Open AccessFactors associated with cesarean delivery in adult nulliparous women
Author(s) -
Maria Cristina Antunes Willemann,
Célia Adriaicolotti,
Tatiane Baratieri,
Emil Kupek
Publication year - 2021
Publication title -
acta scientiarum. health sciences
Language(s) - English
Resource type - Journals
eISSN - 1807-8648
pISSN - 1679-9291
DOI - 10.4025/actascihealthsci.v43i1.53083
Subject(s) - medicine , childbirth , odds ratio , obstetrics , confidence interval , logistic regression , microdata (statistics) , cesarean delivery , pregnancy , prenatal care , demography , gynecology , population , genetics , environmental health , pathology , sociology , census , biology
The aim of this study was to analyze the sociodemographic factors associated with cesarean section in adult women with conditions favorable for normal delivery and to identify the groups most likely to undergo this surgery in the state of Santa Catarina (SC). A case control study with microdata from the Sistema de Informação de Nascidos Vivos on 7,065 women for 2016 in SC. A relationship between cesarean section and sociodemographic variables was analyzed by logistic regression where we calculated the Adjusted Odds Ratio (AOR), confidence interval and p-value. The probability of cesarean section for each group of women (called "interaction") was also calculated. Among women with more favorable conditions for normal childbirth, the prevalence of cesarean section was 41.1%. Lower chance of cesarean section was found for women without partners (AOR: 0.79 [0.71-0.87]), up to 8 years of schooling (AOR: 0.56 [0.47-0.66]), with up to 2 prenatal visits (AOR: 0.46 [0.23-0.90]). The most likely group of women (51.4% [49.3-53.4]) to undergo cesarean section are women who perform 7 to 15 prenatal visits and have 12 or more years of schooling. A cesarean section occurs with women who have greater access to education and prenatal care and those who have partners, even though the aspects favor normal childbirth, suggesting that this does not seem to be a decision only by women.