ArticleWomen's health (London, England)
Cesarean section rates in Lucas do Rio Verde, Brazil: Assessing the impact of socioeconomic status and maternal and neonatal outcomes.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BackgroundBrazil is globally known for its high rate of cesarean section despite endorsing the WHO's current recommendation of 15%.ObjectivesDetermine if socioeconomic status correlated with the rate of cesarean section (CS) at a mixed private and public hospital in the west-central region of Brazil. Describe the maternal and neonatal outcomes by mode of delivery (MOD) in the same population.DesignCohort studyMethodsData from all delivering patients at São Lucas Hospital were collected during an 18-month period and analyzed. Demographics, baseline maternal health status, pregnancy and delivery information, maternal outcomes, and neonatal outcomes were entered into a secure database.ResultsData from 2,103 women who delivered at São Lucas Hospital were collected. 75% of women delivered via CS. 53.7% were elective in nature. Women who had ≥ 8 prenatal visits (OR1.36, 95% CI 1.06- 1.72, p= 0.013) and had insurance type plan (OR 1.88, 95% CI 1.43-2.50, p<0.001) were more likely to undergo CS. Women who worked in the commercial sector were less likely to undergo CS (OR 0.53, 95% CI 0.33-0.90, p= 0.015). Women who were older (OR 1.05, 95% CI 1.03-1.07, p <0.001) and had a high BMI (OR 1.11, 95% CI 1.08-1.13, p<0.001) were more likely to undergo CS. When examining women who underwent CS those women who were white (OR 1.40, 95% CI 1.11-1.78, p=0.005), were older (OR 1.04, 95% CI 1.03-1.06, p<0.001), worked in agriculture (OR 2.06, 95% CI 1.22-3.57, p=0.008), and had insurance type private (OR 1.79, 95% CI 1.22-2.65, p=0.003) or plan (OR 2.47, 95% CI 1.92-3.19, p<0.001) were more likely to have an elective CS. MOD was not associated with maternal or neonatal outcomes.ConclusionCS rates at São Lucas Hospital are high. Socioeconomic factors and maternal demographics were predictive of MOD. Maternal and neonatal outcomes in term deliveries did not differ by MOD.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.