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"The increased rate of Caesarean section is partly due to maternal demand without medical reasons.
In our survey, the rate of maternal demand for caesarean delivery was 16.9% for all deliveries.
However, 24-hours rooming-in, as it has become standard in many hospitals, could be compared to a flexible rooming-in with guaranteed childcare assistance on maternal demand.
In contradiction with this tendency to attribute the rise in the number of Cesarean sections to maternal demand, studies conducted within the last ten years show that Brazilian women do not prefer surgical delivery [ 11- 16].
While the reason for this is unclear, it could be due to gestational age estimation errors, mis-documentation of indications for delivery, maternal demand for elective deliveries (despite being preterm) or a failure by providers to recognize the risks of elective preterm deliveries.
Limitations include that samples were collected through a cross-sectional design that limits the causality pathway with regard to the drivers of increased cesarean delivery rates and that the data did not include information about whether the cesarean deliveries were performed under medical indications or based solely on maternal demand.
Similar(54)
Early gestation is characterized by an increase in maternal fat stores and small increases in insulin sensitivity, to provide stored nutrients to meet the feto-placental and maternal demands of late gestation and lactation.
While it is true that the contributing role of AIDS to maternal mortality demands greater attention, it remains true that the No. 1 cause of maternal mortality is hemorrhage, and improved access to emergency obstetric care could prevent many of these deaths.
Maternal substrate demands of lactation are either met by increased dietary intake or by mobilization of nutrients stored in tissues [1], [2].
The multifaceted nature of maternal health demands a wide range of complex and comprehensive interventions to achieve progress in reduction of maternal mortality (3).
Medline PubMed was initially searched using a combination of the terms: maternal health service; demand or demand-side; low-income/low and middle income/developing country; interventions or strategy.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com