Cambiando cultura, cambiando cuidados: reduciendo las cesáreas en Brasil – IHI

Changing Culture, Changing Care: Reducing Elective C-Sections in Brazil

esarean-section births are traditionally a common practice throughout Brazil, but Unimed Jaboticabal determined that the high NICU admission rate following elective C-section births was not acceptable. In this Q&A exchange with Joelle Baehrend, IHI patient safety web content manager, Paulo Borem, MD, IHI Improvement Faculty in Brazil, describes a project he undertook to reduce elective C-section births as part of his participation in the IHI Improvement Advisor Professional Development Program. The aim of the project was to change practice, and improve maternal and child safety, by reducing C-section deliveries and by changing perceptions within the country. The work to reduce C-section rates in Brazil was also written about in The Economist in August 2015.

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