British caesarean section rates have we reached a plateau?

Savage, Wendy; Francome, Colin

doi:10.1111/j.1471-0528.1994.tb13663.x

Cited by 36 publications

(19 citation statements)

References 5 publications

(3 reference statements)

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“…The NHS Institute for Innovation and Improvement (2006) give a figure of 24.1% in England for 2005. In 1989 it was 11.3% in England (DoH 1997) but in our survey of births in 1989, we found a rate of 12.1% (Savage and Francome 1993), although for Wales and Scotland we obtained the similar rates of 13.5 compared with 13.8 and 14.2 compared with 14.0. The Scottish data have always been more reliable than those collected originally in England and Wales.…”

contrasting

confidence: 39%

The rising caesarean section rate: A loss of obstetric skill?

Savage

2007

Journal of Obstetrics and Gynaecology

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contrasting

confidence: 39%

The rising caesarean section rate: A loss of obstetric skill?

Savage

2007

Journal of Obstetrics and Gynaecology

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“…This can intensify induced demand for CS and affect ethical dangers. Finally, fear of legal or penal problems and the lack of clear and adequate laws and regulations to support specialists as well as the lack of necessary standards and sufficient insurance coverage and support regarding medical procedures has resulted in the topic of Defensive Medicine in which physicians and obstetricians believe that they can overcome the patient's concerns while observing rules and regulations much easier by performing CS [45][46][47][48].…”

Section: Discussionmentioning

confidence: 99%

Non-medical factors on choice of delivery (CS/NVD) in hospitals of Tehran University of Medical Sciences

Ostovar¹,

Rashidi²,

Haghallahi³

et al. 2013

OJOG

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Background: Kind of delivery affect many aspects of individuals, families and health systems situations. The aim of this study was to identify the Role of nonmedical factors on choice of delivery (CS/NVD) in hospitals affiliated to Tehran University of Medical Sciences. Materials and Method: This cross-sectional study was performed to identify the factors involved in the choice of delivery (CS/NVD) among women attending hospitals affiliated to Tehran University of Medical Sciences. Data was derived from the medical records of women who gave birth in the hospitals. Results: A significant statistical relationship was found between factors such as age of mother, level of education, occupational status, type of previous delivery, person supervising the pregnancy and dissatisfaction about delivery were more frequent in women who underwent CS than those who gave birth by NVD. Conclusion: The highly increasing rise in the rate of unnecessary CS during throughout the world, and its adverse effect on maternal and child health, the financial burden imposed on families and health systems, has highlighted the importance of studies to identify the non-medical factors that affect decisionmaking concerning type of delivery as well as to determine the appropriate medical indications of CS.

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“…Other studies have identified factors such as unit policy, individual clinical judgements (Wareham et al, 1993) and financial incentives as significant determinants of the caesarean section rate (Lomas and Eukin et al, 1989). Large variations in caesarean section rate have been reported in different regions of the United Kingdom (Savage and Francome, 1993). High patient expectations and concern over the safety of vaginal breech delivery or vaginal delivery after caesarean section have been blamed.…”

Section: Introductionmentioning

confidence: 99%

Trial of scar or elective repeat caesarean section at maternal request?

Irvine

Rw²

2001

Journal of Obstetrics and Gynaecology

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In a study between 1 January 1996 and 31 December 1998 at Watford General Hospital, we identified all women who booked having had a previous caesarean section. Data on age, social class and previous obstetric history was extracted from the notes, as was mode of delivery. Of the 718 patients identified, 497 were considered suitable for trial of scar. Of these 221 (44.5%) requested repeat caesarean section. Age, social class and indication for previous caesarean section could not predict those who accepted trial of scar. Of the 60 women who had had a previous successful trial of scar 59 (98.3%) underwent trial of scar and of the 48 who had had a vaginal delivery prior to caesarean section 37 (77.1%) underwent trial of scar (P < 0.01). Maternal request for caesarean section, without obstetric contraindication to trial of scar, accounted for 24.9% of all the elective caesarean sections undertaken in our unit.

show abstract

British caesarean section rates have we reached a plateau?

Cited by 36 publications

References 5 publications

The rising caesarean section rate: A loss of obstetric skill?

The rising caesarean section rate: A loss of obstetric skill?

Non-medical factors on choice of delivery (CS/NVD) in hospitals of Tehran University of Medical Sciences

Trial of scar or elective repeat caesarean section at maternal request?

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