Abstract:
:The cesarean section rate in municipal public maternity hospitals in the city of Rio de Janeiro in the year of 2000 was 30.1%. With such a high rate, our hypothesis is that attending obstetricians in these units are indicating cesarean sections for reasons not restricted to clinical factors. The article aims to analyze physicians' representations of the inherent risks in cesarean sections that influence the medical decision for their indication. In this qualitative study, conducted through participant observation during ward duty and interviews with obstetricians, we observed that C-section indications by obstetricians are influenced by various non-obstetric factors, including insecurity about performing obstetric maneuvers, fragmented care, and fear of legal liability. The paper suggests that the widespread use of this intervention in private maternity services has fostered a practice in public obstetric services that compromises the quality of public health care and may jeopardize the health of women and infants.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Dias MA,Deslandes SFdoi
10.1590/s0102-311x2004000100025keywords:
subject
Has Abstractpub_date
2004-01-01 00:00:00pages
109-16issue
1eissn
0102-311Xissn
1678-4464pii
S0102-311X2004000100025journal_volume
20pub_type
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008000400023
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journal_title:Cadernos de saude publica
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doi:10.1590/s0102-311x2002000500020
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00048716
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journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
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journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000400022
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journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0102-311x2009000700017
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journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
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