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• W2956030300 abstract "This study aimed to describe demographic, socioeconomic and pregnancy-related characteristics associated with a caesarean delivery in Luanda.We conducted a cross-sectional study which included 995 puerperal women and who were assessed between December 2012 and February 2013 at Lucrécia Paím maternity hospital in Luanda, Angola. Data was collected using a structured questionnaire administered by trained interviewers. Logistic regression models were fitted to estimate the magnitude of associations (odds ratios-95% confidence intervals) between the type of delivery and variables showing a significant association in the bivariate analysis.The prevalence of caesarean section was 44%. Women with caesarean delivery were less educated, resided more often in a periurban area and were more likely to disclose lower family income when compared with women who had vaginal delivery. Living in a periurban area was significantly associated with a caesarean delivery regardless of all covariates considered, for primiparous women (adjusted odds ratios, 95% confidence intervals = 2.14, 1.27 - 3.62) and for multiparous women (1.78, 1.26 - 2.51). Among multiparous women, a lower family income was also significantly associated with caesarean delivery. Hypertensive disorders during the current pregnancy were associated with a caesarean delivery in the multivariate models fitted for primiparous (3.96, 1.57 - 9.98) and for multiparous women (1.68, 1.03 - 2.74).The associations between low socioeconomic position and high risk of caesarean delivery demonstrated in this study are consistent results in previous researches curried out in African contexts. The poorer and less educated women, who live far from health facilities, have few antenatal care visits and often arrive with complicated conditions, justifying a caesarean delivery. Lack of qualified human and material resources to manage emergencies in peripheral health centers and delaying in the reference system also leads to an increase in the number of caesareans performed in this particular maternity hospital.Sociodemographic differences were observed according to the type of delivery. Cesarean section was more prevalent among women with lower income and residents in periurban areas.Introdução: Este estudo teve como objetivo descrever as características socioeconómicas e demográficas associadas ao parto por cesariana em Angola. Material e Métodos: Estudo transversal que incluiu 995 participantes puérperas no período compreendido entre dezembro de 2012 a fevereiro de 2013 na Maternidade Lucrécia Paím, em Luanda, Angola. A informação foi recolhida através de um questionário estruturado aplicado por entrevistadores treinados. Foi utilizada regressão logística para estimar a magnitude da associação (odds ratios — intervalos de confiança a 95%) entre o tipo de parto e as covariáveis. Resultados: A prevalência de cesariana neste estudo foi de 44%. As mulheres que fizeram cesariana eram menos escolarizadas, residiam mais frequentemente em zonas periurbanas e com rendimentos mais baixos quando comparadas com as mulheres que tiveram parto vaginal. Residir numa área periurbana estava significativamente associado ao parto por cesariana independentemente de outros fatores, (odds ratios ajustado para mulheres primíparas, intervalos de confiança 95% = 2,14, 1,27 – 3,62) e mulheres multíparas (1,78, 1,26 – 2,51). Hipertensão durante a gravidez atual associou-se ao parto por cesariana tanto em primíparas (3,96; 1,57 – 9,98) como em multíparas (1,68; 1,03 – 2,74). Discussão: As associações entre baixa posição socioeconómica e o alto risco de cesariana demonstradas neste estudo são resultados consistentes em pesquisas prévias realizadas em contextos africanos. As mulheres mais pobres e menos instruídas, que residem longe das unidades de saúde, têm poucas consultas pré-natais e muitas vezes chegam com condições complicadas, justificando um parto por cesariana. A falta de recursos humanos e materiais qualificados para gestão de emergências em centros de saúde periféricos e o atraso no sistema de referência também leva a um aumento no número de cesarianas realizadas nesse hospital particular. Conclusão: Foram observadas diferenças sociodemográficas de acordo com o tipo de parto. O parto por cesariana foi mais frequente entre mulheres com rendimentos mais baixo e residentes em áreas periurbanas." @default.
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• W2956030300 date "2019-06-28" @default.
• W2956030300 modified "2023-10-06" @default.
• W2956030300 title "Sociodemographic Determinants of Caesarean Delivery in the Largest Public Maternity Hospital in Angola" @default.
• W2956030300 doi "https://doi.org/10.20344/amp.10409" @default.
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