%0 Journal Article
%T Physicians and the excess of cesarean sections in Brazil
%A Charles Dalcanale Tesser
%A Roxana Knobel
%A Tomaz Rigon
%A Gabriela Zanella Bavaresco
%J Sa¨²de & Transforma£¿£¿o Social
%D 2011
%I Universidade Federal de Santa Catarina
%X The present study discusses the physicians¡¯ role associated with high cesarean section rates in Brazil. The discussion is based on the available literature on the subject as well on Ludwick Fleck and Robbie Davis-Floyd approach. We suggest a hypothesis for the problem that involves financial benefits, convenience and changes in clinical ability (that favors the specialization in C-sections and decrease the clinical ability to fix dystocias and manage the vaginal birth) that became associated with a technocratic paradigm of birth care. This model of care reinforces itself to further increase the C-section rates. We advocate the need to address the problem and suggest evaluation and professional accreditation through continued education and publication of C-section rates per institution and per surgeon, and also institutional and economic changes to revert secondary gains by the professionals who sustain the High cesarean section rates.
%K Cesarean Section
%K Obstetric Delivery
%K Obstetric/ Education Delivery
%K Public Policies.
%U http://www.incubadora.ufsc.br/index.php/saudeetransformacao/article/view/1088/1255