A Secondary Analysis of the LILAC Study Regarding Cesarean Birth by Maternal Request in Women Living with HIV

BACKGROUND: Latin America has the highest regional average cesarean birth rates. One potential driver is cesarean birth by maternal request (CBMR). METHODS: We analyzed of a large prospective cohort study of HIV-infected women in six Latin American countries. RESULTS: Comparisons were made between w...

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Detalles Bibliográficos
Autor principal: Harrison, Margo S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294197/
https://www.ncbi.nlm.nih.gov/pubmed/34296196
http://dx.doi.org/10.26502/fjwhd.2644-28840062
Descripción
Sumario:BACKGROUND: Latin America has the highest regional average cesarean birth rates. One potential driver is cesarean birth by maternal request (CBMR). METHODS: We analyzed of a large prospective cohort study of HIV-infected women in six Latin American countries. RESULTS: Comparisons were made between women who chose CBMR (n = 38) and women with a medical indication for cesarean (n = 683). The only variable associated with CBMR was onset of labor (AOR 0.3 [0.1,0.9], p = 0.04). CONSLUSION: Spontaneous labor reduced the likelihood of a woman living with HIV to pursue CBMR in a large Latin American cohort.

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