Banca de DEFESA: LAIANE SANTOS EUFRASIO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : LAIANE SANTOS EUFRASIO
DATA : 26/05/2017
HORA: 14:00
LOCAL: Auditório do Departamento de Fisioterapia
TÍTULO:

PREVALENCE AND ASSOCIATED FACTORS WITH CESAREAN SECTION IN THE BRAZILIAN REGIONAL CONTEXT

PALAVRAS-CHAVES:

Cesarean Section; Prevalence; Brazil; Women's Health.

PÁGINAS: 80
GRANDE ÁREA: Ciências da Saúde
ÁREA: Fisioterapia e Terapia Ocupacional
RESUMO:

Introduction: Caesarean section is becoming more and more frequent all over the world. If indicated correctly, it is effective in reducing maternal and perinatal mortality. However, it has been performed without real indications, increasing its prevalence and may lead to unnecessary risks, both for the mother and the baby. There are several factors that may be associated with this increasing rate, but these are little explored on the optics of the Brazilian regions. Objective: To estimate the prevalence and factors associated with cesarean sections in the Brazilian regions context. Methodology: A recort of national database of the National Health Survey (PNS), a national domiciliary study conducted by the IBGE in partnership with the Ministry of Health in 2013, was performed. Data from women aged 18 To 49 years, totaling 16,175 records of women who were pregnant and gave birth at some time in life. Descriptive analysis of the variables of interest, bivariate analysis using the chi-square test, and logistic regression were performed. A level of significance was adopted or p value <0.05. Results: The prevalence in Brazil of women who had cesarean delivery was 53.03%. Over the years (from 1974 to 2013), there was an increase in the chances of having this type of delivery, mainly in the Northeast (121%, IC95: 1.42 - 3.46) and South (175%, IC95: 1.44 - 5.23), in brazilians women that have health plan (3 times more chances, IC95: 1.69 - 5.38), with a diagnosis of arterial hypertension (2.77 times, IC95: 1.58 - 4.85), with a chronic spine problem (2 times, IC95: 1.01 - 4.05) and advanced age in the first pregnancy (2 times more chances, IC95: 1.20 - 3.35). In addition, women with hight education levels were 2.05 times more likely (95% CI: 1.27 - 3.30) to have a cesarean birth, especially in the North and South regions, while in the Northeast, this probability increased, regardless of the level of schooling. Conclusion: The rate of cesarean delivery in Brazil remains high, with vaginal delivery being the most prevalent in the North (52.74%) and Northeast (51.06%) regions, while cesarean delivery is more prevalent in the Southeast regions (59.32% ), South (56.96%) and Central West (61.48%). Associated factors such as time, educational level, maternal age and the fact of having a private health plan seem to contribute to the increase of this prevalence, behaving distinctly among the regions of the country, because they are influenced by the peculiar characteristics of each one.

MEMBROS DA BANCA:
Externo ao Programa - 1242804 - ADRIANA GOMES MAGALHAES
Externo ao Programa - 1664466 - ALINE MEDEIROS CAVALCANTI DA FONSECA
Externo à Instituição - DAMIAO ERNANE DE SOUZA - IBGE
Presidente - 2212151 - ELIZABEL DE SOUZA RAMALHO VIANA
Externo à Instituição - PALLOMA RODRIGUES DE ANDRADE - UFPB