Salud Pública de México
Print version ISSN 0036-3634
CAMPERO, Lourdes et al. Trends in caesarean sections associated with non-clinical factors in a Birthing Educational Center in Mexico City. Salud pública Méx [online]. 2007, vol.49, n.2, pp. 118-125. ISSN 0036-3634. http://dx.doi.org/10.1590/S0036-36342007000200007.
OBJECTIVES: To describe the trends in caesarian sections (CS) associated with non-clinical factors in women who attended a birthing educational facility, also known as 'Centro de Educación,' (CEPAPAR) in Mexico City. METHODS: Data from 992 births of 847 women that occurred from 1988-2000 were analyzed using linear regression to identify the association between non-clinical factors and time-trends in CS. RESULTS: The overall incidence of CS was 32.8%, with an 8% average annual increase. Until 1994 the percentage of CS remained relatively steady at 30%, increasing to 40% in subsequent years. In analyzing trends in CS and their relationship with non-clinical factors from 1988-2000, the increased incidence of CS during this period was higher among births where no birth attendant was present, for first-time mothers, and in larger hospitals (>50 beds). CONCLUSIONS: Results show that the increased incidence of CS is associated with non-clinical factors such as size of the hospital and the presence of a birth attendant. A model of support for women which includes information, counseling, and the presence of a birth attendant during labor can contribute to reducing the risk of unnecessary CS in populations such as that studied.
Keywords : caesarian sections; trends; non-clinical factors; psychosocial support during labor; Mexico.