Factors associated to the type of childbirth in public and private hospitals in Brazil

Abstract Objectives: to estimate the prevalence of cesarean sections and factors associated to the type of childbirth in Brazil. Methods: data on childbirths were collected in Brazil in 2014. Demographic characteristics, related to pregnancy and birth hospital regime (public or private) were evaluation. For each hypothesis raised, the variables were modeled by the binary logistic regression, which the outcome was considered in the type of childbirth. Results: the prevalence of the cesarean sections in Brazil in 2014 was 52.8%; that is 38.1% at public hospitals and 92.8% at private ones. The association between cesarean section and the legal regime at the hospital was highlighted in the logistic model which presented a positive association and interaction between age groups (OR = 23.26; 95% CI= 13.39 - 41.79 for women between 20 and 24 years old and OR = 51.04; 95% CI 31.06 - 84.23 for women aged 35 and over). Conclusions: the performance of childbirth in Brazil meets the routines and recommendations regarding women's health and humanized childbirth established by the Brazilian National Health System policies.

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Main Authors: Guimarães,Raphael Mendonça, Silva,Rafael Leiróz Pereira Duarte, Dutra,Viviane Gomes Parreira, Andrade,Pedro Gomes, Pereira,Ana Camila Ribeiro, Jomar,Rafael Tavares, Freire,Renata Pascoal
Format: Digital revista
Language:English
Published: Instituto de Medicina Integral Prof. Fernando Figueira 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000300571
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spelling oai:scielo:S1519-382920170003005712017-10-16Factors associated to the type of childbirth in public and private hospitals in BrazilGuimarães,Raphael MendonçaSilva,Rafael Leiróz Pereira DuarteDutra,Viviane Gomes ParreiraAndrade,Pedro GomesPereira,Ana Camila RibeiroJomar,Rafael TavaresFreire,Renata Pascoal Women's health Cesarean section Socioeconomic factors Health management Hospital administration Abstract Objectives: to estimate the prevalence of cesarean sections and factors associated to the type of childbirth in Brazil. Methods: data on childbirths were collected in Brazil in 2014. Demographic characteristics, related to pregnancy and birth hospital regime (public or private) were evaluation. For each hypothesis raised, the variables were modeled by the binary logistic regression, which the outcome was considered in the type of childbirth. Results: the prevalence of the cesarean sections in Brazil in 2014 was 52.8%; that is 38.1% at public hospitals and 92.8% at private ones. The association between cesarean section and the legal regime at the hospital was highlighted in the logistic model which presented a positive association and interaction between age groups (OR = 23.26; 95% CI= 13.39 - 41.79 for women between 20 and 24 years old and OR = 51.04; 95% CI 31.06 - 84.23 for women aged 35 and over). Conclusions: the performance of childbirth in Brazil meets the routines and recommendations regarding women's health and humanized childbirth established by the Brazilian National Health System policies.info:eu-repo/semantics/openAccessInstituto de Medicina Integral Prof. Fernando FigueiraRevista Brasileira de Saúde Materno Infantil v.17 n.3 20172017-07-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000300571en10.1590/1806-93042017000300009
institution SCIELO
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Guimarães,Raphael Mendonça
Silva,Rafael Leiróz Pereira Duarte
Dutra,Viviane Gomes Parreira
Andrade,Pedro Gomes
Pereira,Ana Camila Ribeiro
Jomar,Rafael Tavares
Freire,Renata Pascoal
spellingShingle Guimarães,Raphael Mendonça
Silva,Rafael Leiróz Pereira Duarte
Dutra,Viviane Gomes Parreira
Andrade,Pedro Gomes
Pereira,Ana Camila Ribeiro
Jomar,Rafael Tavares
Freire,Renata Pascoal
Factors associated to the type of childbirth in public and private hospitals in Brazil
author_facet Guimarães,Raphael Mendonça
Silva,Rafael Leiróz Pereira Duarte
Dutra,Viviane Gomes Parreira
Andrade,Pedro Gomes
Pereira,Ana Camila Ribeiro
Jomar,Rafael Tavares
Freire,Renata Pascoal
author_sort Guimarães,Raphael Mendonça
title Factors associated to the type of childbirth in public and private hospitals in Brazil
title_short Factors associated to the type of childbirth in public and private hospitals in Brazil
title_full Factors associated to the type of childbirth in public and private hospitals in Brazil
title_fullStr Factors associated to the type of childbirth in public and private hospitals in Brazil
title_full_unstemmed Factors associated to the type of childbirth in public and private hospitals in Brazil
title_sort factors associated to the type of childbirth in public and private hospitals in brazil
description Abstract Objectives: to estimate the prevalence of cesarean sections and factors associated to the type of childbirth in Brazil. Methods: data on childbirths were collected in Brazil in 2014. Demographic characteristics, related to pregnancy and birth hospital regime (public or private) were evaluation. For each hypothesis raised, the variables were modeled by the binary logistic regression, which the outcome was considered in the type of childbirth. Results: the prevalence of the cesarean sections in Brazil in 2014 was 52.8%; that is 38.1% at public hospitals and 92.8% at private ones. The association between cesarean section and the legal regime at the hospital was highlighted in the logistic model which presented a positive association and interaction between age groups (OR = 23.26; 95% CI= 13.39 - 41.79 for women between 20 and 24 years old and OR = 51.04; 95% CI 31.06 - 84.23 for women aged 35 and over). Conclusions: the performance of childbirth in Brazil meets the routines and recommendations regarding women's health and humanized childbirth established by the Brazilian National Health System policies.
publisher Instituto de Medicina Integral Prof. Fernando Figueira
publishDate 2017
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000300571
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