Abstract:
OBJECTIVE:The objective of this study was to determine the risks of severe acute maternal complications associated with cesarean section without medical indication. METHODS:A systematic review was carried out with meta-analysis. The literature search was performed systematically, in multiple stages, in the PubMed, Lilacs, and Web of Science databases using the following descriptors: (postpartum period) and (cesarean section or natural childbirth) and ((morbidity or mortality) or (postpartum hemorrhage) or (puerperal infection) or (surgical infection) or (puerperal disorders)). The protocol of the study was registered at PROSPERO as CRD42016032933. A total of 1,328 articles were found; after selection, eight publications that met the study objective and inclusion criteria were selected, with information on 1,051,543 individuals. RESULTS:The results obtained in the meta-analyses indicate that women with cesarean section have a higher chance of maternal death (OR = 3.10, 95%CI 1.92-5.00) and postpartum infection (OR = 2.83, 95%CI, 1.585.06), but they have a lower chance of hemorrhage (OR = 0.52, 95%CI 0.48-0.57). For the blood transfusion outcome, the group effect was not associated with the type of delivery (95%CI 0.88-2.81). CONCLUSIONS:The quality of evidence was considered low for hemorrhage and blood transfusion and moderate for postpartum infection and maternal death. Thus, cesarean sections should be performed with caution and safety, especially when its benefits outweigh the risks of a surgical procedure.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Mascarello KC,Horta BL,Silveira MFdoi
10.11606/S1518-8787.2017051000389subject
Has Abstractpub_date
2017-01-01 00:00:00pages
105eissn
0034-8910issn
1518-8787pii
S0034-89102017000100504journal_volume
51pub_type
杂志文章,meta分析,评审abstract::Some specific characteristics of the aging of the Brazilian population in different areas, states and communities all over the country, have shown significant variations. Historical series of demographic and health indicators for the population in their sixties and over in Brazil, state of S. Paulo and in the municipa...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101996000500013
更新日期:1996-10-01 00:00:00
abstract::A discussion on the scope of "community" as a category in health promotion by means of its "epistemological sensitivity"--a reasoning tool based upon the epidemiological concept of "sensitivity", adjusted to the epistemological field--was carried out. A brief review of promotional health topics and a short description...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000500001
更新日期:2004-10-01 00:00:00
abstract::Public health actions endorsed by the federal government, for instance, health promotion initiatives, usually have greater impact at population level compared to other types of initiatives. This commentary aims to instigate debate on the importance and necessity of producing federally endorsed brazilian physical activ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-8910.2014048005338
更新日期:2014-08-01 00:00:00
abstract::In the Valdivia (Chile) river basin 1,295 inhabitants of 6 riverside districts were examined between March and October 1987 and showed a 1.2% of prevalence by Diphyllobothrium in the districts of Riñihue and Las Huellas. Prevalence of 5.3% and 9.8% respectively were registered in dogs of the districts of Riñihue and M...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101989000100007
更新日期:1989-02-01 00:00:00
abstract:OBJECTIVE:Elderly choose between utilizing private or public health care providers based on their socioeconomic, demographic, and epidemiological condition. The purposes of this study was to evaluate how these factors affect the choice of health care provider and to compare the impact of their choice on individual and ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000100016
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To assess a new impunity index and variables that have been found to predict variation in homicide rates in other geographical levels as predictive of state-level homicide rates in Brazil. METHODS:This was a cross-sectional ecological study. Data from the mortality information system relating to the 27 Brazi...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009000500001
更新日期:2009-10-01 00:00:00
abstract::Controversies and risks in the social construction of the concept of healthy food are discussed, using soybean as the object of study. Studies concerning the impacts of soy on human health and the effects of its cultivation on the social-environmental domain were reviewed to analyze the political context of the discus...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-89102011000400019
更新日期:2011-08-01 00:00:00
abstract::A rabbit kidney cell line RC-IAL, isolated in 1976 and at present at 150a passage, has had its characteristics analysed. The cells presented morphology similar to fibroblasts throughout their culture. The cellular growth proportion remained unaltered from its isolation, with a cloning efficiency of around 9%. The line...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101992000600004
更新日期:1992-12-01 00:00:00
abstract:OBJECTIVE:To validate a Spanish version of the Test of Gross Motor Development (TGMD-2) for the Chilean population. METHODS:Descriptive, transversal, non-experimental validity and reliability study. Four translators, three experts and 92 Chilean children, from five to 10 years, students from a primary school in Santia...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2015049005724
更新日期:2015-01-01 00:00:00
abstract::OBJECTIVE To analyze the effect of air pollution and temperature on mortality due to cardiovascular and respiratory diseases. METHODS We evaluated the isolated and synergistic effects of temperature and particulate matter with aerodynamic diameter < 10 µm (PM10) on the mortality of individuals > 40 years old due to ca...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2014048005218
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of an obesity prevention program on the dietary practices of public school adolescents. METHODS:An intervention was conducted with 331 students aged between 11 and 17 years, enrolled in the 5th and 6th grades of two state public schools in the city of Niterói, Southeastern Brazil, in ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011000100007
更新日期:2011-02-01 00:00:00
abstract::In view of the fact that information about how teachers and students conceptualize illness and their ideas of health preservation have important implications of health education, these two concepts were studied in a sample population of teachers and pupils, of a school course of up to 14-year-olds, representative of t...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101991000600002
更新日期:1991-12-01 00:00:00
abstract::A study was undertaken in an urban area of the capital city of the province of San Juan, Argentina, in a housing complex of 768 flats distributed in buildings of 3 and 7 floors each surrounding an abandoned central winery. A total of 329 Triatoma infestans were captured, 293 on 4 terraces of seven-floor-towers and 36 ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101995000300006
