Motivo da realização de cesárea segundo relato das mães e registros de prontuários em maternidades de Belo Horizonte

Abstract

The high prevalence of cesarean section is a public health problem because it is associated with increased maternal and neonatal morbidity and mortality, especially when performed without clinical justification. The present study aimed to evaluate the reason for the cesarean section according to the reports of the puerperal woman and the recording of the information in the medical record. It is a hospital-based cohort study, developed with data from the research "Birth in Belo Horizonte study: survey on labor and birth". The reason for performing the cesarean section was reported according to the mothers' reports and records in medical records regarding the method of payment of labor, labor and clinical or obstetric complications during pregnancy or delivery. Of the total of 1,088 postpartum women evaluated, 465 underwent a cesarean delivery and were included in this study. A statistically significant difference was observed between the reasons for the cesarean section reported by the puerpera and those recorded in the chart, which points to the need of reviewing the professional training and the care model, besides the need to qualify the work process and the practices and empower women to make informed choices.