文章基本信息

标题：Regulatory Aspects of (Non)Humanized Normal and Cesarean Deliveries in Brazil
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作者：Vitória Batista Santos Silva ; Wagner Roberto Ramos Garcia Junior ; Clayton Vinicius Pegoraro de Araújo 等
期刊名称：Open Journal of Social Sciences
印刷版ISSN：2327-5952
电子版ISSN：2327-5960
出版年度：2021
卷号：9
期号：11
页码：244-260
DOI：10.4236/jss.2021.911020
语种：English
出版社：Scientific Research Publishing
摘要：The topic of humanized childbirth has been gaining a place among the interests of Brazilian health researchers. Concern over the preference for cesarean deliveries is leading to an increasingly present discussion also in international bodies that provide guidelines to health sectors. This research aims to gather some of the main reasons leading to the choice of cesarean delivery over normal delivery in Brazil, under the scope of the National Supplementary Health Agency (ANS) regulation. To this end, recent studies on the economic impacts of these delivery modes will be reviewed, as well as an analysis of recent literature on the reasons leading to the choice of a delivery mode. The legal aspects of ANS regulation of the delivery segment will be presented, seeking to understand the main aspects of this activity. Throughout the article, some data regarding the percentage of normal deliveries and cesarean sections in the period 2000 to 2018 will be explained in order to illustrate the scenario of this segment in Brazil. Through a qualitative method, bibliographic research and document analysis, government measures such as the Suitable Childbirth Program and the Careful Childbirth Project will be explored, presenting what are the main measures implemented in the search to reduce the unnecessary number of C-sections in the country, as well as their correspondence with measures recommended by the World Health Organization (WHO), which exposes the increase in the number of C-sections as a global concern. The discussion brings some initiatives of the regulatory agencies of the sector in Brazil and recommendations to contribute to the formulation of public policies aimed at stimulating the percentage of normal deliveries. It was possible to identify in the literature factors such as economic conditions and the mother’s educational level as related to the choice of type of delivery, as well as the medical team’s participation in the decision.
关键词：ANS;Suitable Childbirth Program;Childbirth Care Project;Normal Births;Cesarean Sections