Maternal age and the likelihood of a maternal request for cesarean delivery: A 5-year population-based study

Lin, Herng Ching; Xirasagar, Sudha

doi:10.1016/j.ajog.2004.09.133

Cited by 75 publications

(70 citation statements)

References 25 publications

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“…Consistent research findings indicate that women who choose elective caesarean tend to be older (14). Maternal age has been reported as an independent risk factor for caesarean delivery.…”

Section: Maternal Factorssupporting

confidence: 54%

Determinants of caesarian birth on maternal demand in the Islamic Republic of Iran: a review

Darsareh

Aghamolaei

Rajaei

et al. 2017

East Mediterr Health J

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Analyse des déterminants des naissances par césarienne sur demande de la mère en République islamique d'IranRÉSUMÉ Le phénomène des naissances par césarienne sur demande fait l'objet de discussions, notamment parce qu'une première césarienne est hautement prédictive d'autres césariennes lors des naissances suivantes. L'identification des raisons d'un accouchement par césarienne sur demande est importante de façon à planifier des interventions efficaces. À ce titre, la présente analyse fait état, sur la base d'études menées en République islamique d'Iran, des facteurs impliqués dans la tendance qu'ont les femmes de recourir à un accouchement par césarienne. Plusieurs mots clés incluant « naissance par césarienne », « accouchement », « causes », « demande/ exigence de la mère », ainsi que « choix de la patiente » ont été utilisés pour effectuer des recherches dans Medline, PubMed, Ovid, Scientific Information Database, Magiran, Google et Google Scholar. La recherche a été menée à partir d'articles en persan et en anglais, sans limitation de temps. À l'aide d'une analyse de contenu, les facteurs influençant le recours à une césarienne ont été divisés en trois catégories : les facteurs liés à la mère, les facteurs sociaux, et ceux liés aux dispensateurs de soins. Eu égard à la prévalence élevée de césariennes, il est important de concevoir et de mettre en oeuvre des programmes et des interventions efficaces prenant en compte les raisons principales qui conduisent les femmes à opter pour une césarienne non nécessaire. ABSTRACT The phenomenon of caesarean birth on demand has gained attention, particularly as a first caesarean birth appears to be strongly predictive of subsequent caesareans. Identification of reasons behind caesarean birth on demand is important for planning effective interventions. Therefore, this review reports the factors involved in the tendency of women to undergo caesarean birth, based on studies in the Islamic Republic of Iran. Several keywords including caesarean delivery, childbirth, causes, maternal request/demand, and patient choice were used to search Medline, PubMed, Ovid, Scientific Information Database, Magiran, Google and Google Scholar. The search was conducted on Persian and English language articles, with no time limitation. Using content analysis, the factors influencing caesarean section were divided into 3 categories: maternal, social and healthcare giver. According to the high prevalence of caesarean section, it is important to design and implement effective programmes and interventions with consideration of the key reasons that lead women to opt for unnecessary caesarean section.

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“…Consistent research findings indicate that women who choose elective caesarean tend to be older (14). Maternal age has been reported as an independent risk factor for caesarean delivery.…”

Section: Maternal Factorssupporting

confidence: 54%

Determinants of caesarian birth on maternal demand in the Islamic Republic of Iran: a review

Darsareh

Aghamolaei

Rajaei

et al. 2017

East Mediterr Health J

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“…A maior prevalência de cesarianas encontrada para mulheres acima de 35 anos condiz com achados na literatura 19,20 . A hipóte-se de que pacientes mais velhas teriam mais comorbidades ou estivessem relacionadas a outras características que as levassem a ter mais cesarianas foi levantada por alguns autores 20,21 entanto, no presente estudo, concordando com outro recente 22 , essa categoria ainda mostrou grande associação com cesarianas após ajuste para confundimento, não havendo justificativa para maior prevalência nesse grupo, de acordo com as variáveis estudadas. A maior prevalência de cesarianas entre primíparas tem sido descrita como inapropriada para justificar a operação 14,23 .…”

Section: Discussionunclassified

Fatores médicos e não-médicos associados às taxas de cesariana em um hospital universitário no Sul do Brasil

2008

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O objetivo deste estudo foi descrever fatores associados ao aumento nas taxas de cesariana em um hospital universitário de 2002 e 2004, explorando a contribuição de fatores médicos e não-médicos para este aumento. Um estudo transversal investigou 2.905 partos ocorridos nos anos de 2002 (1.441) e 2004 (1.464). Diferenças nas razões de prevalência ajustadas pela regressão de Poisson e risco atribuível percentual foram estimados para a associação de cesariana com fatores sócio-demográficos; clínicos e reprodutivos; e do parto, institucionais e da prática obstétrica. As taxas de cesariana aumentaram de 28,4% em 2002 para 36,7% em 2004. Escolaridade materna elevada, hora do parto, presença de patologia e maior freqüência ao pré-natal foram os fatores que representaram a contribuição mais expressiva para o excesso em 2004, quando comparado a 2002. O aumento nas taxas de cesariana ao se comparar os dois anos pode ser atribuído, pelo menos em parte, a um crescimento nas indicações relativas e condições não-médicas.

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“…With a rate that has increased several fold in most countries, values of around 23.5%, 40%, 36%, 23.3% and 22.4% have been reported for the US, Chile, Brazil, Taiwan and Italy, respectively [1][2][3][4]. These rates are much higher than those suggested by the WHO, according to which a rate of around 15% has scientific and medical indications, and values higher than this are considered as unnecessary or inappropriate [5].…”

Section: Introductionmentioning

confidence: 68%

“…Previous studies show that unnecessary and inappropriate services are provided in health and treatment centers [19,20,23] and that these services impose a large financial burden not only on the health system but also on the society. Since CS is one of the most common surgical operations which is alarmingly increasing throughout the world, including Iran [1][2][3][4][5]22], the performance of a study on the state of delivery and factors affecting it was one of the priorities of the health system, especially in the family health sector. One of the important factors is the choice of hospital.…”

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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Maternal age and the likelihood of a maternal request for cesarean delivery: A 5-year population-based study

Cited by 75 publications

References 25 publications

Determinants of caesarian birth on maternal demand in the Islamic Republic of Iran: a review

Determinants of caesarian birth on maternal demand in the Islamic Republic of Iran: a review

Fatores médicos e não-médicos associados às taxas de cesariana em um hospital universitário no Sul do Brasil

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

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