Meller Fernanda de Oliveira, Schäfer Antônio Augusto
Universidade Federal de Pelotas, Pelotas, RS, 96010-610, Brazil.
Cien Saude Colet. 2011 Sep;16(9):3829-35. doi: 10.1590/s1413-81232011001000018.
The scope of this paper was to analyze the prevalence of the types of delivery and associated factors in Brazilian women of childbearing age studied in the last National Demographics and Health Survey (NDHS). The study is a national domicile-based cross-sectional analysis, seeking to establish the characteristics of the female population of child-bearing age and of children under 5 years of age. The prevalence of the type of delivery was described according to the following exposition variables: Brazilian macro-regions, location of residence, age, skin color, nutritional status, education, prenatal health unit and place of delivery. The statistical significance (p<0,05) was evaluated using the chi-square test. The population studied consisted of 6.125 women. It was revealed that 42.9% of the women had a caesarean section. Significantly, the prevalence of caesarean section was smaller, irrespective of macro-regions, location of residence, age, skin color, nutritional status, prenatal health unit and place of delivery. The need for further investigation into the factors behind the increase in caesarean sections in Brazil is required in order to reverse this situation, since caesarean section can lead to a series of health complications for both mother and child.
本文的目的是分析在最近一次全国人口与健康调查（NDHS）中所研究的巴西育龄妇女的分娩类型患病率及相关因素。该研究是一项基于全国住户的横断面分析，旨在确定育龄女性人口及5岁以下儿童的特征。根据以下阐述变量描述分娩类型的患病率：巴西各大区域、居住地点、年龄、肤色、营养状况、教育程度、产前保健单位及分娩地点。使用卡方检验评估统计学显著性（p<0.05）。所研究的人群包括6125名妇女。结果显示，42.9%的妇女进行了剖宫产。值得注意的是，无论在各大区域、居住地点、年龄、肤色、营养状况、产前保健单位及分娩地点方面，剖宫产的患病率都较低。鉴于剖宫产会给母婴带来一系列健康并发症，为扭转这种情况，有必要进一步调查巴西剖宫产率上升背后的因素。
