Explaining caesarean section in Salvador da Bahia, Brazil

Bibliographic Data

ID2265699
AuthorsCecilia Anne Mccallum (0000-0003-1927-7774, Universidade Federal da Bahia, corresponding author), Cecilia Mccallum
Year2005
Volume27
Issue2
Pages215-242
Publication date2005-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSociology of Health & Illness (JOURNAL)
Journal identifiersISSN: 0141-9889 • E-ISSN: 1467-9566
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1467-9566.2005.00440.x
PMID15787776
OpenAlexW1948902722
LanguageEN
Citations received36
References cited23

In Salvador da Bahia the caesarean section rate is excessive, as it is in Brazil as a whole. It is the standard form of delivery in private hospitals, though vaginal delivery still predominates in the public sector. This paper investigates the social context of these styles of childbirth, arguing that the connections between both sectors sustain this situation. Exploring the factors leading to the preference in private and insurance-funded maternity wards, it examines critically two diverging positions on the cause of the rate: that women's cultural preferences for abdominal birth lie behind it; or that obstetricians' self-interest is to blame. The paper critiques the theory of culture behind the first stance and questions the theoretical weight placed on individual action in the second. It argues that no particular social group is the principal cause of the excessive use of caesarean section to deliver babies. Rather, a host of factors converge in sustaining this practice. Finally, the paper stresses that the system as a whole, not any particular group, must be changed if the rate is to be lowered significantly. For this, political will is required

Blame · Business · Caesarean section · Childbirth · Context (archaeology · Economic growth · Economics · Geography · Natural childbirth · Political science · Pregnancy · Private sector · Section (typography · Sociology · Vaginal delivery · Maternal and Perinatal Health Interventions · Psychology · Social Psychology