Risk factors for cesarean section by category of health service
Autor(a) principal: | |
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Data de Publicação: | 2010 |
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=S0034-89102010000100009 |
Resumo: | OBJECTIVE: To analyze the rate of cesarean section and differences in risk factors by category of health service, either public or private. METHODS: A cross-sectional study was carried out including all pregnant women in labor admitted to hospitals in the city of Rio Grande, Southern Brazil, between January 1 and December 31, 2007. A pre-coded and pre-tested questionnaire was used to collect on social, demographic, obstetric and newborn care information. Two regression models were constructed: one for public users and the other one for private ones. Poisson regression was used in each model in the multivariate analysis. Prevalence rates and 95% confidence intervals were calculated for each adjusted factor. RESULTS: The rate of cesarean section was 43% and 86% among public and private users. Sociodemographic factors and twin births have a more significant impact among public users as well as number of pregnancies (25% vs. 13% reduction in public and private users, respectively) and previous cesarean section (86% vs. 24% increase in public and private users, respectively). Prenatal care visits and hospital admissions affected the outcome only in women users of public services. CONCLUSIONS: Cesarean section rates were high in both groups studied, but it was twice as high among women cared in the private sector. Associated factors differ in magnitude by category of service used. |
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Risk factors for cesarean section by category of health serviceCesarean SectionRisk FactorsSocioeconomic FactorsHealth Maintenance OrganizationsSupplemental HealthSingle Health SystemCross-Sectional StudiesOBJECTIVE: To analyze the rate of cesarean section and differences in risk factors by category of health service, either public or private. METHODS: A cross-sectional study was carried out including all pregnant women in labor admitted to hospitals in the city of Rio Grande, Southern Brazil, between January 1 and December 31, 2007. A pre-coded and pre-tested questionnaire was used to collect on social, demographic, obstetric and newborn care information. Two regression models were constructed: one for public users and the other one for private ones. Poisson regression was used in each model in the multivariate analysis. Prevalence rates and 95% confidence intervals were calculated for each adjusted factor. RESULTS: The rate of cesarean section was 43% and 86% among public and private users. Sociodemographic factors and twin births have a more significant impact among public users as well as number of pregnancies (25% vs. 13% reduction in public and private users, respectively) and previous cesarean section (86% vs. 24% increase in public and private users, respectively). Prenatal care visits and hospital admissions affected the outcome only in women users of public services. CONCLUSIONS: Cesarean section rates were high in both groups studied, but it was twice as high among women cared in the private sector. Associated factors differ in magnitude by category of service used.Faculdade de Saúde Pública da Universidade de São Paulo2010-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102010000100009Revista de Saúde Pública v.44 n.1 2010reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0034-89102010000100009info:eu-repo/semantics/openAccessMendoza-Sassi,Raúl AndrésCesar,Juraci AlmeidaSilva,Patricia Rodrigues daDenardin,GiovanaRodrigues,Mariana Mendeseng2010-06-23T00:00:00Zoai:scielo:S0034-89102010000100009Revistahttp://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:2010-06-23T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Risk factors for cesarean section by category of health service |
title |
Risk factors for cesarean section by category of health service |
spellingShingle |
Risk factors for cesarean section by category of health service Mendoza-Sassi,Raúl Andrés Cesarean Section Risk Factors Socioeconomic Factors Health Maintenance Organizations Supplemental Health Single Health System Cross-Sectional Studies |
title_short |
Risk factors for cesarean section by category of health service |
title_full |
Risk factors for cesarean section by category of health service |
title_fullStr |
Risk factors for cesarean section by category of health service |
title_full_unstemmed |
Risk factors for cesarean section by category of health service |
title_sort |
Risk factors for cesarean section by category of health service |
author |
Mendoza-Sassi,Raúl Andrés |
author_facet |
Mendoza-Sassi,Raúl Andrés Cesar,Juraci Almeida Silva,Patricia Rodrigues da Denardin,Giovana Rodrigues,Mariana Mendes |
author_role |
author |
author2 |
Cesar,Juraci Almeida Silva,Patricia Rodrigues da Denardin,Giovana Rodrigues,Mariana Mendes |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Mendoza-Sassi,Raúl Andrés Cesar,Juraci Almeida Silva,Patricia Rodrigues da Denardin,Giovana Rodrigues,Mariana Mendes |
dc.subject.por.fl_str_mv |
Cesarean Section Risk Factors Socioeconomic Factors Health Maintenance Organizations Supplemental Health Single Health System Cross-Sectional Studies |
topic |
Cesarean Section Risk Factors Socioeconomic Factors Health Maintenance Organizations Supplemental Health Single Health System Cross-Sectional Studies |
description |
OBJECTIVE: To analyze the rate of cesarean section and differences in risk factors by category of health service, either public or private. METHODS: A cross-sectional study was carried out including all pregnant women in labor admitted to hospitals in the city of Rio Grande, Southern Brazil, between January 1 and December 31, 2007. A pre-coded and pre-tested questionnaire was used to collect on social, demographic, obstetric and newborn care information. Two regression models were constructed: one for public users and the other one for private ones. Poisson regression was used in each model in the multivariate analysis. Prevalence rates and 95% confidence intervals were calculated for each adjusted factor. RESULTS: The rate of cesarean section was 43% and 86% among public and private users. Sociodemographic factors and twin births have a more significant impact among public users as well as number of pregnancies (25% vs. 13% reduction in public and private users, respectively) and previous cesarean section (86% vs. 24% increase in public and private users, respectively). Prenatal care visits and hospital admissions affected the outcome only in women users of public services. CONCLUSIONS: Cesarean section rates were high in both groups studied, but it was twice as high among women cared in the private sector. Associated factors differ in magnitude by category of service used. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-02-01 |
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=S0034-89102010000100009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102010000100009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0034-89102010000100009 |
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.44 n.1 2010 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_ |
1748936498780045312 |