Abstract
Objective: To analyze the indications for cesarean section in Brazil. Methods: A review of the integrative literature, using the Virtual Health Library (VHL), where 11 articles were selected according to the pre-established inclusion and exclusion criteria. Results: It was observed that during the last decade the most prevalent indications for cesarean section in the country were the maternal requests by the procedure and the unclear medical indications, followed by other medical indications: itchiness, iterativity, pelvic cephalic abruption, hypertensive syndromes, induction failure, acute fetal distress, pelvic presentation, post-datitis and maternal obesity. Conclusion: It was concluded that the majority of cesarean indications are not absolute, and the obstetrician is responsible for the individualized evaluation of the cases. The study was surprising to highlight prevalent maternal orders and unclear medical indications, raising important discussions about these points, emphasizing the importance of prenatal care, the insertion of nurses in this context, the indispensability of broad knowledge, the provision medical care to apply different treatments and, above all, the change of posture on the part of these based on the best scientific evidence and not on the more practical and comfortable action, resuming the culture that the focus is to guarantee the fetal and maternal security.