Cesarean delivery in Chile and the Magallanes and Chilean Antarctica Region. Reflections based on international evidence
Authors
- Susana Loaiza-Miranda Universidad de Magallanes. Facultad de Ciencias de la Salud. Departamento de Enfermería
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María Dolores Marrodan-Serrano
Universidad Complutense de Madrid. Facultad de Ciencias Biológicas. Departamento de Biodiversidad, Ecología y Evolución
https://orcid.org/0000-0002-1697-1923
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María González-Montero de Espinoza
Universidad Complutense de Madrid. Facultad de Medicina. Grupo de Investigación EPINUT
https://orcid.org/0000-0003-0541-8038
Abstract
Introduction: In recent decades in Chile there has been an increase in the incidence of cesarean delivery, above the rate recommended by the World Health Organization (WHO). At Latin American level Chile has one of the highest cesarean section rates and at national level the Magallanes and Chilean Antarctica Region shows similar behavior.Methodology: A review of the scientific literature in indexed databases was carried out, evidence was collected for the analysis of some factors that could explain this prevalence in the country and in the southernmost region of Chile. Hospital discharges from Chile and the region in the period 2015 to 2018 were analyzed, the rate of cesarean deliveries was calculated and then compared for both populations. Results: In the period under study the national average cesarean rate was 49.6% and in the Magallanes Region it was close to 63%, in this region the rate of cesarean delivery was practically double the spontaneous delivery rate in the whole period under study. Discussion: Both rates are alarming and are far from the WHO recommendation and there is not enough evidence to explain the causes that have led to these results.