更新日期:1995-06-01 00:00:00
abstract:OBJECTIVE:To develop a composite indicator to evaluate the quality of municipal management of primary health care. METHODS:The evaluation model focuses on aspects of health system management. Fifty-five performance indicators were used and classified according to the criteria of relevance, effectiveness, efficacy and ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102012005000034
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To describe the contraceptive methods used by adult women and the associated socioeconomic and demographic factors. METHODS:Population-based cross-sectional study with 20 to 49-year-old women from São Leopoldo, state of Rio Grande do Sul, in 2015. Three outcomes were considered to analyze the association wit...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2019053000861
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To describe the methods employed in the longitudinal and follow-up studies of children born in Pelotas (Southern Brazil) in 1982. METHODS:The cohort began with a perinatal health survey that included all 6,011 children born in maternity wards in Pelotas in 1982. The 5,914 children born alive in the city were...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000900003
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the vulnerability for STI/HIV among Mexican indigenous women in common law marriage with men who practice sex without condom. METHODS:Ethnography study undertaken in indigenous villages of Michoacán and Oaxaca, Mexico, in February 2004 and December 2005. These rural communities are characterized ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000100017
更新日期:2008-02-01 00:00:00
abstract::The applicability of tuberculin test in children under five years of age, BCG-vaccinated during their first year of life, is a controversial matter. With a view to clarifying the subject the predictive positive value of the test in a region of high BCG coverage and low prevalence of tuberculous infection was analysed....
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101992000400008
更新日期:1992-08-01 00:00:00
abstract::The objective of the study was to estimate the prevalence of extreme anthropometric measurements in children indicative of their nutritional status. A cross-sectional study was conducted in a random sample of 1,386 children under five in the state of Alagoas, northeastern Brazil. The prevalence of deficits (z <-2; WHO...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000001
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the occurrence of adult culicid populations in urban areas and measure the sensitivity of the resting box collection method. METHODS:Mosquito were collected in 1999 and 2000, in two cities in the State of São Paulo, Brazil: Ocauçu and Uchoa. In each city, 15 blocks were drawn by lots and then one...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102007000300008
更新日期:2007-06-01 00:00:00
abstract::The purpose of the paper is to describe 4 new cases of human diphyllobothriasis in Patagonia, Argentine. Adult parasites recovered were submitted to morphological and histological analyses for taxonomic identification. The etiological agent found was always Diphyllobothrium latum and all the cases were autochthonous. ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102001000200017
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVE:To investigate the frequency of rural occupational accidents and its association with potential risk factors. METHODS:The study was carried out in a urban area of Pelotas, RS, Brazil. A cross-sectional study was conducted. A representative sample of rural workers was selected using a multi-stage sampling. Fr...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102001000300009
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence of work ability (WA) and describe characteristics of the subgroup with poor WA among military police officers. METHODS:A descriptive and cross-sectional study with 329 male military police officers engaged in street patrolling in Salvador, Bahia, Brazil, selected by proportionate ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2019053001014
更新日期:2019-09-30 00:00:00
abstract::OBJECTIVE To estimate the magnitude and identify patterns of change in prostate cancer mortality in the state of São Paulo and in the 17 regional health care networks, according to age groups from 50 years onwards, in the period between 2000 to 2015. METHODS Age-adjusted mortality rates (per 100,000 men) were calculat...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054001948
更新日期:2020-01-01 00:00:00
abstract::OBJECTIVE To analyze, stratifield by gender, trends of the new case leprosy detection rates in the general population and in children; of grade 2 disability, and of proportion of multibacillary cases, in the state of Bahia, Brazil from 2001 to 2014. METHODS A time series study based on leprosy data from the National I...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2018052000335
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of the Family Health Strategy on infant mortality surveillance. METHODS:An ecologic study was performed with a multiple group design, and the unit of analysis was municipalities in Bahia state (Northeastern Brazil) in 2008. The 3,947 deaths analyzed were obtained from the Mortality Inf...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000081
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:To assess the association between iron status at birth and growth of preterm infants. METHODS:Ninety-five premature babies (26 to 36 weeks of gestational age) born from July 2000 to May 2001 in a public hospital in Rio de Janeiro, Southeastern Brazil, were followed up for six months, corrected by gestational...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000500013
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:To investigate the prevalence of several health behaviors among students of public and private schools in S. Paulo, Brazil. METHODS:An epidemiological survey about health behaviors among high school students was carried out in S. Paulo in 1998. Seventh to eleventh graders from ten public and seven private sc...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000600012
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE:To analyze the assistance, management and workers' education models of a network of psychosocial healthcare services (CAPS). METHODS:This is a qualitative evaluation research, supported by the Gadamerian hermeneutics, carried out in the city of Campinas, Southeastern Brazil, in 2006-2007. Data were collected...
journal_title:Revista de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0034-89102009000800004
更新日期:2009-08-01 00:00:00
abstract::Social representations of tuberculosis are analyzed at the turn of the 20th century, focusing on aspects associated to feelings and contradictory manifestations awakened by the disease. The romanticized pattern of experience of this disease was replaced by a more naturalistic vision, though the stigmas and prejudices ...
journal_title:Revista de saude publica
pub_type: 历史文章,杂志文章
doi:10.1590/s0034-89102007000800007
更新日期:2007-09-01 00:00:00