Cesarean section trends in private entities in the province of Buenos Aires, Argentina (2017-2021)

LIBRANDI, JM; FASANO, MV; MALZONE, P; GILES, HF; BELIZAN, J.M.; MARIN, G; CORMICK, G.

Ginecología y Obstetricia de México

Federación Mexicana de Colegios de Obstetricia y Ginecología A.C

Año: 2023 vol. 91

0300-9041

OBJECTIVE: To evaluate the rates of caesarean section in the termination of pregnanciesregistered in the private sector of the Obra Social of the province of Buenos Aires(Instituto de Obra Médico Asistencial) between 2017 and 2021.MATERIALS AND METHODS: Analytical and descriptive study of caesarean sectionsregistered in the Modulation System of the IOMA Single Audit and Control Centre(CUAFI) of the 13 health regions of the province of Buenos Aires. The percentages ofcaesarean sections per year and per health region are described.RESULTS: 75,244 singleton deliveries were registered in the private sector of theInstituto de Obra Médico Asistencial. In 2017, the percentage of caesarean sectionsincreased from 69.0% (12,600 caesarean sections out of 18,258 deliveries) to 73.6%(8,232 caesarean sections out of 11,180 deliveries) in 2021. The highest caesareansection rates were recorded in Region IV (83.6%), Region XIV (81.7%) and RegionX (78.9%).CONCLUSION: The high percentage of caesarean sections recorded and the increase inrecent years shows the need to design interventions to decrease the rate. It is importantto have information on the indications for caesarean section and to explore interventionsaimed at health personnel and women to reduce the rate.