Cesarean Section: A Worldwide Epidemic?

Flamm, Bruce L.

doi:10.1046/j.1523-536x.2000.00139.x

Cited by 26 publications

(15 citation statements)

References 12 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[2][3][4][5][6][7] Similar trends have also been documented in low-income countries such as Brazil, China and India, especially for births in private hospitals. [8][9][10][11][12] Advanced healthcare technologies are becoming more widely available in different regions of China.…”

Section: Introductionmentioning

confidence: 58%

Delivery settings and caesarean section rates in China

Sufang¹,

Padmadas

Zhao

et al. 2007

Bull World Health Organ

113

View full text Add to dashboard Cite

Objective To quantify the influence of increasing use of health-care services on rising rates of caesarean section in China. Methods We used data from a population-based survey conducted by the United Nations Population Fund during September 2003 in 30 selected counties in three regions of China. The study sample (derived from birth history schedule) consisted of 3803 births to mothers aged less than 40 years between 1993 and 2002. Multiple logistic regression models were used to estimate the effect of health-care factors on the odds of a caesarean section, controlling for time and selected variables. Findings Institutional births increased from 53.5% in 1993-1994 to 82.2% in 2001-2002, while the corresponding increase in births by caesarean section was from 8.9% to 24.8%, respectively. Decomposition analysis showed that 69% of the increase in rates of caesarean section was driven by the increase in births within institutions. The adjusted odds of a caesarean section were 4.6 times (95% confidence interval, CI: 3.4-11.8) higher for recent births. The adjusted odds were also significantly higher for mothers who had at least one antenatal ultrasound test. Rates of caesarean section in secondary-level facilities markedly increased over the last decade to the same levels as in major hospitals (P < 0.001). Conclusion The upsurge in rates of births by caesarean section in this population cannot be fully explained by increases in institutional births alone, but is likely to be driven by medical practice within secondary-level hospitals and women's demand for the procedure. Une traduction en français de ce résumé figure à la fin de l´article. Al final del artículo se facilita una traducción al español.

show abstract

Section: Introductionmentioning

confidence: 58%

Delivery settings and caesarean section rates in China

Sufang¹,

Padmadas

Zhao

et al. 2007

Bull World Health Organ

113

View full text Add to dashboard Cite

show abstract

“…The number of deliveries by cesarean section has consistently increased in many countries over the past few decades [1][2][3][4][5][6][7][8], with both clinical and nonclinical factors contributing to this fast-growing trend. Non-clinical factors that influence physicians' practice patterns include physicians' training [9,10], their * Tel.…”

Section: Introductionmentioning

confidence: 99%

Financial incentives do not always work—An example of cesarean sections in Taiwan

2008

Health Policy

View full text Add to dashboard Cite

“…Offering elective caesarean sections has been endorsed by professional associations in Canada and the United States despite concerns raised by women's groups6 and is being debated by the International Federation of Gynecology and Obstetrics 7. (Rising rates of caesarean sections and renewed debate over the appropriate role of the procedure are not limited to Canada and the United States, but also are occurring in Europe and South America 3 6 7 – 9. What is behind this apparent shift in thinking?…”

mentioning

confidence: 99%