Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil

Detalhes bibliográficos
Autor(a) principal: Paixao, Enny Santos da
Data de Publicação: 2021
Outros Autores: Bottomley, Christian, Pescarini, Julia M, Wong, Kerry L. M, Cardim, Luciana L, Silva, Rita de Cássia Ribeiro, Brickley, Elizabeth B, Rodrigues, Laura C, Alves, Flavia Jôse Oliveira, Leal, Maria do Carmo, Costa, Maria da Conceição N, Teixeira, Maria Gloria, Ichihara, Maria Yury, Smeeth, Liam, Barreto, Mauricio Lima, Campbell, Oona M. R.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/51294
Resumo: Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil /Universidade Federal da Bahia. Escola de Nutrição. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva, Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva, Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom.
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spelling Paixao, Enny Santos daBottomley, ChristianPescarini, Julia MWong, Kerry L. MCardim, Luciana LSilva, Rita de Cássia RibeiroBrickley, Elizabeth BRodrigues, Laura CAlves, Flavia Jôse OliveiraLeal, Maria do CarmoCosta, Maria da Conceição NTeixeira, Maria GloriaIchihara, Maria YurySmeeth, LiamBarreto, Mauricio LimaCampbell, Oona M. R.2022-02-18T15:43:42Z2022-02-18T15:43:42Z2021Paixão, Enny Santos da. et al. Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil. PLoS Med, v.18, n. 10, p. 1-18, 2021.1549-1676https://www.arca.fiocruz.br/handle/icict/51294doi.org/10.1371/journal.pmed.1003791Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil /Universidade Federal da Bahia. Escola de Nutrição. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva, Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva, Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom.Wellcome Trust."Múltipla ver em Notas"Background: There is an increasing use of cesarean delivery (CD) based on preference rather than on medical indication. However, the extent to which nonmedically indicated CD benefits or harms child survival remains unclear. Our hypothesis was that in groups with a low indication for CD, this procedure would be associated with higher child mortality and in groups with a clear medical indication CD would be associated with improved child survival chances. Methods and findings: We conducted a population-based cohort study in Brazil by linking routine data on live births between January 1, 2012 and December 31, 2018 and assessing mortality up to 5 years of age. Women with a live birth who contributed records during this period were classified into one of 10 Robson groups based on their pregnancy and delivery characteristics. We used propensity scores to match CD with vaginal deliveries (1:1) and prelabor CD with unscheduled CD (1:1) and estimated associations with child mortality using Cox regressions. A total of 17,838,115 live births were analyzed. After propensity score matching (PSM), we found that live births to women in groups with low expected frequencies of CD (Robson groups 1 to 4) had a higher death rate up to age 5 years if they were born via CD compared with vaginal deliveries (HR = 1.25, 95% CI: 1.22 to 1.28; p < 0.001). The relative rate was greatest in the neonatal period (HR = 1.39, 95% CI: 1.34 to 1.45; p < 0.001). There was no difference in mortality rate when comparing offspring born by a prelabor CD to those born by unscheduled CD. For the live births to women with a CD in a prior pregnancy (Robson group 5), the relative rates for child mortality were similar for those born by CD compared with vaginal deliveries (HR = 1.05, 95% CI: 1.00 to 1.10; p = 0.024). In contrast, for live births to women in groups with high expected rates of CD (Robson groups 6 to 10), the child mortality rate was lower for CD than for vaginal deliveries (HR = 0.90, 95% CI: 0.89 to 0.91; p < 0.001), particularly in the neonatal period (HR = 0.84, 95% CI: 0.83 to 0.85; p < 0.001). Our results should be interpreted with caution in clinical practice, since relevant clinical data on CD indication were not available. Conclusions:In this study, we observed that in Robson groups with low expected frequencies of CD, this procedure was associated with a 25% increase in child mortality. However, in groups with high expected frequencies of CD, the findings suggest that clinically indicated CD is associated with a reduction in child mortality.engPublic Library of ScienceCesáreaMortalidade InfantilParto NormalIndicadores (Estatística)Cesarean SectionInfant mortalityNatural ChildbirthIndicators (Statistics)CesáreaMortalidad infantilParto NormalIndicadores (Estadística)CésarienneMortalité infantileAccouchement naturelIndicateurs (Statistiques)Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/51294/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALPaixão, S. 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dc.title.pt_BR.fl_str_mv Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil
title Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil
spellingShingle Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil
Paixao, Enny Santos da
Cesárea
Mortalidade Infantil
Parto Normal
Indicadores (Estatística)
Cesarean Section
Infant mortality
Natural Childbirth
Indicators (Statistics)
Cesárea
Mortalidad infantil
Parto Normal
Indicadores (Estadística)
Césarienne
Mortalité infantile
Accouchement naturel
Indicateurs (Statistiques)
title_short Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil
title_full Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil
title_fullStr Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil
title_full_unstemmed Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil
title_sort Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil
author Paixao, Enny Santos da
author_facet Paixao, Enny Santos da
Bottomley, Christian
Pescarini, Julia M
Wong, Kerry L. M
Cardim, Luciana L
Silva, Rita de Cássia Ribeiro
Brickley, Elizabeth B
Rodrigues, Laura C
Alves, Flavia Jôse Oliveira
Leal, Maria do Carmo
Costa, Maria da Conceição N
Teixeira, Maria Gloria
Ichihara, Maria Yury
Smeeth, Liam
Barreto, Mauricio Lima
Campbell, Oona M. R.
