Maternal and Child Department, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627 - Jardim Leonor, São Paulo, SP, 05652-900, Brazil.
BMC Pregnancy Childbirth. 2021 Apr 26;21(1):333. doi: 10.1186/s12884-021-03798-2.
Healthcare costs have substantially increased in recent years, threatening the population health. Obstetric care is a significant contributor to this scenario since it represents 20% of healthcare. The rate of cesarean sections (C-sections) has escalated worldwide. Evidence shows that cesarean delivery is not only more expensive, but it is also linked to poorer maternal and neonatal outcomes. This study assesses which type of delivery is associated with a higher healthcare value in low-risk pregnancies.
A total of 9345 deliveries were analyzed. The C-section group had significantly worse rates of breastfeeding in the first hour after delivery (92.57% vs 88.43%, p < 0.001), a higher rate of intensive unit care (ICU) admission both for the mother and the newborn (0.8% vs 0.3%, p = 0.001; 6.7% vs 4.5%, p = 0.0078 respectively), and a higher average cost of hospitalization (BRL14,342.04 vs BRL12,230.03 considering mothers and babies).
Cesarean deliveries in low-risk pregnancies were associated with a lower value delivery because in addition to being more expensive, they had worse perinatal outcomes.
近年来，医疗保健成本大幅增加，威胁着民众的健康。产科护理是造成这种情况的一个重要因素，因为它占医疗保健的 20%。剖宫产率（C -section）在全球范围内不断上升。有证据表明，剖宫产不仅更昂贵，而且与产妇和新生儿结局较差有关。本研究评估了哪种分娩方式与低危妊娠的更高医疗保健价值相关。
共分析了 9345 例分娩。剖宫产组产后 1 小时内母乳喂养率明显较低（92.57% vs 88.43%，p < 0.001），母亲和新生儿入住重症监护病房（ICU）的比例更高（0.8% vs 0.3%，p = 0.001；6.7% vs 4.5%，p = 0.0078），住院平均费用更高（考虑到母亲和婴儿，BRL14342.04 与 BRL12230.03）。
低危妊娠中的剖宫产与较低的分娩价值相关，因为除了更昂贵之外，它们还具有更差的围产期结局。
