http://bmj.com/cgi/content/full/323/7322/0/a
Most caesarean sections in Brazil are unwanted
Despite the fact that the rate of caesarean
sections in Brazil is high, research has shown that this does not necessarily
reflect the wishes of women. The high rate derives from a moderately
high rate in the public sector (31%) and a very high rate (72%) in
the private sector, which has been used to suggest that upper and
middle class women, who often have private medical insurance, prefer
caesarean delivery. Potter and colleagues (p 1155)
carried out a prospective study in four Brazilian cities to assess
preferences before delivery and compared these preferences with
outcomes. Despite a large difference in the caesarean rate between
the public and private sectors, when interviewed antenatally nearly
all women in both sectors said that they wanted a vaginal delivery.
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INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR
GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE
KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED
AS PROVIDING MEDICAL OR LEGAL ADVICE. THE DECISION WHETHER OR NOT TO
VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU
ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.
