Abstract

Cesarean sections (CS) are one of the most commonly performed surgical procedures worldwide. There is great variability in the percentage of cesarean sections between countries, varying from 3% to 42.9%5. In the US, approximately 32% of deliveries occur through a cesarean section. Overall, a drastic increase in cesarean section rate has been reported reaching its highest level at the present time. In Brazil, considering the types of births by live births from 2006 to 2016, the national percentage of cesarean section was 52.37%. The variability in this percentage can still be perceived within Brazilian territory. The highest cesarean rate occurred in the Southern region, representing 58.33% of births, while the lowest rate occurred in the Northern region, with 41.79%. It is possible to see the steady increase in the percentage of CS over time, from 45.01% in 2006 to 55.39% in 2016.

Highlights

  • Cesarean sections (CS) are one of the most commonly performed surgical procedures worldwide[1,2,3,4]

  • References for this review were identified through searches of PubMed, EMBASE (Ovid), the Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, and World Health Organization for articles in English published from January 2006 to December 2018 by use of the terms “cesarean infection”, “cesarean surgical site infection” and “surgical site infection”

  • A population-based study between 1988 and 2013 showed 41.375 CS performed during the study period, 1.521 (3.7%) were complicated with Surgical site infection (SSI) 21

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Summary

Introduction

Cesarean sections (CS) are one of the most commonly performed surgical procedures worldwide[1,2,3,4]. There is great variability in the percentage of cesarean sections between countries, varying from 3% to 42.9%5. 32% of deliveries occur through a cesarean section 2,5,6. A drastic increase in cesarean section rate has been reported 3,5,7,8, reaching its highest level at the present time[8]. In Brazil, considering the types of births by live births from 2006 to 2016, the national percentage of cesarean section was 52.37%. The variability in this percentage can still be perceived within Brazilian territory. It is possible to see the steady increase in the percentage of CS over time, from 45.01% in 2006 to 55.39% in 2016 9

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