Number of unnecessary cesareas increases at the end of the year
Health Agency - A new campaign designed by the Parto Adequado Project, aimed at improving obstetrical practice in Brazil, reinforces the concern about performing unnecessary caesarean sections and seeks to raise awareness among pregnant women and health professionals to prevent the scheduled delivery. The action is coordinated by the National Agency for Supplementary Health (ANS), Hospital Israelita Albert Einstein and Institute for Healthcare Improvement (IHI), with support from the Ministry of Health. With the theme "No Childbirth Scheduled" the messages that will be disseminated through the social media of the members of the project call for avoidance of early and unnecessary caesareans, at a time when, due to holidays, year-end parties and carnival, the increase in the number of surgical deliveries is notorious , leading to the prematurity of the babies.
"The months from December to February are a period in which we noticed an increase in unnecessary cesareans scheduled due to the various commemorative dates.To prevent pregnant women, mobilize health professionals and alert society, we developed this campaign, which aims to alert to the risks of cesarean sections without needing and sensitize the pregnant women, their families and also the professionals of s
Scientific studies indicate that babies born from cesarean sections present greater risks of respiratory difficulties and are hospitalized in neonatal intensive care units more frequently. When there is no clinical indication, cesarean section increases the probability of respiratory problems for the newborn by 120 times and triples the mother's risk of death. About 25% of neonatal deaths and 16% of infant deaths in Brazil are related to prematurity. In unnecessary cesarean sections, the newborn may experience immediate respiratory complications, and if delivery is performed before 39 weeks of gestation, birth may occur before the baby's complete lung maturation. And as with any surgical intervention, there is a risk of mortality resulting from the surgical act or the vital situation of each patient.
Birth is a unique experience and can represent the greatest creative experience in the life of a woman. We, obstetricians, must strive to create and offer the appropriate means and "scenario" so that this moment can be lived without inhibitions, with freedom and profound intensity. Beyond the complicity and the full affective relationship between the parturient and the care team, the environment should be silent and "respectful", consistent with the climate of "ritual" that should prevail in the arrival of a new being to our world.
Pediatrics . The survey looked at data from 82,000 children, all five years of age. The results showed that oxygen deprivation in the brain of a fetus increases the risk of ADHD in childhood on average by 16%. If the problem happens due to a pre-eclampsia scenario, the chances increase to 34%. If the lack of oxygen occurs because of a lung injury that prevents the baby's alveoli from remaining open (respiratory distress syndrome), this chance may be 47% higher.