Antenatal care and caesarean sections: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982-2015

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBARROS, Aluisio J. D.
dc.contributor.authorVICTORA, Cesar G.
dc.contributor.authorHORTA, Bernardo L.
dc.contributor.authorWEHRMEISTER, Fernando C.
dc.contributor.authorBASSANI, Diego
dc.contributor.authorSILVEIRA, Mariangela F.
dc.contributor.authorSANTOS, Leonardo P.
dc.contributor.authorBLUMENBERG, Cauane
dc.contributor.authorBARROS, Fernando C.
dc.contributor.authorMATIJASEVICH, Alicia
dc.contributor.authorMENEZES, Ana M. B.
dc.contributor.authorBERTOLDI, Andrea Damaso
dc.contributor.authorGONCALVES, Helen
dc.contributor.authorSANTOS, Ina S.
dc.contributor.authorMURRAY, Joseph
dc.contributor.authorTOVO-RODRIGUES, Luciana
dc.contributor.authorASSUNCAO, Maria Cecilia F.
dc.contributor.authorDOMINGUES, Marlos Rodrigues
dc.contributor.authorHALLAL, Pedro R. C.
dc.contributor.groupauthorPelotas Cohorts Study Grp
dc.date.accessioned2019-06-26T17:31:48Z
dc.date.available2019-06-26T17:31:48Z
dc.date.issued2019
dc.description.abstractBackground Antenatal care and correctly indicated caesarean section can positively impact on health outcomes of the mother and newborn. Our objective was to describe how coverage and inequalities for these interventions changed from 1982 to 2015 in Pelotas, Brazil. Methods Using perinatal data from the 1982, 1993, 2004 and 2015 Pelotas birth cohorts, we assessed antenatal care coverage and caesarean section rates over time. Antenatal care indicators included the median number of visits, the prevalence of mothers attending at least six visits and the proportion who started antenatal care in the first trimester of pregnancy and attended at least six visits. We described these outcomes according to income quintiles and maternal skin colour, to identify inequalities. We described overall, private sector and public sector caesarean section rates. Differences in prevalence were tested using chi-square testing and median differences using Kruskal-Wallis testing. Results From 1982 to 2015, the median number of antenatal care visits and the prevalence of mothers attending at least six visits increased in all income quintiles and skin colour groups. Inequalities were reduced, but not eliminated. The overall proportion of caesarean births increased from 27.6% in 1982 to 65.1% in 2015, when 93.9% of the births in the private sector were by caesarean section. Absolute income-related inequalities in caesarean sections increased over time. Conclusions Special attention should be given to the antenatal care of poor and Black women in order to reduce inequalities. The explosive increase in caesarean sections requires radical changes in delivery care policies, in order to reverse the current trend.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipWellcome Trust [UK]
dc.description.sponsorshipInternational Development Research Center [IDRC, Canada]
dc.description.sponsorshipWorld Health Organization [WHO, Geneva]
dc.description.sponsorshipOverseas Development Administration [ODA, UK]
dc.description.sponsorshipEuropean Union
dc.description.sponsorshipBrazilian National Support Program for Centers of Excellence [PRONEX, Brazil]
dc.description.sponsorshipBrazilian National Council for Scientific and Technological Development [CNPq, Brazil]
dc.description.sponsorshipScience and Technology Department [DECIT] of the Brazilian Ministry of Health [Brazil]
