Abstract：
OBJECTIVE:to assess the association between non-clinical factors and the incidence of caesarean section (CS); to estimate the effect of a prenatal instructor's presence during childbirth on birth outcome (vaginal or CS). DESIGN:cross-sectional study from a register of women who attended prenatal classes. Multivariate logistic regression was used to measure the effects of each variable on whether the birth was vaginal or CS. SETTING:Mexico City, Mexico. PARTICIPANTS:992 births to 847 women from the register of the Birth Education Centre (CEPAPAR) between 1987 and 2000. FINDINGS:the incidence of CS was 33%. The most commonly reported (by the women) reason for performing a CS was dystocia (53%). Most women were middle or upper-middle class professionals, and 85% of the women gave birth in private institutions. Odds of having a CS were higher among women who gave birth in a large hospital, women who were over 25 years of age, primigravidae, and women who were not supported by a prenatal instructor during childbirth. CONCLUSIONS:non-clinical factors considerably affect the type of birth outcome (vaginal vs. CS). A system in which a prenatal instructor provided support to the woman during childbirth could contribute significantly to reducing initial and repeat CS.
journal_name
Midwiferyjournal_title
Midwiferyauthors
Campero L,Hernández B,Osborne J,Morales S,Ludlow T,Muñoz Cdoi
10.1016/j.midw.2004.04.002subject
Has Abstractpub_date
2004-12-01 00:00:00pages
312-23issue
4eissn
0266-6138issn
1532-3099pii
S0266613804000373journal_volume
20pub_type
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