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2001 DEC 13 - (NewsRx.com & NewsRx.net) -- Recent concerns surrounding high rates of caesarean section have led to a focus on increasing the numbers of women who have straightforward, vaginal births.
A study in the November 15, 2001, issue of the British Medical Journal finds that the extremely high rates of caesarean section in Brazil do not necessarily reflect women's preferences for this type of delivery.
Over 1100 pregnant women in Brazil (717 public patients and 419 private patients) were interviewed three times about their preferences for delivery - twice during their pregnancy and again a month after their expected due date. The rates of caesarean delivery were 31% in the public sector and 72% in the private sector.
Despite large differences in the rates of caesarean section in the two sectors, there were no significant differences in preferences between the two groups. In both antenatal interviews, 70-80% in both sectors said they would prefer to deliver vaginally. This finding contradicts the assumed belief that middle and upper class women in Brazil prefer caesarean deliveries. Another finding is many of the patients who had caesarean deliveries never went into labor. Caesarean delivery was decided on before admission in 23% of women in the public sector and 64% of women in the ...