Leticia Suárez-López1, Lourdes Campero1, Elvia De la Vara-Salazar1, Leonor Rivera-Rivera1, María Isidra Hernández-Serrato2, Dilys Walker3, Eduardo Lazcano-Ponce4. 1. Dirección de Salud Reproductiva, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México. 2. Dirección de Evaluación de Programas y Bioestadística, Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México. 3. Departamento de Obstetricia y Ginecología y Salud Global, Universidad de Washington, Seattle, EUA. 4. Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Abstract
OBJECTIVE: To describe the trend of cesarean section practice in Mexico, and its association with women's sociodemographic and reproductive characteristics. MATERIALS AND METHODS: Based on the 2000, 2006 and 2012 National Health Surveys, information on c-section was analyzed. A multivariate logistic regression model was used in 2012. RESULTS: A 50.3% increase in the use of c-section was observed nationally from 2000 to 2012. Women more likely to undergo a c-section include those whose delivery care takes place in the private sector (OR=2.84, 95%CI:2.15-3.74). When associating women's age and parity, the greatest risks are observed among primiparous women between 12 and 19 years of age, and those aged 35 years and more (OR=6.02, 95%CI:1.24-29.26 and OR=5.20, 95%CI:2.41-11.21, respectively). CONCLUSIONS: Some recommendations to revert the increase of this clinical practice, especially when there is no full justification for its realization, are proposed.
OBJECTIVE: To describe the trend of cesarean section practice in Mexico, and its association with women's sociodemographic and reproductive characteristics. MATERIALS AND METHODS: Based on the 2000, 2006 and 2012 National Health Surveys, information on c-section was analyzed. A multivariate logistic regression model was used in 2012. RESULTS: A 50.3% increase in the use of c-section was observed nationally from 2000 to 2012. Women more likely to undergo a c-section include those whose delivery care takes place in the private sector (OR=2.84, 95%CI:2.15-3.74). When associating women's age and parity, the greatest risks are observed among primiparous women between 12 and 19 years of age, and those aged 35 years and more (OR=6.02, 95%CI:1.24-29.26 and OR=5.20, 95%CI:2.41-11.21, respectively). CONCLUSIONS: Some recommendations to revert the increase of this clinical practice, especially when there is no full justification for its realization, are proposed.
Authors: Antonio Hernández-Martínez; Juan Miguel Martínez-Galiano; Julián Rodríguez-Almagro; Miguel Delgado-Rodríguez; Juan Gómez-Salgado Journal: Int J Environ Res Public Health Date: 2019-03-12 Impact factor: 3.390