dc.description.sponsorshipResearch Support Foundation of the State of Rio Grande do Sul [FAPERGS, Brazil]
dc.description.sponsorshipBrazilian Child's Pastorate [Brazil]
dc.description.sponsorshipBrazilian Collective Health Association Health [ABRASCO, Brazil]
dc.identifier.citationINTERNATIONAL JOURNAL OF EPIDEMIOLOGY, v.48, suppl.1, p.i37-i45, 2019
dc.identifier.doi10.1093/ije/dyy211
dc.identifier.eissn1464-3685
dc.identifier.issn0300-5771
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/32512
dc.language.isoeng
dc.publisherOXFORD UNIV PRESSeng
dc.relation.ispartofInternational Journal of Epidemiology
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright OXFORD UNIV PRESSeng
dc.subjectPrenatal careeng
dc.subjectcaesarean sectioneng
dc.subjecthealthcare disparitieseng
dc.subjectcohort studieseng
dc.subject.otherprofile updateeng
dc.subject.otherneonatal-mortalityeng
dc.subject.otherriskeng
dc.subject.otherassociationeng
dc.subject.otherhealtheng
dc.subject.otherrateseng
dc.subject.wosPublic, Environmental & Occupational Healtheng
dc.titleAntenatal care and caesarean sections: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982-2015eng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countryisoca
hcfmusp.author.externalBARROS, Aluisio J. D.:Univ Fed Pelotas, Postgrad Program Epidemiol, R Mal Deodoro 1160 3o Piso, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalVICTORA, Cesar G.:Univ Fed Pelotas, Postgrad Program Epidemiol, R Mal Deodoro 1160 3o Piso, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalHORTA, Bernardo L.:Univ Fed Pelotas, Postgrad Program Epidemiol, R Mal Deodoro 1160 3o Piso, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalWEHRMEISTER, Fernando C.:Univ Fed Pelotas, Postgrad Program Epidemiol, R Mal Deodoro 1160 3o Piso, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalBASSANI, Diego:Univ Toronto, Ctr Global Child Hlth, Toronto, ON, Canada
hcfmusp.author.externalSILVEIRA, Mariangela F.:Univ Fed Pelotas, Postgrad Program Epidemiol, R Mal Deodoro 1160 3o Piso, BR-96020220 Pelotas, RS, Brazil; Univ Fed Pelotas, Maternal & Child Hlth Dept, Pelotas, Brazil
hcfmusp.author.externalSANTOS, Leonardo P.:Univ Fed Pelotas, Postgrad Program Epidemiol, R Mal Deodoro 1160 3o Piso, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalBLUMENBERG, Cauane:Univ Fed Pelotas, Postgrad Program Epidemiol, R Mal Deodoro 1160 3o Piso, BR-96020220 Pelotas, RS, Brazil
hcfmusp.author.externalBARROS, Fernando C.:Univ Fed Pelotas, Postgrad Program Epidemiol, R Mal Deodoro 1160 3o Piso, BR-96020220 Pelotas, RS, Brazil; Univ Catolica Pelotas, Postgrad Program Hlth & Behav, Pelotas, Brazil
hcfmusp.author.externalMENEZES, Ana M. B.:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalBERTOLDI, Andrea Damaso:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalGONCALVES, Helen:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalSANTOS, Ina S.:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalMURRAY, Joseph:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalTOVO-RODRIGUES, Luciana:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalASSUNCAO, Maria Cecilia F.:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalDOMINGUES, Marlos Rodrigues:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.author.externalHALLAL, Pedro R. C.:Univ Fed Pelotas, Pelotas, Brazil
hcfmusp.citation.scopus23
hcfmusp.contributor.author-fmusphcALICIA MATIJASEVICH MANITTO
hcfmusp.description.beginpagei37
hcfmusp.description.endpagei45
hcfmusp.description.issuesuppl 1
