{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T23:54:04Z","timestamp":1774050844223,"version":"3.50.1"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"0","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>RESUMO:  Introdu\u00e7\u00e3o:  As taxas de ces\u00e1rea aumentaram significativamente no Brasil e no mundo nos \u00faltimos anos; e junto delas o interesse em estudar as complica\u00e7\u00f5es relacionadas a esse procedimento.  Objetivo:  Avaliar as complica\u00e7\u00f5es maternas precoces e tardias relacionadas \u00e0 via de parto, por at\u00e9 seis anos ap\u00f3s o parto.  M\u00e9todos:  Trata-se de um estudo tipo coorte prospectiva que acompanhou todos os nascimentos da cidade de Pelotas, no Sul do Brasil (4.244 m\u00e3es), no ano de 2004, por um per\u00edodo de 6 anos. Foram realizadas an\u00e1lises descritivas e de associa\u00e7\u00e3o entre o desfecho e a via de parto. O controle para potenciais fatores de confus\u00e3o foi realizado atrav\u00e9s da regress\u00e3o de Poisson com vari\u00e2ncia robusta.  Resultados:  Cerca da metade das mulheres (44,9%) foram submetidas \u00e0 ces\u00e1rea. O parto ces\u00e1rea foi associado a um risco 56% maior de complica\u00e7\u00f5es precoces, 2,98 vezes maior de infec\u00e7\u00e3o p\u00f3s-parto, 79% mais risco de infec\u00e7\u00e3o urin\u00e1ria, 2,40 vezes maior de dor, 6,16 vezes maior de cefaleia e mais de 12 vezes maior de complica\u00e7\u00f5es anest\u00e9sicas, quando comparado ao parto vaginal. A ces\u00e1rea foi prote\u00e7\u00e3o contra a presen\u00e7a de hemorroidas. A via de parto n\u00e3o foi associada a nenhuma das complica\u00e7\u00f5es tardias estudadas.  Conclus\u00e3o:  Devido ao risco de complica\u00e7\u00f5es associado, as ces\u00e1reas devem ser realizadas com cautela, quando seus benef\u00edcios superam os riscos.<\/jats:p>","DOI":"10.1590\/1980-549720180010","type":"journal-article","created":{"date-parts":[[2018,8,18]],"date-time":"2018-08-18T17:02:00Z","timestamp":1534611720000},"source":"Crossref","is-referenced-by-count":15,"title":["Complica\u00e7\u00f5es puerperais precoces e tardias associadas \u00e0 via de parto em uma coorte no Brasil"],"prefix":"10.1590","volume":"21","author":[{"given":"Keila Cristina","family":"Mascarello","sequence":"first","affiliation":[{"name":"Universidade Federal de Pelotas,  Brazil; Universidade Federal do Esp\u00edrito Santo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"Matijasevich","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00e1 da Silva dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pelotas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mari\u00e2ngela Freitas","family":"Silveira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pelotas,  Brazil; Universidade Federal de Pelotas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,8,20]]},"reference":[{"key":"ref1","series-title":"The global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: Overuse as a barrier to universal coverage","author":"Gibbons L","year":"2010"},{"issue":"9780","key":"ref2","doi-asserted-by":"crossref","first-page":"1863","DOI":"10.1016\/S0140-6736(11)60138-4","article-title":"Maternal and child health in Brazil: progress and challenges","volume":"377","author":"Victora 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