Rates and Predictors of Caesarean Section for First and Second Births: A Prospective Cohort of Australian Women

Hure, Alexis; Powers, Jennifer R.; Chojenta, Catherine; Loxton, Deborah

doi:10.1007/s10995-016-2216-5

Cited by 22 publications

(20 citation statements)

References 22 publications

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“…In Australia, cesarean birth rates are high (33% of all births in 2015) and have increased over time 37 . In another study also based on data from the young women participating in ALSWH, 29% of first, singleton births were cesarean births, which is consistent with national estimates 38 . The risks of cesarean birth are well established and increase with each subsequent cesarean birth 39 .…”

Section: Discussionsupporting

confidence: 74%

Menstrual symptoms and risk of preterm birth: A population‐based longitudinal study

Rowlands

Aye

Schoenaker

et al. 2020

Birth

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Objectives To examine the prospective association between menstrual symptoms before pregnancy and preterm birth. Methods Secondary analysis of data from 14 247 young Australian women born between 1973 and 1978 who participated in a longitudinal, population‐based cohort study between 1996 and 2015. Women were first surveyed at 18‐23 years, and seven waves of data were collected at roughly three‐yearly intervals. At each survey, women were asked about “severe period pain,” “heavy periods,” and “irregular periods” within the last 12 months. From 2009 onward, information on their children was collected, including birth dates and preterm birth (<37 weeks). Logistic regression using generalized estimating equations was used to examine prospective associations between self‐reported menstrual symptoms before pregnancy and risk of preterm birth. Results Data from 6615 mothers who had 12 337 live singleton births were available for analysis. Among all births, women reporting severe period pain (adjusted odds ratio [aOR] 1.34 [95% CI 1.10‐1.62]) or heavy periods (1.25 [1.02‐1.53]) before pregnancy had higher odds of preterm birth. However, in analyses stratified by birth order, only severe period pain (2.05 [1.41‐2.99]), heavy periods (1.77 [1.23‐2.55]), or irregular periods (1.58 [1.10‐2.28]) before a second or subsequent birth were associated with an increased risk of preterm birth. Conclusions Severe period pain, heavy periods, and irregular periods before a second or subsequent birth may be associated with preterm birth.

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Section: Discussionsupporting

confidence: 74%

Menstrual symptoms and risk of preterm birth: A population‐based longitudinal study

Rowlands

Aye

Schoenaker

et al. 2020

Birth

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“…In order to reduce maternal and foetal morbidity and mortality, an emergency (unscheduled) caesarean section is recommended. Recent studies reported that 15-23% of pregnant women who attempted to have a vaginal delivery ended up with an emergency caesarean section in Australia, United Kingdom and Palestine (25)(26)(27). Consistent with these studies, our current study found that 17% of pregnant women who attended a prenatal education course ended up with an emergency caesarean section.…”

Section: Discussionsupporting

confidence: 89%

Promotion of Pre-natal Education Courses Is Associated With Reducing the Rates of Caesarean Section: A Case-Control Study

Tang

Gao

Sun

et al. 2021

Front. Public Health

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Objective: The number of women having a caesarean section has significantly increased worldwide, in particular in China. Maternal requestion makes a moderate contribution to this increased rate in China. Reducing the caesarean section rate is now becoming a big challenge to midwives and obstetricians as well as health policymakers in China. Our recent survey found that pre-natal education course had some positive effects on the reduction of caesarean section on maternal request. However, pre-natal education course is relatively new in China. In this study, we investigated whether pre-natal education course influences delivery mode in the largest tertiary women's hospital in China.Methods: In this retrospective study, during the study period, 644 pregnant women attended a pre-natal education course and 4,134 pregnant women did not. Data on maternal age, parity, gravida, delivery mode, delivery weeks, birthweight, gestational age at attending pre-natal education course and maternal body mass index before pregnancy were collected and analysed.Results: The numbers of women who attempted vaginal delivery were significantly higher in women who attended a pre-natal education course, compared to women who did not (87 vs. 60%). In addition, the rate of caesarean section on maternal request was 23% in women who attended a pre-natal education course.Conclusion: Attendance of a pre-natal education course influences the mode of delivery and reduces the unnecessary caesarean section in China. Our findings suggest that the promotion of pre-natal education courses is important to reduce the higher caesarean section rate in China, by midwives or obstetricians or health policy-makers as part of China's strategy.

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“…The CD rates found in this literature fell below the goal rate of 15% set forth by the WHO [ 55 ], which reflects appropriate provision of surgical care, as higher rates have been shown to correlate with unnecessary surgery and financial hardship for the poor without an improvement in maternal or fetal well-being [ [56] , [57] , [58] ]. The baseline CD rate found in populations with adequate surgical care in the United States and Canada is approximately 28% [ [59] , [60] , [61] ]. However, rural areas without surgical resources in high-income countries have rates as low as 3.8% [ 62 ].…”

Section: Discussionmentioning

confidence: 99%

A systematic review and meta-analysis of valued obstetric and gynecologic (OB/GYN) procedures in resource-poor areas

Blears

Pham

Bauer³

2020

Surgery Open Science

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Background Obstetric and gynecologic procedures are valuable in rural settings. Data identifying common procedures may better prepare surgeons to meet patient needs in remote settings. Materials and methods A literature review using key MeSH terms was performed according to methods described by the Cochrane Collaboration and PRISMA on studies that described obstetric and gynecologic surgery in rural high-income countries or any setting in middle- to low-income countries. Meta-analysis was performed using random effects modeling for odds ratios of cesarean delivery and hysterectomy as proportions of total surgical volume. Results A total of 195 studies were included for qualitative synthesis and 22 for quantitative analysis. Obstetric and gynecologic procedures made up a 19% of all surgical cases. As compared to other obstetric and gynecologic surgical procedures, cesarean delivery was the most common procedure with odds ratio of 2.39 (95% confidence interval 1.48–3.86), and hysterectomy was the second most common procedure with odds ratio of 1.60 (1.57–1.64). However, heterogeneity between the studies was extremely high and risk of bias was high, limiting quality of findings. Conclusion Greater provision of surgical care can be enhanced by defining which procedures are most needed, which include many obstetric and gynecologic procedures, most commonly cesarean delivery and hysterectomy.

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Rates and Predictors of Caesarean Section for First and Second Births: A Prospective Cohort of Australian Women

Cited by 22 publications

References 22 publications

Menstrual symptoms and risk of preterm birth: A population‐based longitudinal study

Menstrual symptoms and risk of preterm birth: A population‐based longitudinal study

Promotion of Pre-natal Education Courses Is Associated With Reducing the Rates of Caesarean Section: A Case-Control Study

A systematic review and meta-analysis of valued obstetric and gynecologic (OB/GYN) procedures in resource-poor areas

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