Avaliação do Parto Adequado: estudo de impacto na redução de nascimentos por cesáreas

Abstract

The growing rates of cesarean deliveries in the world have greatly worried the scientific community. With this, the importance of implementing public policies that encourage good practices in childbirth care grows. In Brazil, the National Supplementary Health Agency (ANS) encourages a change in the delivery and birth care model, encouraging the adoption of practices that value normal delivery and reduce the percentage of unnecessary cesarean sections through the Adequate Delivery method. The objective of this work is to verify if there was an impact of Adequate Childbirth in the reduction of cesarean sections using the Difference by Differences method. The actions of phase one of Parto Adequado represented a reduction in public hospitals of 4.1% in total cesarean sections and 7.6% in intrapartum cesarean sections. For private hospitals, the reduction was 8.1% in elective cesarean sections. These results point to the possibility of reducing cesarean rates in Brazil, a country with one of the highest cesarean rates in the world.