Prevalência do parto cesárea em mulheres acompanhadas na atenção básica em um município no norte do Rio Grande do Sul

Abstract

Objective: To estimate the prevalence of caesarean section in women monitored in primary care in a municipality in the north of Rio Grande do Sul. Methods: This was a cross-sectional study, developed from December 2022 and August 2023, with women who, regardless of age, had children up to 2 years old in childcare in primary care, selected non-probabilistically. The main variable of interest was the prevalence of cesarean delivery. The socio-economic, epidemiological and clinical characteristics of the participants were analyzed, the prevalence of cesarean delivery was calculated and its relationship with the other characteristics was assessed using the chi-square test with a 5% significance level. Results: 259 women took part in the study, 54.1% of whom declared themselves white, aged between 20-29 (58.3%) and living with their husband or partner (76.8%), had completed high school (36.3%) and had a per capita income of less than one minimum wage (83%). A prevalence of 51% (CI95% 46 -56) of caesarean section was found, of which 43,2% were due to pregnancy complications and 45,5% chose this type of delivery in prenatal care. There was a statistical relationship between caesarean section and maternal age between 20 and 29 years (p=0.038). Conclusion: This study revealed a high prevalence of cesarean delivery in the sample analyzed, highlighting the need for public policies aimed at reducing caesarean section rates in the country.