Significant differences in cesarean section rates between a private and a public hospital in Brazil

Bibliographic Data

ID5226449
AuthorsSueli De Almeida (Universidade de São Paulo), Heloísa Bettiol (0000-0001-8744-4373, Universidade de São Paulo), Marco A Barbieri (0000-0001-8060-1428, Universidade de São Paulo), Antonio Augusto Moura Da Silva (0000-0003-4968-5138, Universidade Federal do Maranhão), Veridiana Soares Ribeiro (0000-0003-4623-1499, Universidade Federal do Maranhão), Valdinar Sousa Ribeiro (Universidade Federal do Maranhão)
Year2008
Volume24
Issue12
Pages2909-2918
Publication date2008-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0102-311x2008001200020
PMID19082282
OpenAlexW2131553972
SCIELO_PIDS0102-311X2008001200020
LanguageEN
Citations received16
References cited17

This paper evaluates the association of maternal variables and of variables related to prenatal and delivery care with cesarean sections at a public and at a private maternity. A retrospective cross-sectional study was performed at a public maternity clinic (2,889 deliveries) and at a private maternity clinic (2,911 deliveries) in the city of Ribeirão Preto, São Paulo State, Brazil. The prevalence of cesarean sections was 18.9% at the public maternity clinic and 84.3% at the private one. The factors associated with cesarean sections at both hospitals were: mothers from other cities, aged > 25 years and with hypertension. Having more than one child was a protective factor. At the public hospital, cesarean sections were more frequent on Wednesdays and from 12:00 to 23:59 hours of any day of the week, whereas at the private hospital they occurred on any day, though were less common on Sundays, and at any time except in the early morning. At the private hospital, cesarean sections were more frequent when performed by the doctor who had provided the prenatal care. Non-medical factors were more associated with cesarean sections in the private maternity clinic than biological or clinical factors related to pregnancy

Cross-sectional study · Environmental health · Family medicine · Maternity care · Obstetrics · Population · Pregnancy · Prenatal care · Public hospital · Retrospective cohort study · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Maternal and Perinatal Health Interventions · Medicine · Nursing · Surgery · Pediatrics