliveries per 100 deliveries among parous women with singleton pregnancies who have not had a previous cesarean delivery. A stratified analysis was employed to investigate whether trends varied by maternal age, gestational age, race/ethnicity and region. Results In the United States, the primary cesarean delivery rate among parous women decreased modestly from 7.1% in 1990 to 6.6% in 1996 but increased progressively to 9.3% in 2003. The increase in cesarean rates from 1996 to 2003 varied substantially by race/ethnicity: Hispanic and non-Hispanic white women exhibited lower and similar rates, while rates for non-Hispanic black women were consistently higher and rose by a far greater extent across the years. There were substantial differences in cesarean delivery trends across geographic divisions, with greatest increases observed in the Mid-Atlantic, South Central and South Atlantic areas of the United States. Primary cesarean rates also declined considerably with increasing gestational age. Conclusion Similar to the overall cesarean delivery rate, primary cesarean rates among parous women with singleton pregnancies increased substantially in the United States since 1996.

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Section: Discussionmentioning

confidence: 99%

Primary Cesarean Delivery Among Parous Women in the United States, 1990–2003

Ford

Grewal²,

Mikolajczyk³

et al. 2008

Obstetrics &Amp; Gynecology

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show abstract

“…7 8 However, Béhague et al now contradict these data in a study conducted in the city of Pelotas, southern Brazil (p ). They show that women (predominantly the socially marginalised) actively seek a caesarean section as a strategy to pre-empt hospitals' poor labour care, including lack of pain control 2…”

mentioning

confidence: 98%

Promoting evidence based practice in maternal care

Langer

2002

BMJ

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“…In many settings, pregnant women often transfer to their obstetrician decisions related to pregnancy and delivery . Brazilian studies have indicated that, in this country, the patient–doctor relationship is asymmetrical in pregnancy and many obstetricians do not respect women's opinions or preferences if they wish to have a trial of labor or a vaginal delivery.…”

Section: Discussionmentioning

confidence: 99%