Fatores associados à cesariana entre primíparas adolescentes no Brasil, 2011-2012

Bibliographic Data

ID5168345
AuthorsSilvana Granado Nogueira Da Gama (0000-0002-9200-0387, Fundação Oswaldo Cruz), Elaine Fernandes Viellas (0000-0001-5259-8102, Fundação Oswaldo Cruz), Arthur Orlando Correa Schilithz (0000-0003-2457-3965, Fundação Oswaldo Cruz), Mariza Miranda Theme Filha (0000-0002-7075-9819, Fundação Oswaldo Cruz), Márcia Lazaro De Carvalho (0000-0002-1861-5383, Fundação Oswaldo Cruz), Keila Rejane Oliveira Gomes (0000-0001-9261-8665, Universidade Federal do Piauí), Murilo Carlos Oliveira Costa (0000-0001-6695-7268, Universidade Estadual de Feira de Santana), Maria Conceição Oliveira Costa, Maria Do Carmo Leal (0000-0002-3047-515X, Fundação Oswaldo Cruz)
Year2014
Volume30
Issuesuppl 1
PagesS117-S127
Publication date2014-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00145513
PMID25167171
OpenAlexW1828394348
SCIELO_PIDS0102-311X2014001300018
LanguagePT
Citations received9
References cited28

This paper presents the factors associated with caesarean section in primiparous adolescents in Brazil using data from a national hospital-based survey conducted between 2011 and 2012. Information was obtained from postpartum women through face-to-face and telephone interviews and a theoretical model with three levels of hierarchy was used to analyze associations with the dependent variable mode of delivery (caesarean or vaginal). The results show that the caesarean section rate among primiparous teenagers is high (40%). The most significant contributing factors for caesarean section were: considering this mode of delivery safer (OR=7.0; 95%CI: 4.3-11.4); giving birth under the private health system (OR=4.3; 95%CI: 2.3-9.0); being attended by the same health care professional throughout prenatal care and delivery (OR=5.7; 95%CI: 3.3-9.0) and clinical history of risk and complications during pregnancy (OR=10.8; 95%CI: 8.5-13.7). Adolescent pregnancy continues to be an important concern on the reproductive health agenda and the rates observed by this study are worrying given the effects of early exposure to caesarean section

Caesarean delivery · Caesarean section · Health care · Maternal health · Population · Pregnancy · Prenatal care · Maternal and Neonatal Healthcare · Maternal and Perinatal Health Interventions · Maternal Mental Health During Pregnancy and Postpartum