ArticleRevista de saude publica2017
Caesarean birth rates in public and privately funded hospitals: a cross-sectional study.
Article in Revista de saude publica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 59 citations in OpenAlex.
- The cesarean epidemic in Bangladesh: Associated factors and maternal health risks.Journal of public health research · 2026Article
- Caesarean section delivery rates and associated factors in a faith-based referral hospital in Ghana: A retrospective analysis.PloS one · 2024Article
- Association of maternal, fetal and labor variables with a low Apgar score in the fifth minute in term pregnancy: a case-control study.Archives of gynecology and obstetrics · 2023Article
- Article
- Trends in cesarean section rates in private and public facilities in rural eastern Maharashtra, India from 2010-2017.PloS one · 2021Article
- Pattern of Live Births in Rio de Janeiro State, Brazil, According to Robson Groups and the Kotelchuck Index Classification - 2015/2016.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2020Article
- The double burden of malnutrition: aetiological pathways and consequences for health.Lancet (London, England) · 2020Review
- Article
- Agreement between antenatal gestational age by ultrasound and clinical records at birth: A prospective cohort in the Brazilian Amazon.PloS one · 2020Article
- Evidence-based Birth Attendance in Spain: PrivateInternational journal of environmental research and public health · 2019Article
- Isthmocele: From Risk Factors to Management.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2019Review
- The Dual Burden of Malnutrition Increases the Risk of Cesarean Delivery: Evidence From India.Frontiers in public health · 2018Article
- IMPACT OF HIGH-RISK HPV INFECTION AND MATERNAL THYROID FUNCTION ON ADVERSE OBSTETRIC OUTCOMES.Acta endocrinologica (Bucharest, Romania : 2005)Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine maternal and obstetric factors influencing births by cesarean section according to health care funding.
methodsA cross-sectional study with data from Southeastern Brazil. Caesarean section births from February 2011 to July 2012 were included. Data were obtained from interviews with women whose care was publicly or privately funded, and from their obstetric and neonatal records. Univariate and multivariate analyses were conducted to generate crude and adjusted odds ratios (OR) with 95% confidence intervals (95%CI) for caesarean section births.
resultsThe overall caesarean section rate was 53% among 9,828 women for whom data were available, with the highest rates among women whose maternity care was privately funded. Reasons for performing a c-section were infrequently documented in women's maternity records. The variables that increased the likelihood of c-section regardless of health care funding were the following: paid employment, previous c-section, primiparity, antenatal and labor complications. Older maternal age, university education, and higher socioeconomic status were only associated with c-section in the public system.
conclusionsHigher maternal socioeconomic status was associated with greater likelihood of a caesarean section birth in publicly funded settings, but not in the private sector, where funding source alone determined the mode of birth rather than maternal or obstetric characteristics. Maternal socioeconomic status and private healthcare funding continue to drive high rates of caesarean section births in Brazil, with women who have a higher socioeconomic status more likely to have a caesarean section birth in all birth settings.
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