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Related Experiment Video

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External Cephalic Version: Is it an Effective and Safe Procedure?

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Cesarean sections in a birth center.

Ruth Hitomi Osava¹, Flora Maria Barbosa da Silva, Esteban Fernandes Tuesta

¹Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brasil.

Revista De Saude Publica

|November 30, 2011

Summary

This summary is machine-generated.

Cesarean section prevalence was 14.9%, aligning with WHO guidelines. Key risk factors included previous cesarean sections, post-term gestation, and meconium-stained amniotic fluid, influencing delivery outcomes.

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Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine
Public Health

Background:

Cesarean sections (CS) are a significant obstetric procedure with varying global prevalence.
Understanding local CS rates and associated factors is crucial for optimizing maternal and neonatal care.

Purpose of the Study:

To determine the prevalence of cesarean sections in a hospital birth center.
To identify maternal and neonatal factors associated with cesarean delivery.

Main Methods:

A cross-sectional study analyzed 2,441 birth records from March-April 2005 in São Paulo, Brazil.
Variables included demographics, obstetric history, intrapartum care, and perinatal outcomes.
Prevalence ratios (PR) and 95% confidence intervals (95% CI) were calculated.

Main Results:

The cesarean section rate was 14.9%.
Associated factors included prior cesarean sections (PR=3.19), gestational age >40 weeks (PR=1.32), cervical dilation ≤4 cm (PR=3.22), meconium-stained amniotic fluid (PR=2.5), and birth weight >4 kg (PR=1.86).
Prior vaginal delivery was protective against current CS (PR=0.46).

Conclusions:

The observed cesarean section prevalence aligns with World Health Organization recommendations.
Risk factors for cesarean delivery include previous CS, advanced cervical dilation on admission, post-term pregnancy, meconium-stained fluid, and macrosomia.