Gisele Marquini
Federal University of Uberlandia (UFU), Brazil
Title: Cesarean delivery: Is it possible to decrease or readjust our rates?
Biography
Biography: Gisele Marquini
Abstract
Brazil has been cited as a country with one of the highest rates of cesarean delivery in the world: approximately 36% of births are by cesarean. Statistics from private hospitals show an even higher frequency, reaching 80-90%. Despite the importance of cesarean sections, the concern of the international scientific community is directed toward a possible abuse in the procedure. The Brazilian Federation of Gynecology and Obstetrics Societies (FEBRASGO) is a nationwide medical organization of credibility that promotes safe vaginal delivery and the careful assessment of indications for cesarean delivery. It adapts recommendations of the International Federation of Gynecology and Obstetrics (FIGO) for application in Brazil. FEBRASGO has developed the guideline Cesarean-Indications, which includes recommendations on indications for cesarean delivery and could promote a reduction in these rates of this procedure It has carried out a study, in Brazil, specifically at the Federal University of Uberlandia, that was to evaluate how to readjust indications for cesarean delivery by using of this guideline with its evidence-based medicine. According to this study, protocols could enable and encourage physicians to perform vaginal delivery. Frequent meetings with discussions on the applicability of the recommended protocols in local practice are valid. Stimulation of team members to develop standardized and updated obstetrics can improve indications for cesarean delivery in low- risk pregnancies.