Factores asociados al incremento de cesáreas en México, 2011-2014

Hernández, José Alberto Muños; Enciso, Graciela Freyermuth; Torres, María del Pilar Ochoa

doi:10.15517/psm.v17i2.40047

Cited by 9 publications

(8 citation statements)

References 18 publications

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“…The results from our strati ed analysis show the complexity behind the individual-level factors associated with C-sections and nonconsented C-sections. The existing quantitative and qualitative research has shown the increased risk of C-sections for Indigenous women in Mexico (29)(30)(31). This study shows that indeed a public prenatal service location and private prenatal location are associated with non-consented C-sections in women of Indigenous belonging.…”

Section: Discussionmentioning

confidence: 57%

Association between location of prenatal care services and non-consented cesarean sections in Mexico: a secondary analysis of the National Survey on the Dynamics of Household Relationships 2016

Marian

Pérez

2023

Preprint

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Background Mexico has one of the world’s highest rates of cesarean section (C-section), which is part of the growing problem with obstetric violence the country faces. Little is known about Mexico’s frequency of and risk factors for non-consented C-sections, a form of obstetric violence. We examined the association between the location of prenatal care services and receiving a non-consented C-section. Methods We used the 2016 Mexico National Survey on the Dynamics of Household Relationships (ENDIREH 2016) to conduct secondary data analysis with a sample of 10,306 women who reported a C-section during their latest pregnancy. We conducted multivariable logistic regression to examine the relationship between location of prenatal care service and receiving a non-consented cesarean delivery between 2011 and 2016 among Mexican women of reproductive age. Results Of all women, 9.8% of respondents who had C-sections were not informed that it was necessary, while 9.2% did not give permission for this procedure. The odds of having a non-consented cesarean were higher for women who received prenatal services in private settings, an IMSS facility, an ISSSTE facility, or more than one type of facility, compared to a public community health center. Among participants who reported Indigenous belonging, receiving prenatal services at a private or ISSSTE facility was also associated with non-consented cesarean delivery. Additionally, when comparing all public prenatal care locations with private, we found that receiving prenatal care at a private facility or at both public and private settings, were associated with increased odds of non-consented cesarean delivery. Similar results were observed for participants not of Indigenous belonging, while only private setting was associated with increased odds of non-consented C-sections for respondents of Indigenous belonging. Conclusions This analysis indicates that receiving prenatal care at an ISSSTE, IMSS, private facility, or a combination of public and private services increases the risk of non-consented C-section in Mexico. These findings recommend the need to implement actions to improve the functioning of prenatal and delivery care in the different health systems to prevent mistreatment during C-section procedures. Additional research is required to further understand the factors associated with non-consented C-sections in Mexico.

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Section: Discussionmentioning

confidence: 57%

Association between location of prenatal care services and non-consented cesarean sections in Mexico: a secondary analysis of the National Survey on the Dynamics of Household Relationships 2016

Marian

Pérez

2023

Preprint

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show abstract

“…The results from our stratified analysis show the complexity behind the individual-level factors associated with C-sections and non-consented C-sections. The existing quantitative and qualitative research has shown the increased risk of C-sections for Indigenous women in Mexico [ 25 , 42 , 43 ]. This study shows that indeed, private prenatal service locations are associated with non-consented C-sections in women of Indigenous belonging.…”

Section: Discussionmentioning

confidence: 99%

Association between location of prenatal care services and non-consented cesarean sections in Mexico: A secondary analysis of the National Survey on the Dynamics of Household Relationships 2016

Marian,

Pérez

2024

PLoS ONE

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Background Mexico has one of the world’s highest rates of cesarean section (C-section). Little is known about Mexico’s frequency of and risk factors for non-consented C-sections, a form of obstetric violence. We examined the prevalence of sociodemographic and obstetric-specific characteristics of Mexican women who delivered via C-section, as well as the association between the location of prenatal care services and experiencing a non-consented C-section. Methods We conducted a secondary analysis of data collected from Mexico’s 2016 National Survey on the Dynamics of Household Relationships (ENDIREH 2016) of women who reported a C-section during their latest delivery. Adjusted logistic regressions were calculated to explore the associations between the location of prenatal care services and experiencing a non-consented cesarean delivery, stratifying by Indigenous belonging. Results The sample size for this analysis was 10,256 ENDIREH respondents, with 9.1% not consenting to a C-section. ENDIREH respondents between the ages of 26 and 35 years old, living in urban settings, living in Central or Southern Mexico, and married or living with a partner experienced a higher prevalence of non-consented C-sections. For both women who identified as Indigenous and those who did not, the odds of experiencing a non-consented C-section were higher when receiving prenatal services in private settings. Receiving more than one type of prenatal service was also associated with increased odds of non-consented C-sections, while ENDIREH 2016 respondents who did not identify as Indigenous and received prenatal care at the State Institute for Social Security and Services for State Workers facility had lower odds of experiencing a non-consented C-section. Conclusions This analysis indicates that receiving prenatal care at a private facility or a combination of public and private services increases the risk of experiencing a non-consented C-section in Mexico. Additional research is required to further understand the factors associated with non-consented C-sections in Mexico.

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“…Lo anterior difiere en 50 % a lo informado por Centers for Disease Control, que indicó 32.4 %. 14,16 Cabe señalar que durante la pandemia, en México los nacimientos por cesárea se incrementaron 4 %, pasaron de 46.2 % en 2019 a 50 % en 2020, 17,18 aun cuando la Organización Mundial de la Salud y autores como Betrán et al señalan que no se justifica un porcentaje de cesárea mayor a 15 %, por todas las complicaciones obstétricas asociadas. 19,20 En este estudio se observó que debido a la pandemia, en 23.3 % se interrumpió el embarazo mediante cesárea por indicación de diagnóstico de COVID-19, lo cual difiere a lo reportado por Lopes de Sousa, quien identificó un porcentaje mayor con la misma indicación (55 %).…”

Section: Discussionunclassified

Clinical and sociodemographic characterization of pregnant women hospitalized with COVID-19

Gutiérrez-Alba¹,

Muños-Hernández²,

Armenta-Arellano³

et al. 2022

GMM

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Introducción: En las mujeres embarazadas se identifica mayor riesgo de desarrollar infecciones respiratorias virales. Objetivo: Analizar características sociodemográficas, evolución, manifestaciones clínicas y complicaciones en mujeres embarazadas con COVID-19 que fueron hospitalizadas. Métodos: Estudio en 11 hospitales públicos; se incluyeron variables sociodemográficas, comorbilidades, síntomas y signos, hallazgos de laboratorio y gabinete, características del embarazo, tratamiento y desenlace de la gestación.

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Factores asociados al incremento de cesáreas en México, 2011-2014

Cited by 9 publications

References 18 publications

Association between location of prenatal care services and non-consented cesarean sections in Mexico: a secondary analysis of the National Survey on the Dynamics of Household Relationships 2016

Association between location of prenatal care services and non-consented cesarean sections in Mexico: a secondary analysis of the National Survey on the Dynamics of Household Relationships 2016

Association between location of prenatal care services and non-consented cesarean sections in Mexico: A secondary analysis of the National Survey on the Dynamics of Household Relationships 2016

Clinical and sociodemographic characterization of pregnant women hospitalized with COVID-19

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