New rules to reduce cesarean sections in health care
Cesarean delivery is a more common practice in Brazil, about 84.6% of births here are done in this way. And although this type of delivery has indications, what is recommended by the World Health Organization is that it be done in 15% of cases only. This is because normal birth is much more beneficial for the baby and the mother, in addition to having a much calmer recovery.
Now, in order to change this Brazilian statistic, the Ministry of Health and the National Supplementary Health Agency (ANS) have introduced new rules to reduce the number of cesareans made by health plans. The measures include that the plans report within 15 days the number of cesarean deliveries and normal deliveries by accredited doctors and hospitals so that the pregnant woman can analyze the history of her doctor and use it in choosing the best obstetrician. In addition, partograms - documents that record all stages of labor - will be used, allowing carriers to monitor whether a cesarean section was actually needed. The surgery will only be paid to the doctor if the cesarean section is justified by this document. Finally, the operators must provide the pregnant woman with a card with the registration of all her prenatal care and also send an informative report explaining the problems of an unnecessary cesarean section.
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