Cesarean Delivery: Is It Possible To Decrease Or Readjust Our Rates? | 44153
Occupational Medicine & Health Affairs
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Brazil has been cited as a country with one of the highest rates of cesarean delivery in the world: approximately 36% of births are by
cesarean. Statistics from private hospitals show an even higher frequency, reaching 80-90%. Despite the importance of cesarean
sections, the concern of the international scientific community is directed toward a possible abuse in the procedure. The Brazilian
Federation of Gynecology and Obstetrics Societies (FEBRASGO) is a nationwide medical organization of credibility that promotes
safe vaginal delivery and the careful assessment of indications for cesarean delivery. It adapts recommendations of the International
Federation of Gynecology and Obstetrics (FIGO) for application in Brazil. FEBRASGO has developed the guideline Cesarean-
Indications, which includes recommendations on indications for cesarean delivery and could promote a reduction in these rates of
this procedure. It has carried out a study, in Brazil, specifically at the Federal University of Uberlandia, that was to evaluate how to readjust
indications for cesarean delivery by using these guidelines with its evidence-based medicine. According to this study, protocols
could enable and encourage physicians to perform vaginal delivery. Frequent meetings with discussions on the applicability of the
recommended protocols in local practice are valid. Stimulation of team members to develop standardized and updated obstetrics can
improve indications for cesarean delivery in low- risk pregnancies.
Gisele Vissoci Marquini has her Bachelor’s in Medicine, Specialization-Medical Residence in Gynecology and Obstetrics, Master's in Health Sciences by Federal University of Uberlandia (UFU), MG Brazil, place where she has been working as a Doctor and a Researcher of Nucleus of Health Assistance to the Worker, for 12 years. She is a Member of Santa Clara Hospital and Maternity (Brazil), a premier service organization and has completed her Post-graduation at the age of 35 years. She has published papers in reputed journals and has been serving as an Editorial Board Member of repute, published “Effectiveness of an educational intervention on the suitability of indications for cesarean delivery in a Brazilian teaching hospital”, International Journal of Gynecology and Obstetrics, 2015.