Indications for cesarean deliveries in Norway

Kolås, Toril; Hofoss, Dag; Daltveit, Anne Kjersti; Nilsen, Stein Tore; Henriksen, Tore; Häger, Renate M.E; Ingemarsson, Ingemar; Øian, Pål

doi:10.1067/mob.2003.217

Cited by 158 publications

(140 citation statements)

References 18 publications

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“…Derimot var det en sterk assosiasjon mellom kontrollvariabelen psykisk helsestatus og fødselsangst. Kvinner som var plaget av angst eller depresjon, hadde en økt risiko for fødselsangst, saerlig hvis de var plaget av både angst og depresjon samtidig (justert OR 12,6; 95 % KI 8, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]8).…”

Section: Resultaterunclassified

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Gir tidligere aborter fødselsangst?

Simonsen¹,

Wahl²,

Vangen³

et al. 2013

Tidsskriftet

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Section: Resultaterunclassified

“…Studier antyder at 5-20 % av alle kvinner har sterk uro eller frykt for å føde (1,2), og mange elektive keisersnitt gjøres i dag på indikasjonen fødselsangst (1)(2)(3). Angst under svangerskapet er blitt relatert til en rekke negative følger, slik som langvarig fødsel (4,5), økt behov for smertestillende midler, og økt risiko for keisersnitt (6,7).…”

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Gir tidligere aborter fødselsangst?

Simonsen¹,

Wahl²,

Vangen³

et al. 2013

Tidsskriftet

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“…CS rates are widely acknowledged as having risen above the recommended level for optimizing outcomes for both mother and child. In countries like Norway and Sweden, the most common indication for an elective CS is classified as having been the woman's own request [2,3]. Terms like "too posh to push" [4] have emerged, giving the impression that the attainment of women's rights in the areas of education and social position inevitably leads to the choice of what is regarded as an easy way to give birth.…”

Section: Introductionmentioning

confidence: 99%

Pregnant women’s preference for cesarean section and subsequent mode of birth – a six-country cohort study

Ryding

Lukasse

Kristjansdottir

et al. 2016

Journal of Psychosomatic Obstetrics & Gynecology

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Introduction: The rate of cesarean section (CS) for non-medical reasons has risen and is a concern for health care. Women's preferences may vary across countries for psychosocial or obstetric reasons.Methods: A prospective cohort study of 6,549 women in routine antenatal care, giving birth in Belgium, Iceland, Denmark, Estonia, Norway or Sweden. Preference for mode of birth was self-reported in mid-pregnancy. Birth outcome data were collected from hospital records.Results: A CS was preferred by 3.5% of primiparous women and 8.7% of the multiparous women. Preference for CS was associated with severe fear of childbirth, with a negative birth experience in multiparous women, and with depressive symptoms in the primiparous. Women were somewhat more prone to prefer a cesarean in Iceland, OR 1.70(1.02-2.83), adjusted for age, education, depression, fear of childbirth, history of abuse, previous cesarean and previous negative birth experience. Out of the 404 women who preferred CS during pregnancy, 286 (70.8%) were delivered by CS, mostly for a medical indication. A total of 9% of the cesareans in the cohort had a non-medical indication only.Conclusions: Women's preference for cesarean section often seems to be due to health concerns. Both medical and psychological factors need to be addressed in antenatal counseling. Obstetricians need to convey accurately to women the risks and benefits of CS in her specific case. Maternity professionals should identify and explore psychosocial reasons for women's preferences.

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“…Elective caesarean deliveries before the onset of labour are motivated by a range of women and physician concerns about probability of achieving vaginal birth, maternal preferences for mode of delivery, and the potential for maternal and neonatal morbidity, particularly among women who have previously delivered by caesarean, whereas intrapartum caesarean delivery is more likely to be performed because of immediate concerns about dystocia and fetal distress. 17 By studying cohorts of women at risk for caesarean delivery before or after the onset of labour, it is possible to examine whether maternal anthropometric factors are likely to affect risk through social pathways, such as maternal preference or physician practice style, or if they have a more physiological explanation.…”

Section: Introductionmentioning

confidence: 99%

Maternal anthropometric risk factors for caesarean delivery before or after onset of labour

Sherrard¹,

Platt

Vallerand³

et al. 2007

BJOG

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Objective To quantify the effects of pre-pregnancy body mass and gestational weight gain, above and beyond their known effects on birthweight, on the risk of primary and repeat caesarean delivery performed before or after the onset of labour.Design Hospital-based historical cohort study.Setting Canadian university-affiliated hospital.Population A total of 63 390 singleton term ( ‡37 weeks gestation) infants with cephalic presentation.Methods We studied prospectively archived deliveries at the Royal Victoria Hospital in Montreal, Canada, from 1 January 1978 to 31 March 2001 using multiple logistic regression models to estimate relative odds of caesarean delivery.Main outcome measure Caesarean delivery, primary or repeat and before or after the onset of labour.Results Pregravid obesity (body mass index ‡30 kg/m 2 ) increased the likelihood of primary caesarean delivery before (OR = 2.01, 95% CI 1.39-2.90) and after (OR = 2.12, 95% CI 1.86-2.42) the onset of labour. High net rate of gestational weight gain (>0.50 kg/week) increased the risk but only after labour onset (OR = 1.40, 95% CI 1.23-1.60). Among women with a previous caesarean, high weight gain modestly increased risk but only before labour (OR = 1.38, 95% CI 1.04-1.83), whereas obesity increased the risk of caesarean delivery both before (OR = 1.85, 95% CI 1.44-2.37) and after (OR = 1.96, 95% CI 1.11-3.47) labour onset. Increased risks of macrosomia accounted for the association between pregravid adiposity and repeat caesarean delivery performed after but not before the onset of labour.Conclusions Pregravid obesity increases the risk of caesarean delivery both before and after the onset of labour and both with and without a history of caesarean.

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Indications for cesarean deliveries in Norway

Cited by 158 publications

References 18 publications

Gir tidligere aborter fødselsangst?

Gir tidligere aborter fødselsangst?

Pregnant women’s preference for cesarean section and subsequent mode of birth – a six-country cohort study

Maternal anthropometric risk factors for caesarean delivery before or after onset of labour

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