期刊
CADERNOS DE SAUDE PUBLICA
卷 30, 期 -, 页码 -出版社
CADERNOS SAUDE PUBLICA
DOI: 10.1590/0102-311X00105113
关键词
Parturition; Maternal and Child Health; Patient Preference; Cesarean Section
资金
- National Council for Scientific and Technological Development (CNPq)
- Science and Tecnology Department, Secretariat of Science, Tecnology, and Strategic Inputs, Brazilian Ministry of Health
- National School of Public Health, Oswaldo Cruz Foundation (INOVA Project)
- Foundation for supporting Research in the State of Rio de Janeiro (Faperj)
The purpose of this article is to describe the factors cited for the preference for type of birth in early pregnancy and reconstruct the decision process by type of birth in Brazil. Data from a national hospital-based cohort with 23,940 postpartum women, held in 2011-2012, were analyzed according to source of funding for birth and parity, using the chi(2) test. The initial preference for cesarean delivery was 27.6%, ranging from 15.4% (primiparous public sector) to 73.2% (multiparous women with previous cesarean private sector). The main reason for the choice of vaginal delivery was the best recovery of this type of birth (68.5%) and for the choice of cesarean, the fear of pain (46.6%). Positive experience with vaginal delivery (28.7%), cesarean delivery (24.5%) and perform female sterilization (32.3%) were cited by multiparous. Women from private sector presented 87.5% caesarean, with increased decision for cesarean birth in end of gestation, independent of diagnosis of complications. In both sectors, the proportion of caesarean section was much higher than desired by women.
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