Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey

Detalhes bibliográficos
Autor(a) principal: Dias, Marcos Augusto Bastos
Data de Publicação: 2016
Outros Autores: Domingues, Rosa Maria Soares Madeira, Schilithz, Arthur Orlando Corrêa, Nakamura-Pereira, Marcos, Leal, Maria do Carmo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/29350
Resumo: Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
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spelling Dias, Marcos Augusto BastosDomingues, Rosa Maria Soares MadeiraSchilithz, Arthur Orlando CorrêaNakamura-Pereira, MarcosLeal, Maria do Carmo2018-10-04T16:31:08Z2018-10-04T16:31:08Z2016DIAS, Marcos Augusto Bastos et al. Factors Associated with Cesarean Delivery during Labor in Primiparous Women Assisted in the Brazilian Public Health System: Data from a National Survey. Reproductive Health, v. 13, Suppl 3, p. 1-11, Oct. 2016.1742-4755https://www.arca.fiocruz.br/handle/icict/2935010.1186/s12978-016-0231-zengFactors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Surveyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.Background: The rate of cesarean delivery (CD) in Brazil has increased over the past 40 years. The CD rate in public services is three times above the World Health Organization recommended values. Among strategies to reduce CD, the most important is reduction of primary cesarean. This study aimed to describe factors associated with CD during labor in primiparous women with a single cephalic pregnancy assisted in the Brazilian Public Health System (SUS). Methods: This study is part of the Birth in Brazil survey, a national hospital-based study of 23,894 postpartum women and their newborns. The rate of CD in primiparous women was estimated. Univariate and multivariable logistic regression was performed to analyze factors associated with CD during labor in primiparous women with a single cephalic pregnancy, including estimation of crude and adjusted odds ratios and their respective 95 % confidence intervals. Results: The analyzed data are related to the 2814 eligible primiparous women who had vaginal birth or CD during labor in SUS hospitals. In adjusted analyses, residing in the Southeast region was associated with lower CD during labor. Occurrence of clinical and obstetric conditions potentially related to obstetric emergencies before delivery, early admission with < 4 cm of dilatation, a decision late in pregnancy for CD, and the use of analgesia were associated with a greater risk for CD. Favorable advice for vaginal birth during antenatal care, induction of labor, and the use of any good practices during labor were protective factors for CD. The type of professional who attended birth was not significant in the final analyses, but bivariate analysis showed a higher use of good practices and a smaller proportion of epidural analgesia in women cared for by at least one nurse midwife. Conclusions: The CD rate in primiparous women in SUS in Brazil is extremely high and can compromise the health of these women and their newborns. Information and support for vaginal birth during antenatal care, avoiding early admission, and promoting the use of good practices during labor assistance can reduce unnecessary CD. Considering the experience of other countries, incorporation of nurse midwives in childbirth care may increase the use of good practices during labor.Cesarean deliveryPrimiparousLabour assistanceNurse midwifeGood practicesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/29350/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALFactors associated with cesarean delivery during labor in primiparous women assisted_Rosa_Domingues_etal_INI_Lapclin_2016.pdfFactors associated with cesarean delivery during labor in primiparous women assisted_Rosa_Domingues_etal_INI_Lapclin_2016.pdfapplication/pdf812028https://www.arca.fiocruz.br/bitstream/icict/29350/2/Factors%20associated%20with%20cesarean%20delivery%20during%20labor%20in%20primiparous%20women%20assisted_Rosa_Domingues_etal_INI_Lapclin_2016.pdf0af4a86d7786f224b56de682ad9fb91eMD52TEXTFactors associated with cesarean delivery during labor in primiparous women assisted_Rosa_Domingues_etal_INI_Lapclin_2016.pdf.txtFactors associated with cesarean delivery during labor in primiparous women assisted_Rosa_Domingues_etal_INI_Lapclin_2016.pdf.txtExtracted texttext/plain47315https://www.arca.fiocruz.br/bitstream/icict/29350/3/Factors%20associated%20with%20cesarean%20delivery%20during%20labor%20in%20primiparous%20women%20assisted_Rosa_Domingues_etal_INI_Lapclin_2016.pdf.txt653a9ede1ae9941318c9a80c1a98c033MD53icict/293502023-10-05 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dc.title.pt_BR.fl_str_mv Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey
title Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey
spellingShingle Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey
Dias, Marcos Augusto Bastos
Cesarean delivery
Primiparous
Labour assistance
Nurse midwife
Good practices
title_short Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey
title_full Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey
title_fullStr Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey
title_full_unstemmed Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey
title_sort Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey
author Dias, Marcos Augusto Bastos
author_facet Dias, Marcos Augusto Bastos
Domingues, Rosa Maria Soares Madeira
Schilithz, Arthur Orlando Corrêa
Nakamura-Pereira, Marcos
Leal, Maria do Carmo
author_role author
author2 Domingues, Rosa Maria Soares Madeira
Schilithz, Arthur Orlando Corrêa
Nakamura-Pereira, Marcos
Leal, Maria do Carmo
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Dias, Marcos Augusto Bastos
Domingues, Rosa Maria Soares Madeira
Schilithz, Arthur Orlando Corrêa
Nakamura-Pereira, Marcos
Leal, Maria do Carmo
dc.subject.en.pt_BR.fl_str_mv Cesarean delivery
Primiparous
Labour assistance
Nurse midwife
Good practices
topic Cesarean delivery
Primiparous
Labour assistance
Nurse midwife
Good practices
description Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2018-10-04T16:31:08Z
dc.date.available.fl_str_mv 2018-10-04T16:31:08Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv DIAS, Marcos Augusto Bastos et al. Factors Associated with Cesarean Delivery during Labor in Primiparous Women Assisted in the Brazilian Public Health System: Data from a National Survey. Reproductive Health, v. 13, Suppl 3, p. 1-11, Oct. 2016.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/29350
dc.identifier.issn.pt_BR.fl_str_mv 1742-4755
dc.identifier.doi.none.fl_str_mv 10.1186/s12978-016-0231-z
identifier_str_mv DIAS, Marcos Augusto Bastos et al. Factors Associated with Cesarean Delivery during Labor in Primiparous Women Assisted in the Brazilian Public Health System: Data from a National Survey. Reproductive Health, v. 13, Suppl 3, p. 1-11, Oct. 2016.
1742-4755
10.1186/s12978-016-0231-z
url https://www.arca.fiocruz.br/handle/icict/29350
dc.language.iso.fl_str_mv eng
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bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/29350/1/license.txt
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