CHOICE OF THE BIRTH RATE: FACTORS INFLUENCING THE FINAL DECISION OF THE PREGNANT

Abstract

THE CHOICE OF THE WAY OF DELIVERY BECOMES OF FUNDAMENTAL IMPORTANCE FOR THE HEALTH OF THE PREGNANT WOMAN AND THE BABY SINCE ACCESS TO INFORMATION, CULTURAL AND SOCIAL VALUES, MEDICAL INTERFERENCES CAN INFLUENCE A CHOICE THAT IS NOT ALWAYS THE MOST INDICATED TO THE CLINICAL PICTURE. THE OBJECTIVE OF THIS STUDY IS TO ANALYZE THE INFORMATION IN THE CURRENT LITERATURE ABOUT THE FACTORS THAT INFLUENCE THE DECISION OF THE BIRTH ROUTE. IT IS AN INTEGRATIVE REVIEW OF THE LITERATURE BASED ON THE SEARCH FOR ARTICLES THAT STUDY THE PATHWAYS OF CHILDBIRTH AND THE INFLUENCES ON CHOICE. THE CRITERIA USED TO SELECT THE 24 ARTICLES WERE: WORKS IN ENGLISH AND PORTUGUESE, PUBLISHED BETWEEN 2014 AND 2018 ON THE PLATFORMS OF SCIENTIFIC ELECTRONIC LIBRARY - SCIELO, PUBMED AND GOOGLE SCHOLAR THROUGH DESCRIPTORS IN HEALTH SCIENCE: CESAREAN SECTION, NORMAL BIRTH , HUMANIZED DELIVERY, RATES, PATIENT PREFERENCE. FROM THE STUDY, IT WAS VERIFIED THAT THE LITERATURE MOSTLY CONVERGED ON THE FACTORS OF GREATER INTERFERENCE IN THE CHOICE OF THE DELIVERY ROUTE, BEING: MEDICAL FACTORS, PSYCHO-CULTURAL ASPECTS, SOCIOECONOMIC AND DEMOGRAPHIC ASPECTS, WHICH GREATLY DENATURE VAGINAL DELIVERY AND THE CHOICE FOR CESAREAN DELIVERY. THEREFORE, IT IS CONCLUDED THAT THE DECISION BY WAY OF DELIVERY DOES NOT ALWAYS RESPECT THE ELIGIBILITY CRITERIA AND THE INITIAL WILL OF THE PREGNANT WOMAN. EMPHASIS IS GIVEN TO THE NEED TO PROVIDE IMPROVEMENTS IN HEALTH SERVICES, TO INCREASE REGULATION AND SUPERVISION BY CURBING OBSERVED EXCESSES, SO THAT BOTH THE BABY AND THE PARTURIENT ARE ASSURED IN THEIR HEALTH AND THEIR INDIVIDUALITY.