Mode of delivery and maternal mortality in Brazil, 2011-2023: an ecological temporal series study
Article Sidebar
Main Article Content
Abstract
Childbirth gradually became a hospital intervention that changed the levels of care. Surgical delivery made difficult deliveries safer and, consequently, reduced the risk of mother and baby death, resulting in increasingly high numbers of cesarean sections, which are sometimes unnecessary. This study aimed to characterize the prevalence of delivery routes performed in Brazil, comparing rates between different regions of the country, and identifying the maternal mortality rate associated with childbirth complications, between the years 2011 and 2021. This is an ecological study performed by obtaining data available on the TabNet DATASUS platform. The data obtained were tabulated in Excel, and, then, they were statistically analyzed in the program BioEstat 5.3. It was observed that the regions with emphasis on the cesarean section rate throughout the historical series were: Northeast, North, Midwest and South. On the other hand, the Southeast showed a significant, strong and positive correlation between mortality rates and the prevalence of vaginal delivery (p<0,01 e r=0,80) and significant, strong and negative correlation between mortality rates and the prevalence of cesarean sections (p<0,01 e r=-0,80). At the end, cesarean rates in Brazil increased gradually over the years studied, and accompanied an increase in the associated maternal mortality rate.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
• The author (s) warrant that the contribution is original and unpublished and that it is not in the process of being evaluated in other journal (s);
• The journal is not responsible for the opinions, ideas and concepts issued in the texts, as they are the sole responsibility of the author (s);
• Publishers have the right to make textual adjustments and to adapt the article to the rules of publication.
Authors retain the copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License, which allows the sharing of work with acknowledgment of authorship and initial publication in this journal.
Authors are authorized to take additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg publish in institutional repository or as book chapter), with acknowledgment of authorship and initial publication in this journal.
Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes as well as increase the impact and citation of the published work (See The Effect of Free Access) at http://opcit.eprints.org/oacitation-biblio.html
References
ANGOLILE, C. M.; MAX, B. L.; MUSHEMBA, J.; MASHAURI H. L. Global increased cesarean section rates and public health implications: A call to action. Health Science Reports. v.6, n.5, p.1274, 2023.
BALBINO, E. C. R.; SANTOS, M. C. J. S.; BORGES, M. L. Uso de métodos não farmacológicos no alívio da dor no trabalho de parto: a percepção de mulheres no pós-parto. Revista Brasileira Multidisciplinar. v.23, n.2, p. 65-7, 2020.
BELARMINO,V.; CARLOTTO, K.; MADUELL, M. C. P.; GONÇALVES, C V. Spatial distribution of cesarean sections in Brazil from 2000 to 2019. Research, Society and Development. v.11, n.4, p. e43211427657, 2022.
BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Parto e nascimento domiciliar assistidos por parteiras tradicionais: o Programa Trabalhando com Parteiras Tradicionais e experiências exemplares / Ministério da Saúde, Secretaria de Atenção à Saúde. – Brasília: Editora do Ministério da Saúde, 2010. 90 p.
DOMINGUES, R. M. S. M.; DIAS, M. A. B.; NAKAMURA-PEREIRA, M.; TORRES, J. A.; D’ORSI, E.; PEREIRA, A. P. E.; SCHILITHZ, A. O. C.; LEAL, M. C. Processo de decisão pelo tipo de parto no Brasil: Da preferência inicial das mulheres à via de parto final. Cadernos de Saúde Pública. v.1, n.30, p.101–116, 2014.
FEDUNIW, S.; WARZECHA, D.; SZYMUSIK, I.; WIELGOS, M. Epidemiology, prevention and management of early postpartum hemorrhage: a systematic review. Ginekologia polska. v.91, n.1, p.38-44, 2020.
GONG, J.; CHEN, Z; ZHANG, Y.; LIU, Y. Y.; PU, J. C.; XIONG, C. Y.; GUI, S. W.; HE, X. L.; WANG, H. L.; ZHONG, X. G. Risk-factor model for postpartum hemorrhage after cesarean delivery: a retrospective study based on 3498 patients. Scientific Reports. v.21, n.12, p.22100, 2022.
KHOSRAVI, P.; PIRDADEH, B. S.; BEIRANVAND, B.; KHALEISI, Z. B. Relationship between Primigravid women's awareness, attitude, fear of childbirth, and mode of delivery preference. European Journal of Obstetrics & Gynecology and Reproductive Biology. v.25, n.14, p.100143, 2022.
