Search

Background: Caesarean rates are increasing in Brazil and worldwide, and there is a concern regarding the consequences of this increase for maternal and child health. Objective: This study aimed to analyse the proportions and the time trend of cesarean sections in the Health Region of Paraná State. Method: This is a time-series ecological study using data from the Information System on Live Births. The analyzes of the proportions and trends of cesarean sections were performed between 2003 and 2014, in three-year periods. Linear regression was used to analyze cesarean rate trends, with the significance level set at 5%. Results: The largest proportions of cesarean sections occurred between 2012 and 2014 (53.8% to 80.2%), except for the 1st Health Region (Paranaguá), with larger proportions between 2009 and 2011. All the regional ones presented an increasing trend in the proportion of cesarean sections (all p values < 0.05), except the 1st Health Region that remained with a steady trend (p = 0.10). The vast majority of the Health Region of Paraná State presented a higher proportion of cesarean sections than Brazil, for all three-year periods. Conclusion: The results indicate high proportions of cesarean sections in the Health Region in Paraná State and the vast majority showed an increasing trend of cesarean sections. [ABSTRACT FROM AUTHOR]

Introduction: Hypertension is a chronic disease with high prevalence and low control rates. This study aimed to analyze the blood pressure control in hypertensive elderly followed up in a Family Health Unit and its associated factors. Methods: Cross-sectional study, with patient records analysis of 190 hypertensive elderly women. Patients' blood pressure was considered to be under control if lower than 140/90mmHg. For statistical analysis, we calculated the prevalence ratio and 95% confidence interval for controlled and not controled blood pressure, according to the association of some factors. Multivariate analyzes were conducted using logistic regression. Results: Of the 190 patients followed up, 108 (56.8%) had controlled blood pressure. In logistic regression analysis, the variables of being older than 70 years (p = 0.03) and reside in the area furthest from the facility (p = 0.002) were associated with uncontrolled blood pressure. Conclusion: Although the control rate in this population is high when compared with literature, measurements should be implemented to increase this rate and avoid future complications. [ABSTRACT FROM AUTHOR]