title: [Childbirth as I see it . . . or the way I wish it was? Expectations of pregnant women towards childbirth and obstetric care in the public health care system].
abstract: Explanations for increased cesarean section rates in Brazil have focused on the organization of obstetric care, training of health professionals, and women's demand for surgical deliveries. This study aimed to identify pregnant women's expectations towards childbirth. Three focus groups were conducted in a public hospital in the city of São Paulo. Analytical categories were: vaginal birth, forceps, c-section, prenatal care, and obstetric care. The desire for c-sections was associated with a demand for tubal ligation, and although women feared labor pains, they were more afraid of how the obstetric team might react to their complaints. Lack of information on reproductive issues was associated with a demand for more information. There was a preference for vaginal births, since most women feared c-sections due to risks associated with this surgical intervention. The authors propose that the demand for cesareans among women should be reconsidered as one of the main factors in the rise in surgical deliveries in the Brazilian health care system.
authors.affiliation: Faculdade de Belas Artes de São Paulo, São Paulo, SP, 01455-080, Brasil. soniahotimsky@uol.com.br
authors.forename: Sonia Nussenzweig
authors.initials: SN
authors.lastname: Hotimsky
authors.forename: Daphne
authors.initials: D
authors.lastname: Rattner
authors.forename: Sonia Isoyama
authors.initials: SI
authors.lastname: Venancio
authors.forename: Cláudia Maria
authors.initials: CM
authors.lastname: Bogus
authors.forename: Marinês Martins
authors.initials: MM
authors.lastname: Miranda
mesh_terms: D000293:Adolescent; D001938:Brazil; D002585:Cesarean Section / Q000523:psychology; D036861:Delivery, Obstetric / Q000523:psychology*; D005113:Extraction, Obstetrical / Q000523:psychology; D005260:Female; D017144:Focus Groups; D006801:Humans; D007743:Labor, Obstetric / Q000502:physiology; D009321:Natural Childbirth / Q000523:psychology; D036801:Parturition / Q000523:psychology*; D011247:Pregnancy; D011295:Prenatal Care