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Gisele Marquini

Federal University of Uberlandia/MG, Brazil

Title: Cesarean delivery: Is it possible to decrease or readjust our rates?

Biography

Gisele Vissoci Marquini, Bachelor’s in Medicine, Specialization Medical Residence in Gynecology and Obstetrics, M aster's in Health’s 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 twelve years. She has published papers in reputed journals and has been serving as an editorial board member of repute. Studies continuing medical education at the Federal University of São Paulo Brazil.medical organization of credibility that promotes safe vaginal delivery and the careful assessment of indications for cesarean delivery. 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 of this guideline with its evidence based medicine with health workers. According to this study, protocols could enable and encourage physicians to perform vaginal delivery. It was possible to identify barriers to change this paradigm. Stimulation of team members to develop standardized and updated obstetrics can improve indications for cesarean delivery in low risk pregnancies.

Abstract

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 8090%. 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. 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 of this guideline with its evidence based medicine with health workers. According to this study, protocols could enable and encourage physicians to perform vaginal delivery. It was possible to identify barriers to change this paradigm. Stimulation of team members to develop standardized and updated obstetrics can improve indications for cesarean delivery in low risk pregnancies.