Associations between cesarean delivery and child mortality: A national record linkage longitudinal study of 17.8 million births in Brazil.

ABSTRACT:

Background

There is an increasing use of cesarean delivery (CD) based on preference rather than on medical indication. However, the extent to which nonmedically indicated CD benefits or harms child survival remains unclear. Our hypothesis was that in groups with a low indication for CD, this procedure would be associated with higher child mortality and in groups with a clear medical indication CD would be associated with improved child survival chances.

Methods and findings

We conducted a population-based cohort study in Brazil by linking routine data on live births between January 1, 2012 and December 31, 2018 and assessing mortality up to 5 years of age. Women with a live birth who contributed records during this period were classified into one of 10 Robson groups based on

SUBMITTER: Paixao ES 

PROVIDER: S-EPMC8509988 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature