Changes in the Cesarean Section Rate in Korea (1982-2012) and a Review of the Associated Factors

Chung, Sung-Hoon; Seol, Hyun Joo; Choi, Yong-Sung; Oh, Soo‐Young; Kim, Ahm; Bae, Chong‐Woo

doi:10.3346/jkms.2014.29.10.1341

Cited by 40 publications

(33 citation statements)

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“…In Korea, the rate of CS was 43% in 1999 and has remained more than 36% in the most recent decade [20,21]. In 2015, the CS rate in Korea was 38%, the fourth highest rate among countries in the Organization for Economic Cooperation and Development [22].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy outcomes in Korean women with ankylosing spondylitis

Park

Lee

Kim

et al. 2021

Korean J Intern Med

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https://orcid.org/0000-0002-8029-7355 *These authors contributed equally to this work. Background/Aims: Because ankylosing spondylitis (AS) mainly affects sacroiliac joints, special attention should be given to normal labour and pregnancy outcomes. Here, we investigate pregnancy outcomes in Korean women with AS. Methods: Based on data from the Korean Health Insurance Review and Assessment Service claims database since July 2007, maternal complications were compared between women with AS and 1:10 matched general population by maternal age and year of delivery. Additionally, the 27 deliveries from 21 patients with AS who were seen at a tertiary hospital were retrospectively evaluated using 1:4 matched control group by maternal and gestational age. Results: In the population-based cohort, there were 1,293 deliveries in 996 patients with AS. Higher maternal age and more comorbidities were reported than in the general population. However, compared to age and delivery-year matched population, only the rate of Caesarean section (CS) was higher in women with AS (odds ratio, 1.52; 95% confidence interval, 1.36 to 1.70). Incidence of other maternal complications was comparable between women with AS and control subjects. In the hospital-based cohort, the CS rate was higher in women with AS (44.4% vs. 20.4%, p = 0.002). Causes of CS was not different in both groups, including previous uterine surgery. There were no significant differences in foetal outcomes, including growth restriction, foetal malformations and Apgar score. Conclusions: CS deliveries were performed more often in women with AS. However, other maternal complications and offspring complications were similar between women with AS and healthy control subjects.

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Section: Discussionmentioning

confidence: 99%

Pregnancy outcomes in Korean women with ankylosing spondylitis

Park

Lee

Kim

et al. 2021

Korean J Intern Med

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“…Although vaginal delivery is a known risk factor for neonatal candidiasis, there was no difference between the FI and non‐FI group in this study. This is considered ineffective to compare ELBW infants to mode of delivery because the cesarean section rate is rising to reduce perinatal mortality in Korea …”

Section: Discussionmentioning

confidence: 99%

Risk factors for fungal infection in extremely low birthweight infants registered in the Korean neonatal network from 2013 to 2015: Male sex and hypotension

Jung

2020

Pediatrics International

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Background: In Korea, improvement in the survival rates of extremely low birthweight (<1,000 g) infants has led to neonatal infection, especially fungal infection (FI), in the neonatal intensive care unit. The purpose of this study was to determine the risk factors for FI by analyzing the incidence of FI in extremely low birthweight infants in Korea. Methods: Data from 5,320 very low birthweight (<1,500 g) infants registered from 2013 to 2015 in the Korean Neonatal Network were analyzed. The infants were divided into two groups based on the presence or absence of FI. Results: Among infants, 1,524 with gestational ages of <27 weeks and birthweights of <1,000 g were included. The incidence of FI was 7.3% (111/1,524) and mortality of the infants with FI was 40% (44/111). The mean gestational age of infants with FI was 24.8 AE 1.0 weeks, which was significantly lower than those without FI. After logistic regression, being male, and having hypotension within 7 days of birth were independent risk factors for FI. Moreover, hypotension was strongly associated with mortality in FI. Adverse outcomes such as severe bronchopulmonary dysplasia, bacteremia, and abnormal hearing test occurred more frequently in infants with FI than non-FI. Conclusions: As male sex and hypotension within 7 days of birth increased the risk of developing FI in infants with gestational ages of <27 weeks and birthweights of <1,000 g, preventive strategies to reduce the incidence of FI are required for infants with risk factors for the development of FI.

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“…There is a steep upward trend, and half of the world’s countries exceed the 15% level [2], with some reaching historically high rates. Once a concern of high-income countries [3, 4], the lead is now held by some low- and middle-income countries (LMICs), regardless of the continent [5, 6]: urban China (64.1%) [7], Colombia (43.4%), Dominican Republic (56.4%), Egypt (51.8%), Iran (47.9%), and Brazil (55.6%; 80% for second deliveries―when the first was by cesarean―and over 99% for third births―when the first two were by cesarean) [6, 8] to cite a few.…”

Section: Introductionmentioning

confidence: 99%

Determinants and materno-fetal outcomes related to cesarean section delivery in private and public hospitals in low- and middle-income countries: a systematic review and meta-analysis protocol

Beogo

Rojas²,

Gagnon

2017

Syst Rev

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BackgroundDespite the well-established morbidity, mortality, long-term effects, and unnecessary extra-cost burden associated with cesarean section delivery (CSD) worldwide, its rate has grown exponentially. This has become a great topical challenge for the international healthcare community and individual countries. Estimated at three times the acceptable rate as defined by the World Health Organization in 1985, the continued upward trend has been fuelled by higher income countries. Some low- and middle-income countries (LMICs) have now taken the lead, and the factors contributing to this situation are poorly understood. The expansion of the private healthcare sector may be playing a significant role. Distinguishing between the public and private hospitals’ role is critical in this investigation as it has not yet been approached. This review aims to systematically synthesize knowledge on the determinants of the CSD rate rise in private and public hospitals in LMICs and to investigate materno-fetal and materno-infant outcomes of CSD in perinatal period, between private and public hospitals.Methods/designWe will include studies published in English, French, Spanish, and Portuguese since 2000, using any experimental design, including randomized controlled trials (RCTs), non-RCTs, quasi-experimental, before and after studies, and interrupted time series. Outcomes of interest are the determinants of CSD and materno-fetal and materno-infant outcomes. We will only include studies carried out in private and public hospitals in LMICs. The literature searches will be conducted in the following databases: MEDLINE, Embase, CINAHL, Cochrane database, LILACS, and HINARI. We will also include unpublished studies in the gray literature (theses and technical reports). Using the two-person approach, two independent review authors will screen eligible articles, extract data, and assess risk of bias. Disagreements will be resolved through discussion with a third author. Results will be presented as structured summaries of the included studies. If possible, a meta-analysis will be conducted and, subsequently, an analysis for heterogeneity will be implemented.DiscussionThe proposed systematic review of the CSD rate rise will provide up-to-date evidence in regard to differences in proportions, determinants, and materno-fetal and materno-infant outcomes in perinatal period, between private and public hospitals in LMICs. We believe that this knowledge synthesis will help to shed light on the evidence and support evidence-informed decision-making with a view to addressing the issue in LMICs.Systematic review registrationPROSPERO CRD42016036871 Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-016-0402-6) contains supplementary material, which is available to authorized users.

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Changes in the Cesarean Section Rate in Korea (1982-2012) and a Review of the Associated Factors

Cited by 40 publications

References 54 publications

Pregnancy outcomes in Korean women with ankylosing spondylitis

Pregnancy outcomes in Korean women with ankylosing spondylitis

Risk factors for fungal infection in extremely low birthweight infants registered in the Korean neonatal network from 2013 to 2015: Male sex and hypotension

Determinants and materno-fetal outcomes related to cesarean section delivery in private and public hospitals in low- and middle-income countries: a systematic review and meta-analysis protocol

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