medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2023, Number 04

<< Back Next >>

Ginecol Obstet Mex 2023; 91 (04)

Cesarean section trends in private entities in the province of Buenos Aires, Argentina (2017-2021)

Librandi JM, Fasano MV, Malzone P, Giles HF, Belizán JM, Marin G, Cormick G

Language: Spanish
References: 21
Page: 249-255
PDF size: 175.60 Kb.


ABSTRACT

Objective: To evaluate the rates of caesarean section in the termination of pregnancies registered in the private sector of the Obra Social of the province of Buenos Aires (Instituto de Obra Médico Asistencial) between 2017 and 2021.
Materials and Methods: Analytical and descriptive study of caesarean sections registered in the Modulation System of the IOMA Single Audit and Control Centre (CUAFI) of the 13 health regions of the province of Buenos Aires. The percentages of caesarean sections per year and per health region are described.
Results: 75,244 singleton deliveries were registered in the private sector of the Instituto de Obra Médico Asistencial. In 2017, the percentage of caesarean sections increased from 69.0% (12,600 caesarean sections out of 18,258 deliveries) to 73.6% (8,232 caesarean sections out of 11,180 deliveries) in 2021. The highest caesarean section rates were recorded in Region IV (83.6%), Region XIV (81.7%) and Region X (78.9%).
Conclusion: The high percentage of caesarean sections recorded and the increase in recent years shows the need to design interventions to decrease the rate. It is important to have information on the indications for caesarean section and to explore interventions aimed at health personnel and women to reduce the rate.


REFERENCES

  1. Kassebaum NJ, Barber RM, Bhutta ZA, Dandona L, GethingPW, Hay SI, et al. Global, regional, and national levels ofmaternal mortality, 1990-2015: a systematic analysis forthe Global Burden of Disease Study 2015. Lancet 2016;388 (10053): 1775-812. https://linkinghub.elsevier.com/retrieve/pii/S0140673616314702

  2. Betrán AP, Ye J, Moller AB, Zhang J, Gülmezoglu AM, TorloniMR. The Increasing Trend in Caesarean Section Rates: Global,Regional and National Estimates: 1990-2014. Zeeb H,editor. PLoS One 2016; 11 (2): e0148343. https://dx.plos.org/10.1371/journal.pone.0148343

  3. Boerma T, Ronsmans C, Melesse DY, Barros AJD, BarrosFC, Juan L, et al. Global epidemiology of use of and disparitiesin caesarean sections. Lancet 2018; 392 (10155):1341-48. https://linkinghub.elsevier.com/retrieve/pii/S0140673618319287

  4. Díaz García LI, Fernández M. Y. Situación legislativa de laViolencia obstétrica en América latina: el caso de Venezuela,Argentina, México y Chile. Rev Derecho 2018;(ahead).

  5. Belizán JM, Minckas N, McClure EM, Saleem S, Moore JL,Goudar SS, et al. An approach to identify a minimum andrational proportion of caesarean sections in resource-poorsettings: a global network study. Lancet Glob Heal 2018; 6 (8): e894-901. https://linkinghub.elsevier.com/retrieve/pii/S2214109X18302419

  6. Souza JP, Gülmezoglu AM, Lumbiganon P, LaopaiboonM, Carroli G, Fawole B, et al. Caesarean section withoutmedical indications is associated with an increased risk ofadverse short-term maternal outcomes: The 2004-2008WHO Global Survey on Maternal and Perinatal Health.BMC Med 2010; 8.

  7. Sobhy S, Arroyo-Manzano D, Murugesu N, Karthikeyan G,Kumar V, Kaur I, et al. Maternal and perinatal mortalityand complications associated with caesarean section inlow-income and middle-income countries: a systematicreview and meta-analysis. Lancet 2019; 393 (10184):1973-82. https://linkinghub.elsevier.com/retrieve/pii/S0140673618323869

  8. Betran A, Torloni M, Zhang J, Gülmezoglu A, Aleem H,Althabe F, et al. WHO Statement on CaesareanSection Rates. BJOG An Int J Obstet Gynaecol 2016; 123 (5):667-70. https://onlinelibrary.wiley.com/doi/10.1111/1471-0528.13526

  9. Organización Mundial de la Salud, Human reproductionProgram. Declaración de la OMS sobre tasas de cesárea.Oms, Hrp 2015; 1-8. http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/csstatement/es/

  10. Chen HH, Lai JCY, Hwang SJ, Huang N, Chou YJ, Chien LY.Understanding the relationship between cesarean birthand stress, anxiety, and depression after childbirth: A nationwidecohort study. Birth 2017; 44 (4): 369-76. https://onlinelibrary.wiley.com/doi/10.1111/birt.12295

  11. Belizán JM, Althabe F, Cafferata ML. Health Consequencesof the Increasing Caesarean Section Rates. Epidemiology2007; 18 (4): 485-86. https://journals.lww.com/00001648-200707000-00014

  12. Gregory K, Jackson S, Korst L, Fridman M. Cesarean versusVaginal Delivery: Whose Risks? Whose Benefits? Am J Perinatol2012; 29 (01): 7-18. http://www.thieme-connect.de/DOI/DOI?10.1055/s-0031-1285829

  13. Salud M de. Natalidad y mortalidad 2018. Sint Estad.2019;nro 6.

  14. DEIS, Ministerio de Salud de la Nacion. Secretaría de Accesoa la Salud. Direccion de Estadísticas e Información enSalud. Estadísticas vitales. información básica. Argentinaaño 2018.

  15. Cormick G, Zhang NN, Andrade SP, Quiroga MJ, Di Marco I,Porta A, et al. Gaps between calcium recommendations toprevent pre-eclampsia and current intakes in one hospitalin Argentina. BMC Res Notes 2014; 7 (1).

  16. Ministerio de Salud de la Nación. SISTEMA INFORMÁTICOPERINATAL (SIP-G) Indicadores básicos 2018 RepúblicaArgentina 2018. http://www.sadamweb.com.ar/news/2019_10Octubre/Anuario-SIP-G-2018.pdf

  17. Ministerio de Salud de la Nación Argentina. Base de datosde la 2° Encuesta Nacional de Nutrición y Salud (ENNyS2)2018-2019, 2021. http://datos.salud.gob.ar/dataset/ennys2

  18. Paleari L, Gibbons L, Chacón S, Ramil V, Belizán JM. [Ratesof caesarean sections tn two types of private hospitals.Ginecol Obstet Mex 2012; 80 (4): 263-69. http://www.ncbi.nlm.nih.gov/pubmed/22808856

  19. Chen I, Opiyo N, Tavender E, Mortazhejri S, Rader T, PetkovicJ, et al. Non-clinical interventions for reducing unnecessarycaesarean section. Cochrane Database Syst Rev 2018; 2018(9). http://doi.wiley.com/10.1002/14651858.CD005528.pub3

  20. WHO recommendations non-clinical interventions toreduce unnecessary caesarean sections. Vol. 66, WHO.Geneva, 2018.

  21. Dumont A, Betrán AP, Kaboré C, de Loenzien M, LumbiganonP, Bohren MA, et al. Implementation and evaluation of nonclinicalinterventions for appropriate use of cesarean sectionin low- and middle-income countries: protocol for a multisitehybrid effectiveness-implementation type III trial. ImplementSci 2020; 15 (1): 72. https://implementationscience.biomedcentral.com/articles/10.1186/s13012-020-01029-4




2020     |     www.medigraphic.com