Trends in the modes of delivery and their impact on perinatal mortality rates
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102004000300007 |
Resumo: | OBJECTIVE: To determine changes in the incidence of vaginal deliveries, cesarean sections, and forceps deliveries and their potential association with fetal, early neonatal, and perinatal mortality rates over time. METHODS: A retrospective study was carried out and the occurrence of deliveries supervised by university services between January 1991 and December 2000 was determined. Data regarding fetal, early neonatal, and perinatal deaths were assessed using obstetric and pediatric records and autopsy reports. RESULTS: Of a total of 33,360 deliveries, the incidence of vaginal deliveries, cesarean sections, and forceps deliveries was relatively steady (around 60, 30, and 10%, respectively) while, at the same time, there was a marked reduction in fetal mortality (from 33.3 to 13.0), early neonatal mortality (from 30.6 to 9.0), and perinatal mortality (from 56.4 to 19.3). CONCLUSIONS: The marked reduction in perinatal mortality rates seen during the study period without an increase in cesarean sections indicates that the decrease in perinatal mortality was not impacted by cesarean section rates. The plausible hypothesis seems to be that the reduction in perinatal mortality of deliveries performed under the supervision of university services was more likely to be associated with better neonatal care rather than the mode of delivery. |
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Trends in the modes of delivery and their impact on perinatal mortality ratesCesarean sectionNatural childbirthPerinatal mortality (public health)Fetal mortalityNeonatal mortality (public health)Vaginal deliveryOBJECTIVE: To determine changes in the incidence of vaginal deliveries, cesarean sections, and forceps deliveries and their potential association with fetal, early neonatal, and perinatal mortality rates over time. METHODS: A retrospective study was carried out and the occurrence of deliveries supervised by university services between January 1991 and December 2000 was determined. Data regarding fetal, early neonatal, and perinatal deaths were assessed using obstetric and pediatric records and autopsy reports. RESULTS: Of a total of 33,360 deliveries, the incidence of vaginal deliveries, cesarean sections, and forceps deliveries was relatively steady (around 60, 30, and 10%, respectively) while, at the same time, there was a marked reduction in fetal mortality (from 33.3 to 13.0), early neonatal mortality (from 30.6 to 9.0), and perinatal mortality (from 56.4 to 19.3). CONCLUSIONS: The marked reduction in perinatal mortality rates seen during the study period without an increase in cesarean sections indicates that the decrease in perinatal mortality was not impacted by cesarean section rates. The plausible hypothesis seems to be that the reduction in perinatal mortality of deliveries performed under the supervision of university services was more likely to be associated with better neonatal care rather than the mode of delivery.Faculdade de Saúde Pública da Universidade de São Paulo2004-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102004000300007Revista de Saúde Pública v.38 n.3 2004reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0034-89102004000300007info:eu-repo/semantics/openAccessDuarte,GeraldoColtro,Pedro SBedone,Rebeca VNogueira,Antonio AGelonezzi,Glauce MFranco,Laércio Jeng2004-07-08T00:00:00Zoai:scielo:S0034-89102004000300007Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2004-07-08T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Trends in the modes of delivery and their impact on perinatal mortality rates |
title |
Trends in the modes of delivery and their impact on perinatal mortality rates |
spellingShingle |
Trends in the modes of delivery and their impact on perinatal mortality rates Duarte,Geraldo Cesarean section Natural childbirth Perinatal mortality (public health) Fetal mortality Neonatal mortality (public health) Vaginal delivery |
title_short |
Trends in the modes of delivery and their impact on perinatal mortality rates |
title_full |
Trends in the modes of delivery and their impact on perinatal mortality rates |
title_fullStr |
Trends in the modes of delivery and their impact on perinatal mortality rates |
title_full_unstemmed |
Trends in the modes of delivery and their impact on perinatal mortality rates |
title_sort |
Trends in the modes of delivery and their impact on perinatal mortality rates |
author |
Duarte,Geraldo |
author_facet |
Duarte,Geraldo Coltro,Pedro S Bedone,Rebeca V Nogueira,Antonio A Gelonezzi,Glauce M Franco,Laércio J |
author_role |
author |
author2 |
Coltro,Pedro S Bedone,Rebeca V Nogueira,Antonio A Gelonezzi,Glauce M Franco,Laércio J |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Duarte,Geraldo Coltro,Pedro S Bedone,Rebeca V Nogueira,Antonio A Gelonezzi,Glauce M Franco,Laércio J |
dc.subject.por.fl_str_mv |
Cesarean section Natural childbirth Perinatal mortality (public health) Fetal mortality Neonatal mortality (public health) Vaginal delivery |
topic |
Cesarean section Natural childbirth Perinatal mortality (public health) Fetal mortality Neonatal mortality (public health) Vaginal delivery |
description |
OBJECTIVE: To determine changes in the incidence of vaginal deliveries, cesarean sections, and forceps deliveries and their potential association with fetal, early neonatal, and perinatal mortality rates over time. METHODS: A retrospective study was carried out and the occurrence of deliveries supervised by university services between January 1991 and December 2000 was determined. Data regarding fetal, early neonatal, and perinatal deaths were assessed using obstetric and pediatric records and autopsy reports. RESULTS: Of a total of 33,360 deliveries, the incidence of vaginal deliveries, cesarean sections, and forceps deliveries was relatively steady (around 60, 30, and 10%, respectively) while, at the same time, there was a marked reduction in fetal mortality (from 33.3 to 13.0), early neonatal mortality (from 30.6 to 9.0), and perinatal mortality (from 56.4 to 19.3). CONCLUSIONS: The marked reduction in perinatal mortality rates seen during the study period without an increase in cesarean sections indicates that the decrease in perinatal mortality was not impacted by cesarean section rates. The plausible hypothesis seems to be that the reduction in perinatal mortality of deliveries performed under the supervision of university services was more likely to be associated with better neonatal care rather than the mode of delivery. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102004000300007 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102004000300007 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0034-89102004000300007 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.38 n.3 2004 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936494152679424 |