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The brazilian preference: cesarean delivery among immigrants in Portugal

2013Journal article Open access
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dc.contributor.authorTeixeira, Cristina
dc.contributor.authorCorreia, Sofia
dc.contributor.authorVictora, César
dc.contributor.authorBarros, Henrique
dc.date.accessioned2013-05-08T16:37:49Z
dc.date.available2013-05-08T16:37:49Z
dc.date.issued2013
dc.description.abstractTo evaluate how the country of origin affects the probability of being delivered by cesarean section when giving birth at public Portuguese hospitals. STUDY DESIGN: Women delivered of a singleton birth (n = 8228), recruited from five public level III maternities (April 2005-August 2006) during the procedure of assembling a birth cohort, were classified according to the country of origin and her migration status as Portuguese (n = 7908), non-Portuguese European (n = 84), African (n = 77) and Brazilian (n = 159). A Poisson model was used to evaluate the association between country of birth and cesarean section that was measured by adjusted prevalence ratio (PR) and respective 95% confidence intervals (95%CI). RESULTS: The cesarean section rate varied from 32.1% in non-Portuguese European to 48.4% in Brazilian women (p = 0.008). After adjustment for potential confounders and compared to Portuguese women as a reference, Brazilian women presented significantly higher prevalence of cesarean section (PR = 1.26; 95%CI: 1.08-1.47). The effect was more evident among multiparous women (PR = 1.39; 95%CI: 1.12-1.73) and it was observed when cesarean section was performed either before labor (PR = 1.43; 95%CI: 0.99-2.06) or during labor (PR = 1.30; 95%CI: 1.07-1.58). CONCLUSIONS: The rate of cesarean section was significantly higher among Brazilian women and it was independent of the presence of any known risk factors or usual clinical indications, suggesting that cultural background influences the mode of delivery overcoming the expected standard of care and outcomes in public health services.por
dc.identifier.citationTeixeira, Cristina; Correia, Sofia; Victora, César Barros, Henrique; (2013). The brazilian preference: cesarean delivery among Immigrants in Portugal. Plus One. ISSN 1932-6203. 8:3, p. 1-7por
dc.identifier.issn1932-6203 (Electronic)
dc.identifier.urihttp://hdl.handle.net/10198/8377
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherPlos Onepor
dc.relationCardiovascular risks factors for mothers and children 3 years after delivery
dc.subjectCesarean sectionpor
dc.subjectWomen's healthpor
dc.subjectImmigrant womenpor
dc.subjectMinority groupspor
dc.titleThe brazilian preference: cesarean delivery among immigrants in Portugalpor
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleCardiovascular risks factors for mothers and children 3 years after delivery
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876-PPCDTI/PIC%2FIC%2F83038%2F2007/PT
oaire.citation.conferencePlaceDepartment of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal ; Institute of Public Health - University of Porto, Porto, Portugal.por
oaire.citation.endPage7por
oaire.citation.startPage1por
oaire.citation.titlePlosOnepor
oaire.citation.volume8por
oaire.fundingStream5876-PPCDTI
person.familyNameTeixeira
person.givenNameCristina
person.identifier.ciencia-id6E12-F2A0-568F
person.identifier.orcid0000-0001-5194-5141
person.identifier.ridO-2296-2013
person.identifier.scopus-author-id55207402700
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublication9037c83c-43c1-4714-ad3e-9f307dd1d89f
relation.isAuthorOfPublication.latestForDiscovery9037c83c-43c1-4714-ad3e-9f307dd1d89f
relation.isProjectOfPublicationcbfa8f1a-4de3-4afc-ba53-c628a0ba9fd1
relation.isProjectOfPublication.latestForDiscoverycbfa8f1a-4de3-4afc-ba53-c628a0ba9fd1

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