author_role author
author2 Bottomley, Christian
Pescarini, Julia M
Wong, Kerry L. M
Cardim, Luciana L
Silva, Rita de Cássia Ribeiro
Brickley, Elizabeth B
Rodrigues, Laura C
Alves, Flavia Jôse Oliveira
Leal, Maria do Carmo
Costa, Maria da Conceição N
Teixeira, Maria Gloria
Ichihara, Maria Yury
Smeeth, Liam
Barreto, Mauricio Lima
Campbell, Oona M. R.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Paixao, Enny Santos da
Bottomley, Christian
Pescarini, Julia M
Wong, Kerry L. M
Cardim, Luciana L
Silva, Rita de Cássia Ribeiro
Brickley, Elizabeth B
Rodrigues, Laura C
Alves, Flavia Jôse Oliveira
Leal, Maria do Carmo
Costa, Maria da Conceição N
Teixeira, Maria Gloria
Ichihara, Maria Yury
Smeeth, Liam
Barreto, Mauricio Lima
Campbell, Oona M. R.
dc.subject.other.pt_BR.fl_str_mv Cesárea
Mortalidade Infantil
Parto Normal
Indicadores (Estatística)
topic Cesárea
Mortalidade Infantil
Parto Normal
Indicadores (Estatística)
Cesarean Section
Infant mortality
Natural Childbirth
Indicators (Statistics)
Cesárea
Mortalidad infantil
Parto Normal
Indicadores (Estadística)
Césarienne
Mortalité infantile
Accouchement naturel
Indicateurs (Statistiques)
dc.subject.en.pt_BR.fl_str_mv Cesarean Section
Infant mortality
Natural Childbirth
Indicators (Statistics)
dc.subject.es.pt_BR.fl_str_mv Cesárea
Mortalidad infantil
Parto Normal
Indicadores (Estadística)
dc.subject.fr.pt_BR.fl_str_mv Césarienne
Mortalité infantile
Accouchement naturel
Indicateurs (Statistiques)
description Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil /Universidade Federal da Bahia. Escola de Nutrição. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva, Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva, Salvador, BA, Brasil. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para a Saúde. Salvador, BA, Brasil. Infectious Disease Department. Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, United Kingdom.
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2022-02-18T15:43:42Z
dc.date.available.fl_str_mv 2022-02-18T15:43:42Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv Paixão, Enny Santos da. et al. Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil. PLoS Med, v.18, n. 10, p. 1-18, 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/51294
dc.identifier.issn.pt_BR.fl_str_mv 1549-1676
dc.identifier.doi.none.fl_str_mv doi.org/10.1371/journal.pmed.1003791
identifier_str_mv Paixão, Enny Santos da. et al. Associations between cesarean delivery and child mortality: a national record linkage longitudinal study of 17.8 million births in Brazil. PLoS Med, v.18, n. 10, p. 1-18, 2021.
1549-1676
doi.org/10.1371/journal.pmed.1003791
url https://www.arca.fiocruz.br/handle/icict/51294
dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Public Library of Science
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bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/51294/1/license.txt
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repository.mail.fl_str_mv repositorio.arca@fiocruz.br
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