MASCARELLO, K. C.; HORTA, B. L.; SILVEIRA, M. F. Maternal complications and cesarean section without indication: systematic review and meta-analysis. Revista de Saúde Pública. n.51, p.105, 2017.
MASCARELLO, K. C.; MATIJASEVICH, A.; SANTOS, I. D. S. D.; SILVEIRA, M. F. Early and late puerperal complications associated with the mode of delivery in a cohort in Brazil. Revista Brasileira de Epidemiologia. n.21, p.180010, 2018.
MATOS , M. L. S. da S. .; SOARES, B. R. B. .; LUCENA, R. A. de .; BEZERRA , A. B. N. N. .; BOZZA, R. de A. .; CASTRO , G. P. de .; SILVA, G. F. .; PARISI , J. I. A. de L. .; BACELAR, D. C. S. .; SILVA, J. de A. L. P. da . Causality and risk factors for postpartum hemorrhage: an integrative review. Research, Society and Development. v.11, n.16, 2022.
MENEZES, P. F. A.; PORTELLA, S. D. C.; BISPO, T. C. F. The situation of childbirths at home occur in Brazil. Revista Enfermagem Contemporânea. v.1, n.1, p.3-43, 2012.
MYLONAS, I.; FRIESE, K. Indications for and Risks of Elective Cesarean Section. Deutsches Ärzteblatt International. v.20, n.112, p.489-95, 2015.
ORGANIZAÇÃO MUNDIAL DA SAÚDE. Assistência ao Parto Normal: um guia prático. Relatório de Grupo Técnico. OMS/SRF/MSM/96.24. Genebra: OMS, 1996.
PIRES, R. C. R.; SILVEIRA, V. N. C.; LEAL, M. C.; LAMY, Z. C.; SILVA, A. A. M. Tendências temporais e projeções de cesariana no Brasil, macrorregiões administrativas e unidades federativas. Ciência & Saúde Coletiva. v.28, n.7, p.2119-2133, 2023.
PIVA, V. M. R.; VOGET, V.; NUCCI, L. B. Cesarean section rates according to the Robson Classification and its association with adequacy levels of prenatal care: a cross-sectional hospital-based study in Brazil. BioMed Central Pregnancy Childbirth. v. 23, n.1, p.455, 2023.
RETT, M. T.; OLIVEIRA, D. M.; SOARES, E. C. G.; DESANTANA, J. M.; ARAÚJO, K. C. G. M. Satisfação e percepção de dor em puérperas: um estudo comparativo após parto vaginal e cesariana em maternidades públicas de Aracaju. ABCS Health Sciences. v.42, n.2, p.66-72, 2017.
SANTOS, P. L.; RETT, M. T.; LOTTI, R. C. B.; MOCCELLIN, A. S.; DESANTANA, J. M. A via de parto interfere nas atividades cotidianas no puerpério imediato? ConScientiae Saúde. v.15, n.4, p.604-611, 2016.
SHARMA, S.; DHAKAL, I. Cesarean vs Vaginal Delivery : An Institutional Experience. Journal of Nepal Medical Association. v.56, n. 209, p.535-539, 2018.
SILVEIRA, L. I.; ANDRADE, F.; DI DEA, B.; MULLER, E. V.; SILVA JUNIOR, M. F. Fatores associados ao número de consultas no pré-natal: análise segundo a autopercepção de usuárias da Atenção Primária no Brasil. Arquivos Catarinenses de Medicina. v.2, n.49, p.29-42, 2020.
TANG, Y.; GAO, J.; SUN, L.; GAO, Y.; GUO, F.; CHEN, Q. Promotion of Pre-natal Education Courses Is Associated With Reducing the Rates of Cesarean Section: A Case-Control Study. Frontiers in Public Health. v. 9, n.28, p. 666337, 2021.
TOMASI, E.;.FERNANDES, P. A. A.; FISCHER, T.; SIQUEIRA, F. C. V.; SILVEIRA, D. S. da .; THUMÉ, E.; DURO, S. M. S.; SAES, M. de O.; NUNES, B. P.; FASSA, A. G.; FACCHINI, L. A. Qualidade da atenção pré-natal na rede básica de saúde do Brasil: indicadores e desigualdades sociais. Caderno de Saúde Pública. v.3, n.33, p.195815, 2017.
VENDRÚSCULO, C. T.; KRUEL, C. S. The history of childbirth: from homes to hospitals, midwives to physicians, subjects to objects. Disciplinarum Scientia. v. 16, n. 1, p. 95-107, 2016.