[Kappa]

What latin american country has that alarmingly high c-section rate? And what is the rate? I tried searching but I don't know the name of the country, or the rate, so I couldn't get the search terms.

 

[Belle]

I got this from the British Medical Journal. You have to register to see it. Here's a an abridged look at the rates.<br><a href="http://www.bmj.com/cgi/content/full/319/7222/1397/T2" target="_blank">http://www.bmj.com/cgi/content/full/319/7222/1397/T2</a><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">Colombia 16.8<br>
Panama 18.2<br>
Ecuador 18.5<br>
Costa Rica 20.8<br>
Venezuela 21.0<br>
Uruguay 21.9<br>
Cuba 23.0<br>
Mexico 24.1<br>
Argentina 25.4<br>
Dominican Republic 25.9<br>
Brazil 27.1<br>
Chile 40.0</td>
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These rates are a little deceptive too. For instance, Brazil only has a national rate of 27.1 because the rural areas do not have a high a section rate as the urban ones. Urban areas typically have rates of 80%. Also, public hospitals are generally around 15% and private ones are closes to 80-90%

 

[savithny]

<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Belle</strong> <a href="/community/forum/post/13682108"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I got this from the British Medical Journal. You have to register to see it. Here's a an abridged look at the rates.<br><a href="http://www.bmj.com/cgi/content/full/319/7222/1397/T2" target="_blank">http://www.bmj.com/cgi/content/full/319/7222/1397/T2</a><br><br><br>
These rates are a little deceptive too. For instance, Brazil only has a national rate of 27.1 because the rural areas do not have a high a section rate as the urban ones. Urban areas typically have rates of 80%. Also, public hospitals are generally around 15% and private ones are closes to 80-90%</div>
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Yeah, there are some Brazilian postdocs in DH's department. They were *horrified* to find out that the preference here (at least, in our little crunchy town) was that they had to labor. At the time (this may have changed) none of the local OBs would just schedule an elective primary C section, and they were SHOCKED that EDUCATED PEOPLE would have babies come out their vaginas ON PURPOSE!

 

[Belle]

Here's a short blurb with more about Brazil's cs rates. Also check out the link to the April fools joke article. Its would be funny if it weren't so close to the truth. <a href="http://www.unnecesarean.com/blog/2009/1/25/who-cares-brazils-93-percent-cesarean-rate-in-private-hospit.html" target="_blank">http://www.unnecesarean.com/blog/200...te-hospit.html</a><br>
Here's more.<br><a href="http://www.prc.utexas.edu/borninbrazil/Documents/KHopkinsSSM.pdf" target="_blank">http://www.prc.utexas.edu/borninbraz...HopkinsSSM.pdf</a>

 

[Veritaserum]

One of my best friends lives just outside of Buenos Aires in Argentina. She said that about 80% of the women she knows have c-sections. She was <i>so</i> relieved to find a natural-minded care provider.

 

[Turquesa]

<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Belle</strong> <a href="/community/forum/post/13682108"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I got this from the British Medical Journal. You have to register to see it. Here's a an abridged look at the rates.<br><a href="http://www.bmj.com/cgi/content/full/319/7222/1397/T2" target="_blank">http://www.bmj.com/cgi/content/full/319/7222/1397/T2</a><br><br><br>
These rates are a little deceptive too. For instance, Brazil only has a national rate of 27.1 because the rural areas do not have a high a section rate as the urban ones. Urban areas typically have rates of 80%. Also, public hospitals are generally around 15% and private ones are closes to 80-90%</div>
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Since I cannot access the article online, would you mind providing a citation? Also, when was this data gathered? I lived in Chile some time ago, and based on what I saw anecdotally, the 40% rate doesn't surprise me. I'm just wondering what it might be today...

 

[Equuskia]

<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Kappa</strong> <a href="/community/forum/post/13681919"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">What latin american country has that alarmingly high c-section rate? And what is the rate? I tried searching but I don't know the name of the country, or the rate, so I couldn't get the search terms.</div>
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Are you thinking of Puerto Rico? We have a 49% c/s rate. And I've spoken with women that all their births have been csections. (2 or 3)

 

[Belle]

<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Turquesa</strong> <a href="/community/forum/post/13691799"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Since I cannot access the article online, would you mind providing a citation? Also, when was this data gathered? I lived in Chile some time ago, and based on what I saw anecdotally, the 40% rate doesn't surprise me. I'm just wondering what it might be today...</div>
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The data was all births from 1995-2000. I gave a quote from a table that it had. I'll have to look at it later to see how the data was gathered.

 

[lifeguard]

Costa Rica is certainly higher than quoted. There was recently an article about it in the paper there & the hospital refused to comment on their rate. It was shockingly high (75 or 80% if I remember right).

 

[Kappa]

Thanks for the replies. I appreciate the information and links!

 

[wombatclay]

While I disagree with the conclusions made in the article, <a href="http://www.obgmanagement.com/article_pages.asp?AID=6295&UID=" target="_blank">here</a> is a short opinion piece from OBG Management that lists c/s rates by country with citations.<br><br>
I think <a href="http://www.bmj.com/cgi/content/full/319/7222/1397/DC1" target="_blank">this</a> ("<i>Sources, type of data, and estimations of national rates for each Latin American country</i>") is how the BJM article/table mentioned above was put together. As far as I can tell, this page is open to the public but give a shout if for some reason it wont load.