Fatores relacionados à via de parto cesariana em um hospital referência do oeste catarinense

Abstract

Objective: To describe related characteristics to childbirth and compare the factors associated with the cesarian section in parturients attended at a reference hospital in western Santa Catarina. Methods: A cross-sectional study whose data collection was performed in a maternity located in a hospital in Chapecó, between August and September 2016, through a questionnaire that included questions about obstetric records, prenatal and birth and information about the newborn. Results: A total of 343 postpartum woman were interviewed, with median age of 27.9 years (18-42), 17.8% lived in cities around Chapecó. With regard to the deliveries, 60.1% occurred through cesarian section, 38.2% through vaginal delivery and 1.7% throught forceps vaginal route. At 83.6% of the cases the birth were financed by public heath. The gestational age varied from 28 to 42 weeks (38.7 weeks medium) and 31 (9%) of the births were preterm (<37 weeks). The variables associated to the cesarian section were to have previous cesarean, private childbirth financing, to be informed about labor options during prenatal, complication at the current gestation, not to have skin-to-skin contact soon after the birth, baby with malformation or complication and gestational age of 41 weeks or more at the birth. Conclusion: Although the satisfactory prenatal assistence, it is necessary to improve some aspects, like the elevate number of cesarian sections. To identify the characteristics associated to the cesarian route may assist a directive intervention to decrease the excessive occurrence of this practice, when not indicated.