Spatial distribution of cesarean sections in Brazil from 2000 to 2019
DOI:
https://doi.org/10.33448/rsd-v11i4.27657Keywords:
Spatial distribution; Cesarean section; Brazil; Epidemiology.Abstract
Objective: to identify the prevalence of cesarean sections in Brazil and their distribution in the country according to the maternal socioeconomic and obstetric profile. Methods: ecological study on the prevalence of cesarean sections in Brazil in the period between 2000 to 2019. Bivariate analysis was used to evaluate the spatial autocorrelation between the outcome and the independent variables, generating the Local Moran Index and spatial correlation maps. GeoDa 1.18 was the program used. Results: 59,291,381 live births were registered and the prevalence of cesarean section was 49%. Performing a cesarean section showed overall positive spatial autocorrelation (I= 0.435 p= 0.004) and formation of a High/High cluster for all variables studied in the states of the South, Southeast and Center-West regions. Conclusion: there is a pattern of spatial dependence in the distribution of the prevalence of cesarean sections. It is evident the importance of awareness about the route of delivery, both for pregnant women and health professionals.
References
Agência Nacional de Saúde Suplementar. (2020). Parto Adequado - ANS - Agência Nacional de Saúde Suplementar. Retrieved from Agência Nacional de Saúde Suplementar website: http://www.ans.gov.br/prestadores/parto-adequado
Anselin, L., Syabri, I., & Kho, Y. (2006). GeoDa: An Introduction to Spatial Data Analysis. Geographical Analysis, 38(1), 5–22. https://doi.org/10.1111/j.0016-7363.2005.00671.x
Barros, F. C., Matijasevich, A., Hallal, P. C., Horta, B. L., Barros, A. J., Menezes, A. B., … Victora, C. G. (2012). Cesarean section and risk of obesity in childhood, adolescence, and early adulthood: Evidence from 3 Brazilian birth cohorts. American Journal of Clinical Nutrition, 95(2), 465–470. https://doi.org/10.3945/ajcn.111.026401
Bezerra AB, Silva SA, Silva MPA, Ramalho PM, G. H. (2015). Análise espacial dos fatoes associados à realização de cesariana no Distrito Federal em 2009. Revista Espaço e Geografia, 18(2), 346. Retrieved from http://www.lsie.unb.br/espacoegeografia/index.php/espacoegeografia/article/view/442
Boerma, T., Ronsmans, C., Melesse, D. Y., Barros, A. J. D., Barros, F. C., Juan, L., … Temmerman, M. (2018). Global epidemiology of use of and disparities in caesarean sections. The Lancet, 392(10155), 1341–1348. https://doi.org/10.1016/S0140-6736(18)31928-7
Brasil. (2016). Diretrizes de Atenção à Gestante: a operação Cesariana. Conitec, p. 101. Retrieved from http://conitec.gov.br/images/Relatorios/2016/Relatorio_Diretrizes-Cesariana_final.pdf
Brasil - Instituto de Pesquisa Econômica Aplicada. (2020). Ipea Geo. Retrieved February 17, 2021, from https://www.ipea.gov.br/ipeageo/malhas.html
Cesar, J. A., Sauer, J. P., Carlotto, K., Montagner, M. E., & Mendoza-Sassi, R. A. (2017). Cesariana a pedido: Um estudo de base populacional no extremo Sul do Brasil. Revista Brasileira de Saude Materno Infantil, 17(1), 99–105. https://doi.org/10.1590/1806-93042017000100006
Conselho Federal de Medicina. (2016). Resolução cfm no 2.144/2016. Retrieved from https://portal.cfm.org.br/images/stories/pdf/res21442016.pdf
De Oliveira, R. R., Melo, E. C., Fujimori, E., & Mathias, T. A. D. F. (2016). The inner state differences of preterm birth rates in Brazil: A time series study. BMC Public Health, 16(1), 1–9. https://doi.org/10.1186/s12889-016-3087-9
Do Carmo Leal, M., Da Silva, A. A. M., Dias, M. A. B., Da Gama, S. G. N., Rattner, D., Moreira, M. E., … Szwarcwald, C. L. (2012). Birth in Brazil: National survey into labour and birth. Reproductive Health, Vol. 9. https://doi.org/10.1186/1742-4755-9-15
Domingues, R. M. S. M., Dias, M. A. B., Nakamura-Pereira, M., Torres, J. A., d’Orsi, E., Pereira, A. P. E., … Leal, M. do C. (2014). Processo de decisão pelo tipo de parto no Brasil: Da preferência inicial das mulheres à via de parto final. Cadernos de Saude Publica, 30(SUPPL1), S101–S116. https://doi.org/10.1590/0102-311X00105113
Duarte-Cunha, M., Souza-Santos, R., de Matos, H. J., & de Oliveira, M. L. W. (2012). aspectos epidemiológicos da hanseníase: Uma abordagem espacial. Cadernos de Saude Publica, 28(6), 1143–1155. https://doi.org/10.1590/S0102-311X2012000600013
Eufrásio, L. S., Souza, D. E. de, Fonsêca, A. M. C. da, & Viana, E. de S. R. (2018). Brazilian regional differences and factors associated with the prevalence of cesarean sections. Fisioterapia Em Movimento, 31. https://doi.org/10.1590/1980-5918.031.ao08
Garcia, T. J. F., Teixeira, F. J., & Scalon, J. D. (2014). Análise espacial do PIB nas microrregiões do estado de Minas Gerais. Revista Estatística UFOP, Vol. 3, pp. 149–153.
