Institutional Factors Associated With the Type of Childbirth: What Happened to Public Policies? Notes From Brazil

Raphael Guimaraes

Objectives: to estimate the prevalence of cesarean sections and institutional factors associated with type of delivery in Brazil. Methods: data on births in Brazil in 2016 were collected. Demographic characteristics related to pregnancy and birth hospital regime (public or private) were evaluated. Variables were modeled by binary logistic regression. Results: prevalence of cesarean sections in Brazil in 2016 was of 52.8%; 38.1% in public hospitals and 92.8% in private hospitals. Association between cesarean section and the hospital's legal regime was highlighted in the logistic model, with 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: performance of childbirth in Brazil are in opposite to the routines and recommendations established in Brazilian Unified Health System policies regarding women's health and humanized childbirth.

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 Presented in Session 1. Fertility, Family Planning, Sexual Behavior, & Reproductive Health 1