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. 2022 Jul;44(7):640-645.
doi: 10.1055/s-0042-1748976. Epub 2022 Jun 6.

Factors Associated with the Chance of Carrying out a Primary Cesarean in a University Hospital

Maria Celeste Osório Wender  1   2   3 , Rafaela Girardi Duarte  4 , Gabriel Cardozo Muller  5 , Rosaura Rolim Cavalheiro  3 , Yanick Adolfo Leal Correia Silva  1 , Cristiane Carboni  1 , Edimárlei Gonsales Valério  1   2   3
Affiliations

Factors Associated with the Chance of Carrying out a Primary Cesarean in a University Hospital

Maria Celeste Osório Wender et al. Rev Bras Ginecol Obstet. 2022 Jul.

Abstract
in English, Portuguese

Objective: The present study seeks to identify the associated factors that increased primary cesarean delivery rates.

Methods: This was a cross-sectional study that evaluated the number of primary cesarean sections performed in the years 2006 and 2018 at the Hospital de Clínicas de Porto Alegre (HCPA, in the Portuguese acronym), through the collection of data from the medical records of the patients.

Results: Advanced maternal age, twin pregnancy, and higher body mass index (BMI) became more frequent in 2018 in comparison with 2006. To mitigate the impact of confounding in comparisons among groups, we made an adjustment by propensity scores and detected significant differences when comparing both age groups on twin pregnancy rates, gestational diabetes mellitus, and thyroid disease.

Conclusion: Data from the present study can be used to prevent and improve the management of morbidities, impacting on better outcomes in obstetrical practice.

Objetivo: O presente estudo busca identificar os fatores associados que aumentam as taxas de partos cesáreos primários. MéTODOS: Estudo transversal, avaliando o número de cesáreas primárias realizadas nos anos de 2006 e 2018 no Hospital de Clínicas de Porto Alegre (HCPA), por meio da coleta de dados nos prontuários das pacientes.

Resultados: Idade materna avançada, gravidez gemelar e índice de massa corporal (IMC) mais elevado tornaram-se mais frequentes em 2018. Para mitigar o impacto dos fatores de confusão nas comparações entre os grupos, fizemos um ajuste por escores de propensão e detectamos diferenças significativas nas taxas de gravidez gemelar, diabetes mellitus gestacional e doença da tireoide. CONCLUSãO: Os dados do presente estudo podem ser utilizados para prevenir e melhorar o manejo de morbidades, impactando em melhores resultados na prática obstétrica.

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Conflict of interest statement

The authors have no conflict of interests to declare.

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