Gonçalves, A. C., Costa, M. da C. N., & Braga, J. U. (2011). Análise da distribuição espacial da mortalidade neonatal e de fatores associados, em Salvador, Bahia, Brasil, no período 2000-2006 TT - Spatial analysis of neonatal mortality and associated factors in Salvador, Bahia State, Brazil, 2000-2006. Cad Saude Publica, 27(8), 1581–1592. Retrieved from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011000800013
Guimarães, E. A. de A., Vieira, C. S., Nunes, F. D. D., Januário, G. da C., Oliveira, V. C. de, & Tibúrcio, J. D. (2017). Prevalência e fatores associados à prematuridade em Divinópolis, Minas Gerais, 2008-2011: análise do Sistema de Informações sobre Nascidos Vivos. Epidemiologia e Servicos de Saude : Revista Do Sistema Unico de Saude Do Brasil, 26(1), 91–98. https://doi.org/10.5123/S1679-49742017000100010
Hau, L. C., Nascimento, L. F. C., & Tomazini, J. E. (2009). Geoprocessamento para identificar padrões do perfil de nascimentos na região do Vale do Paraíba. Revista Brasileira de Ginecologia e Obstetricia, 31(4), 171–176. https://doi.org/10.1590/s0100-72032009000400003
Höfelmann, D. A. (2012). Tendência temporal de partos cesáreos no Brasil e suas Regiões: 1994 a 2009. Epidemiologia e Serviços de Saúde, 21(4), 561–568. https://doi.org/10.5123/s1679-49742012000400005
Instituto Brasileiro de Geografia e Estatística. (2021). Produto Interno Bruto - PIB. Retrieved November 16, 2020, from IBGE website: https://www.ibge.gov.br/explica/pib.php
Leal, M. do C., Bittencourt, S. de A., Esteves-Pereira, A. P., Ayres, B. V. da S., Silva, L. B. R. A. de A., Thomaz, E. B. A. F., … Vilela, M. E. de A. (2019). Avanços na assistência ao parto no Brasil: resultados preliminares de dois estudos avaliativos. Cadernos de Saúde Pública, 35(7), 1–14. https://doi.org/10.1590/0102-311x00223018
Madeiro, A., Rufino, A. C., & Santos, A. O. Dos. (2017). Partos cesáreos no Piauí: tendência e fatores associados no período 2000-2011. Epidemiologia e Servicos de Saude : Revista Do Sistema Unico de Saude Do Brasil, 26(1), 81–90. https://doi.org/10.5123/S1679-49742017000100009
Mascarello, K. C., Matijasevich, A., Barros, A. J. D., Santos, I. S., Zandonade, E., & Silveira, M. F. (2017). Repeat cesarean section in subsequent gestation of women from a birth cohort in Brazil. Reproductive Health, 14(1). https://doi.org/10.1186/s12978-017-0356-8
PNUD. (2017). IDHM UF 2010 | PNUD Brasil. Retrieved February 17, 2021, from Programa das Nações Unidas para o Desenvolvimento website: https://www.br.undp.org/content/brazil/pt/home/idh0/rankings/idhm-uf-2010.html
Porter, T. F. (2004). ACOG Committee Opinion 97. Obstetrics & Gynecology, 104(2), 423–424. https://doi.org/10.1097/00006250-200408000-00049
Rahman, M. M., Haider, M. R., Moinuddin, M., Rahman, A. E., Ahmed, S., & Mahmud Khan, M. (2018, September 1). Determinants of caesarean section in Bangladesh: Cross-sectional analysis of Bangladesh demographic and health survey 2014 data. PLoS ONE, Vol. 13. https://doi.org/10.1371/journal.pone.0202879
Silveira, M. F., Santos, I. S., Barros, A. J. D., Matijasevich, A., Barros, F. C., & Victora, C. G. (2008). Increase in preterm births in Brazil: review of population-based studies. Revista de Saude Publica, 42(5), 957–964. https://doi.org/10.1590/S0034-89102008000500023
Victora, C. C. (2013). Consultoria: Pesquisa para estimar a prevalência de nascimentos pré-termos no Brasil e explorar possiveis causas. Unicef, 1–18. Retrieved from http://www.unicef.org/brazil/pt/br_prematuridade_possiveis_causas.pdf
Walker, J. J. (2018). Caesarean section. Medicolegal Issues in Obstetrics and Gynaecology, (November 2011), 147–151. https://doi.org/10.1007/978-3-319-78683-4_27
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