MONTEIRO, C. M. G.; http://lattes.cnpq.br/6539396689154523; MONTEIRO, Cicera Mykellandy Gonçalves.
Résumé:
Brazil displays one of the highest rates of cesarean sections in the world, which constitutes a
public health issue. This study had as general objective: to analyze the factors which influence
in a cesarean section at the maternity hospital of the town of Cajazeiras - PB; and specific: to
verify the influence of social context of women in the realization of cesarean sections and
identify the factors associated to realization of cesarean at the maternity hospital of the town
of Cajazeiras - PB. This is an exploratory and descriptive study with both quantitative and
qualitative approach. The research subjects were 30 women who performed cesarean at
maternity hospital of the town of Cajazeiras - PB, in May 2011. The instrument of data
collection was a structured interview containing objective and subjective questions. The data
for the socio demographic and obstetric characterization were presented in chart with
frequency and percentage. The qualitative data was analyzed in a traditional thematic way,
presented in frames and discussed based on the literature pertinent to the theme. The results
reveal young women, having satisfactory schooling, most of them worked out of home, were
married, belonging to low economic class. Regarding the obstetric data the majority was
primiparous and multiparous, with previous cesarean, most carried out more than 7 prenatal
exams. Among the factors associated with the performance of cesarean are the choice,
iterativity and complications during pregnancy and birth, as well as the possibility of tubal
ligation. Despite the profile of the population assisted in the maternity hospital reveals
indications for cesarean, it became evident the necessity to rethink the obstetric practice,
which has affected the quality and humanization of assistance to women in childbirth. Thus,
this study aims to contribute through information provided, in the search for actions to reduce
the number of caesarean, as well as improve the current obstetric practice.