Evolution of the cesarean section in Vale do Paraíba, according link with public hospital

• Grant number: 15/25104-9
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: March 01, 2016
• End date: December 31, 2017
• Field of knowledge: Health Sciences - Collective Health - Epidemiology
• Principal Investigator: Zilda Pereira da Silva
• Grantee: Ana Beatriz Machado de Almeida
• Host Institution: Faculdade de Saúde Pública (FSP). Universidade de São Paulo (USP). São Paulo , SP, Brazil

Abstract

The increase of the cesarean section has became into an epidemic. In the last 30 years, a group of specialists in reproductive health, during a reunion promoted by the WHO in 1985, declared that "there is no justification for any region in the world have a rate of cesarean section higher than 10-15%". However, Brazil leads this ranking between the countries which most applies this procedure in the world. Between the factors associated in this medical intervention are born in private hospital, the rule "once a cesarean section always cesarean section" and the process of sterilization, besides high income and mother's education. In Vale do Paraíba, the proportion of cesarean section is uneven between the cities and varies from 43% to 89.5%. Although being a region of massive economic importance in the State of São Paulo, there are few studies related to the subject. Objective - To study the evolution and the characteristics of the cesarean section in Vale do Paraíba, between 2010 and 2013. Materials and Methods- It's an ecological study based in the data of the Life Birth Information System- SINASC - of Ministry of Health obtained in DATASUS website, from 2010 to 2013, for the 39 counties of Vale do Paraíba. Data analysis form- Simple Linear regression, time comparison e comparison of the proportions of cesarean section according to type of hospital ownership.