hcfmusp.description.volume48
hcfmusp.origemWOS
hcfmusp.origem.pubmed30883657
hcfmusp.origem.scopus2-s2.0-85063297844
hcfmusp.origem.wosWOS:000463818000005
hcfmusp.publisher.cityOXFORDeng
hcfmusp.publisher.countryENGLANDeng
hcfmusp.relation.referenceAndrade MV, 2012, HEALTH PLACE, V18, P942, DOI 10.1016/j.healthplace.2012.06.014eng
hcfmusp.relation.referenceBager P, 2008, CLIN EXP ALLERGY, V38, P634, DOI 10.1111/j.1365-2222.2008.02939.xeng
hcfmusp.relation.referenceBarros AJD, 2006, REV SAUDE PUBL, V40, P402, DOI 10.1590/s0034-89102006000300007eng
hcfmusp.relation.referenceBarros AJD, 2013, PLOS MED, V10, DOI 10.1371/journal.pmed.1001390eng
hcfmusp.relation.referenceBarros FC, 2015, REV PANAM SALUD PUBL, V38, P217eng
hcfmusp.relation.referenceDias MAB, 2008, CIENC SAUDE COLETIVA, V13, P1521, DOI 10.1590/S1413-81232008000500017eng
hcfmusp.relation.referenceBertoldi AD, 2019, INT J EPIDEMIOL S1, V48, pi4eng
hcfmusp.relation.referenceBetran AP, 2007, PAEDIATR PERINAT EP, V21, P98, DOI 10.1111/j.1365-3016.2007.00786.xeng
hcfmusp.relation.referenceBetran AP, 2016, PLOS ONE, V11, DOI 10.1371/JOURNAL.PONE.0148343eng
hcfmusp.relation.referenceBoerma T, 2018, LANCET, DOI [10.1016/S0140-6736[18]30104-1, DOI 10.1016/S0140-6736[18]30104-1]eng
hcfmusp.relation.referenceBrasil Ministerio da Saude, 2012, POL NAC AT BASeng
hcfmusp.relation.referenceCardwell CR, 2008, DIABETOLOGIA, V51, P726, DOI 10.1007/s00125-008-0941-zeng
hcfmusp.relation.referenceDoku DT, 2017, INT J EPIDEMIOL, V46, P1668, DOI 10.1093/ije/dyx125eng
hcfmusp.relation.referenceGoncalves H, 2014, INT J EPIDEMIOL, V43, P1082, DOI 10.1093/ije/dyu077eng
hcfmusp.relation.referenceHallal PC, 2018, INT J EPIDEMIOL, V47, P1048, DOI 10.1093/ije/dyx219eng
hcfmusp.relation.referenceHorta BL, 2015, INT J EPIDEMIOL, V44, P441, DOI 10.1093/ije/dyv017eng
hcfmusp.relation.referenceHoxha I, 2017, BMJ OPEN, V7, DOI [10.1136/bmjopen-2016013670, 10.1136/bmjopen-2016-013670]eng
hcfmusp.relation.referenceIBGE, 2013, PESQ NAC SAUD 2013 Ceng
hcfmusp.relation.referenceKassebaum NJ, 2016, LANCET, V388, P1775, DOI 10.1016/S0140-6736(16)31470-2eng
hcfmusp.relation.referenceKeag OE, 2018, PLOS MED, V15, DOI 10.1371/journal.pmed.1002494eng
hcfmusp.relation.referenceKessner DM, 1973, INFANT DEATH ANAL MAeng
hcfmusp.relation.referenceLi H, 2014, PLOS ONE, V9, DOI 10.1371/journal.pone.0082450eng
hcfmusp.relation.referenceMagne F, 2017, FRONT PEDIATR, V5, DOI 10.3389/fped.2017.00192eng
hcfmusp.relation.referencePartridge S, 2012, AM J PERINAT, V29, P787, DOI 10.1055/s-0032-1316439eng
hcfmusp.relation.referenceSantos IS, 2014, INT J EPIDEMIOL, V43, P1437, DOI 10.1093/ije/dyu144eng
hcfmusp.relation.referenceDomingues RMSM, 2014, CAD SAUDE PUBLICA, V30, DOI 10.1590/0102-311X00105113eng
hcfmusp.relation.referenceStataCorp, 2017, STAT STAT SOFTW RELeng
hcfmusp.relation.referenceUN, 2015, TRANSF OUR WORLD 203eng
hcfmusp.relation.referenceUNICEF [United Nations Children's Fund] WHO [World Health Organization], 2017, TRACK PROGR UN COV Reng
hcfmusp.relation.referenceWang L, 2013, EUR J PEDIATR, V172, P1341, DOI 10.1007/s00431-013-2043-2eng
hcfmusp.relation.referenceWHO [World Health Organization], 2015, HUM REPR PROGR WHO Seng
hcfmusp.relation.referenceWHO [World Health Organization], 2015, SUST DEV GOAL 3 ENSeng
hcfmusp.relation.referenceWorld Health Organization, 2016, WHO REC ANT CAR POSeng
hcfmusp.relation.referenceYe J, 2016, BJOG-INT J OBSTET GY, V123, P745, DOI 10.1111/1471-0528.13592eng
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