INTRODUCTION: This study aimed to estimate the most recent caesarean section rates in the world and examine the association between these rates and old and new indicators of health care. METHODS: Authors analyzed the Caesarean Section (CS) rates, also in geo-economic and economic groups, and correlated them to maternal and neonatal mortality, to births attended by skilled health personnel and to births among adolescents. Analysis of covariance and piecewise regressions were used for the statistical analysis. RESULTS: In 47.2% of the countries, the CS rate exceeded 15%. Countries of Latin America and the Caribbean along with Europe, North America and Oceania had the highest values. The analysis showed an inverse association between CS rates and Maternal Mortality (MMR) and Neonatal Mortality (NMR) for all geographical areas except for Europe. The greatest association was observed in lower-middle-income countries. In developing countries only 50% of cases, occur in medical facilities and only half of these are seen by medical, nursing and obstetrical staff. Age of the mother appears to influence the outcome and choice of delivery type. Countries where an high ABR rate is present have low CS use. CONCLUSIONS: To best evaluate the consequences of the increasing rate of CS, it would be useful to identify the most sensitive outcome indicators.
INTRODUCTION: This study aimed to estimate the most recent caesarean section rates in the world and examine the association between these rates and old and new indicators of health care. METHODS: Authors analyzed the Caesarean Section (CS) rates, also in geo-economic and economic groups, and correlated them to maternal and neonatal mortality, to births attended by skilled health personnel and to births among adolescents. Analysis of covariance and piecewise regressions were used for the statistical analysis. RESULTS: In 47.2% of the countries, the CS rate exceeded 15%. Countries of Latin America and the Caribbean along with Europe, North America and Oceania had the highest values. The analysis showed an inverse association between CS rates and Maternal Mortality (MMR) and Neonatal Mortality (NMR) for all geographical areas except for Europe. The greatest association was observed in lower-middle-income countries. In developing countries only 50% of cases, occur in medical facilities and only half of these are seen by medical, nursing and obstetrical staff. Age of the mother appears to influence the outcome and choice of delivery type. Countries where an high ABR rate is present have low CS use. CONCLUSIONS: To best evaluate the consequences of the increasing rate of CS, it would be useful to identify the most sensitive outcome indicators.
Authors: Anna Seijmonsbergen-Schermers; Thomas van den Akker; Katrien Beeckman; Annick Bogaerts; Monalisa Barros; Patricia Janssen; Lorena Binfa; Eva Rydahl; Lucy Frith; Mechthild M Gross; Berglind Hálfdánsdóttir; Deirdre Daly; Jean Calleja-Agius; Patricia Gillen; Anne Britt Vika Nilsen; Eugene Declercq; Ank de Jonge Journal: BMJ Open Date: 2018-01-10 Impact factor: 2.692
Authors: Ana Pilar Betran; Maria Regina Torloni; Jun Zhang; Jiangfeng Ye; Rafael Mikolajczyk; Catherine Deneux-Tharaux; Olufemi Taiwo Oladapo; João Paulo Souza; Özge Tunçalp; Joshua Peter Vogel; Ahmet Metin Gülmezoglu Journal: Reprod Health Date: 2015-06-21 Impact factor: 3.223
Authors: J P Souza; A P Betran; A Dumont; B de Mucio; C M Gibbs Pickens; C Deneux-Tharaux; E Ortiz-Panozo; E Sullivan; E Ota; G Togoobaatar; G Carroli; H Knight; J Zhang; J G Cecatti; J P Vogel; K Jayaratne; M C Leal; M Gissler; N Morisaki; N Lack; O T Oladapo; Ö Tunçalp; P Lumbiganon; R Mori; S Quintana; A D Costa Passos; A C Marcolin; A Zongo; B Blondel; B Hernández; C J Hogue; C Prunet; C Landman; C Ochir; C Cuesta; C Pileggi-Castro; D Walker; D Alves; E Abalos; Ecd Moises; E M Vieira; G Duarte; G Perdona; I Gurol-Urganci; K Takahiko; L Moscovici; L Campodonico; L Oliveira-Ciabati; M Laopaiboon; M Danansuriya; M Nakamura-Pereira; M L Costa; M R Torloni; M R Kramer; P Borges; P B Olkhanud; R Pérez-Cuevas; S B Agampodi; S Mittal; S Serruya; V Bataglia; Z Li; M Temmerman; A M Gülmezoglu Journal: BJOG Date: 2015-08-10 Impact factor: 6.531
Authors: Matthias David; Katrin Alexandra Scherer; Wolfgang Henrich; Jürgen Breckenkamp Journal: Geburtshilfe Frauenheilkd Date: 2018-02-19 Impact factor: 2.915