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Papers of the Week

2020 May

BMJ Open Qual



Reducing caesarean rates in a public maternity hospital by implementing a plan of action: a quality improvement report.


Negrini R, da Ferreira R D S, Albino R S, Daltro C A T
BMJ Open Qual. 2020 May; 9(2).
PMID: 32381595.


Caesarean rates increased in different parts of the world, rising from 20% to 33% in the USA and from 40% to 55% in Brazil between 1996 and 2011; however, there was no reduction in morbimortality rates. Several factors have been suggested as responsible for this increase, such as health judicialisation, fear of the painful process on the patients' part and reduction of medical training in vaginal delivery and labour complications. It is urgent to reverse this process and, therefore, a model of actions was created with the intention of engaging the team in order to reduce caesarean rates in a Brazilian hospital.